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

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APPLICATION FOR A DERIVATIVE RESIDENCE CARD - FORM DRF1<br />

SECTION 1 – APPLICANT’S DETAILS<br />

1.1 Please tick one of <strong>the</strong> boxes below to indicate which category of derivative <strong>residence</strong><br />

<strong>card</strong> you are applying for.<br />

A. Primary carer of an EEA national child who is exercising Treaty rights as a self-sufficient<br />

person.<br />

B. Primary carer of a British citizen.<br />

C. Child of an EEA national where that child is in education in <strong>the</strong> <strong>UK</strong><br />

D. Primary carer of a child in category C<br />

E. Dependant of a primary carer in category A, B or D above.<br />

1.2 Your title – please tick<br />

Mr Mrs Miss Ms O<strong>the</strong>r<br />

1.3 If o<strong>the</strong>r, what is your title<br />

1.4 Your gender – please tick<br />

Male<br />

Female<br />

Photographs<br />

You must provide two identical photographs of yourself with<br />

your full name on <strong>the</strong> back of each one. Please place <strong>the</strong><br />

photographs in a small sealed envelope, toge<strong>the</strong>r with those<br />

of any family members included in section 2, and attach it<br />

across this space with a staple or paper clip at <strong>the</strong> right-hand<br />

side of <strong>the</strong> page/envelope.<br />

Please make sure that <strong>the</strong> staple or paper clip does not<br />

damage or mark <strong>the</strong> photographs. All photographs must be<br />

as specified in <strong>the</strong> separate photograph guidance.<br />

(Version 08/2014) - page 9 of 46

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