12.07.2015 Views

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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Applicant’s maternalgrandfa<strong>the</strong>rApplicant’s maternalgrandmo<strong>the</strong>rFull name:Date 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 11 of 33

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