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

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SECTION 4 ~ Travel history4.1 Date you entered the UK 4.2 Place of entry4.3 Method of entry 4.4 What document(s) did you use to travel toand enter the UK? Please supply thedocument(s) if you have not already done so.SECTION 5 ~ Previous places of residencePlease list all previous places of residence abroad below (in date order)Country Dates Status AddressSTATELESS LEAVE APPLICATION FORM Version 03/2013 – page 4 of 33
SECTION 6 ~ Life in country of previous residence6.1 Please provide details of your education in your country of previous residence:Name of school/college Dates attended Address6.2 Please provide details of any employment or military service in your country of previousresidence:Role Dates Address6.3 Please provide details of any medical treatment received in your country of previousresidence:Treatment received Date Name/location of hospital/medical centreSTATELESS LEAVE APPLICATION FORM Version 03/2013 – page 5 of 33
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 and 18: * DefinitionsFor the purposes of an
Page 19 and 20: 5. If the BRP was stolen, please gi
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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