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

6.7 Their date of birth
APPLICATION FOR A DERIVATIVE RESIDENCE CARD - FORM DRF1
D D M M Y Y Y Y
6.8 Their gender – please tick Male Female
6.10 Their passport, ID card or registration certificate number if applicable
6.11 Their UK address – please inform us if this changes
House number or name:
Street name:
Town/city:
County:
Postcode:
6.12 Evidence of your relationship to your primary carer – for example birth certificate/
adoption certificate
Please give details of the person from whom your primary carer derives a right of residence:
6.1 Their title – please tick
Mr Mrs Miss Ms Other
6.14 If other, what is their title
6.15 Their full name as in their passport
6.16 Any other name(s) by which they are or have been known
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