Form FLR(S) - UK Border Agency - the Home Office

SECTION 11 ~ Biometric Residence PermitsYou must complete this section. If it is not completed, the application will be invalidand will be returned to you.In accordance with regulation 3 of the Immigration (Biometric Registration) (Amendment)Regulations 2012 anyone applying for leave to remain in the UK in the categories for whichthis application form is specified must also apply for a biometric immigration document,otherwise known as a biometric residence permit. This also applies to applications made atthe same time by any dependants of the main applicant.If you have a current grant of leave on a Biometric Residence Permit (BRP) you mustprovide your BRP.1. Have you been issued with a BRP with a previous application for leave?Yes go to question 2No - go to question 72. Please give details of your BRP. Please note for the application to be valid andcomplete your current BRP must be provided, unless it is not available for one ofthe reasons specified on the application formBiometric Residence Permit2.1 BRP number2.2 Nationality2.3 Issue date2.4 Expiry date2.5 Place of issueBRP enclosed? Yes/NoIf not enclosed then please state the location of BRPo Returned to UK Border Agency/Home Office - go to question 3o Lost - go to question 4o Stolen - go to question 5o Other – go to question 63. If the required BRP has been returned to the UK Border Agency/Home Office,please give details of the reason and the date that it was sent to us4. If the BRP was lost, please give the date this was reported to the UK BorderAgency/Home Office Card Management ServiceSTATELESS LEAVE APPLICATION FORM Version 03/2013 – page 18 of 33