Application for Naturalization as a British Overseas Territories ...

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Please write in CAPITALS and in INK1 Details of of ApplicantTick correct box Mr. Mrs. Miss. Ms.Surname/Family Name___________________________All other names__________________________________________________________________________________________Name of birth if different from above_________________Date of Birth_________________________________Age last Birth________________________________Country of Birth____________________________________________2 Details of the Applicant’sPrevious Name(s)Is the name at birth different from Yes Nopresent name?Previous Name_______________________________________Date of change to present name__________________________Reason for change (e.g. adoption, marriage)________________3 Contact InformationP.O. Box (include suffix)_______________________________Street Number_______________________________________District_____________________________________________Daytime Telephone No.________________________________5 Details Of of MarriageAre you (tick one box)Single Married Legally Separated DivorcedWidowedIf married, please give full name of spouse. If applicant isfemale you must reflect the name of your spouse beforemarriage._________________________________________________Date of Marriage___________________________________Spouse’s Date of Birth_______________________________Spouse’s Nationality_________________________________Spouse’s Country of Birth_____________________________Spouse Present Address (house number etc.)__________________________________________________________________________________________________________________6 Details of Applicant’s Applicants ParentsFather’s Full Name__________________________________Father’s Date of Birth________________________________Father’s Country of Birth_____________________________Father’s Nationality__________________________________Mother’s Full Name (reflect maiden name also)______________________________________________________________Mother’s Date of Birth_______________________________Mother’s Country of Birth____________________________Mother’s Nationality_________________________________4 General InformationPresent Nationality___________________________________Nationality at birth (if different)_________________________Occupation/Job (if any)? If you are not,employed or have retired, write “NONE”_____________________________________________________________________If an employee, give name andaddress used for business__________________________________________________________________________________If self employed, give name andaddress used for business__________________________________________________________________________________If partner, give name andAddress of partnership____________________________________________________________________________________If a director, give name and registeredaddress of company/ies___________________________________________________________________________________7 CONVICTIONSHave you been convicted in a court of Yes NoLaw (in and out of the Territory) of anycrime or offence and the conviction(s) is/arenot spent?If crime/offence was committed overseas, provide fulldetails on a separate sheet, if applicable._______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Go To Section 8
P lease Write in CAPITALS and in INK8 Residency InformationGive below the address of your residence(s) in the territory for the last (5) five years (continue on a separate sheet if necessary)Address (include house# and district) Date from Date toDate of first arrival in the territory ( to reside). If exact date is not known, you must reflect the year._____________________________________________Give details of all absences from the territory to cover the (5) five-year residency requirement. The following guide is provided to determine if you meetthe residency requirement or not:a) The applicant was resident in the territory at the beginning of the period of (5) five years ending with the date of the application and that thenumber of days on which he/she was absent from the territory in that period does not exceed 450 days.b) That the number of days on which the applicant was absent from the territory in the period of 12 months so ending does not exceed 90; andc) That on the date of the application he/she was not subject under the Immigration Laws to any restriction on the period for which he/she mightremain in that territory; andd) That he/she was not at any time in the period of (5) five years ending with the date of the application in that territory in breach of theImmigration laws.If the applicant is certain that he/she meets the residency requirement but finds it difficult to provide full details of absence outside of the territory for thepast (5) five years (i.e. he/she travels often for short periods i.e. business trips), please have an affidavit prepared. The documents would certify that theapplicant meets the (5) five-year residency requirement (i.e. the five-year period of residence is the period ending with the date that application is receivedin the relevant Government Office). The applicant’s signature must be witness by a Notary Public who will thereafter affix his/her signature, seal and dateto the affidavit.If you were or are outside the territory for educational purposes, original documentation to support this must be provided b y the University or College.This information must stipulate the length of time that you were away to achieve your degree.Country visited Reason for visit Date of departure Date of returnFrom territoryTo territoryIf necessary, attach a separate sheet.It should be noted that the applicant’s principal home must be in the territory.Go To Section 9
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