Derivative residence card application form - UK Border Agency - the ...

APPLICATION FOR A DERIVATIVE RESIDENCE CARD - FORM DRF1
5.16 Any other name(s) by which they are or have been known
5.17 Their date of birth
D D M M Y Y Y Y
5.18 Their gender – please tick Male Female
5.19 Their nationality
5.20 Do they also hold British citizenship
Yes
No
5.21 Their passport, ID card or registration certificate number
5.22 Their UK address
House number or name:
Street name:
Town/city:
County:
Postcode:
5.23 Did the relevant child’s EEA national parent exercise Treaty rights as a worker in the
UK at a time when the child was also residing in the UK
Yes
No
(Version 08/2014) - page 23 of 46