Form FLR(S) - UK Border Agency - the Home Office
Form FLR(S) - UK Border Agency - the Home Office
Form FLR(S) - UK Border Agency - the Home Office
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Sex: Male Female Male FemaleWas <strong>the</strong> birth recorded? Ifso, at which registry?Current nationality:Country of origin:Current place ofresidence:Ethnicity:<strong>Home</strong> <strong>Office</strong> referencenumber (if applicable):If relevant to your claim to be stateless, please provide fur<strong>the</strong>r family details below:8.6 Grandparents Applicant’s paternalgrandfa<strong>the</strong>rFull name:Applicant’s paternalgrandmo<strong>the</strong>rDate and place of birth:Was <strong>the</strong> birth recorded? Ifso, at which registry?Current nationality:Country of origin:Current place ofresidence:Ethnicity:<strong>Home</strong> <strong>Office</strong> referencenumber (if applicable):STATELESS LEAVE APPLICATION FORM Version 03/2013 – page 10 of 33