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

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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
5. If the BRP was stolen, please give the police report number, crime referencenumber, the police station and the date reported to the policePolice report numberCrime reference numberPolice stationDate reported to the Police6. If the required BRP is not enclosed then please give details why you are unable toprovide it7. Have you had your fingerprints taken as part of a previous United Kingdomimmigration application made in the United Kingdom or abroad?Yes- go to question 8No- go to question 118. Give details when your fingerprints were taken9. Give details where your fingerprints were taken, including the town or city andcountrySTATELESS LEAVE APPLICATION FORM Version 03/2013 – page 19 of 33
Page 4 and 5: SECTION 4 ~ Travel history4.1 Date
Page 6: SECTION 7 ~ DocumentationPlease pro
Page 9 and 10: Current nationality:Country of orig
Page 11 and 12: Applicant’s maternalgrandfatherAp
Page 13 and 14: SECTION 10 ~ Personal historyYou mu
Page 15 and 16: 10.3. Do you or any dependants who
Page 17: * DefinitionsFor the purposes of an
Page 21 and 22: 16. Please explain why a person oth
Page 23 and 24: SECTION 13 ~ DeclarationYou must no
Page 25 and 26: FORM FLR(S) APPLICATION FOR LEAVE A
Page 27 and 28: enquiries the telephone number is 0
Page 29 and 30: 7. The Post Office offers a walk-in
Page 31 and 32: 29. If the application is successfu
Page 33: What should I do if the information

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

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