Form EEA4 - UK Border Agency - the Home Office

3.7 Do they also hold British citizenship? Yes No3.8 Their date of birth 3.9 Their gender – please tickD D M M Y Y Y Y male female3.10 Home Office reference ifthey have one3.11 Passport, ID card orregistration certificate number3.12 Their UK address – please inform us if this changesPostcode3.13 Their daytime telephone number 3.14 Their mobile telephone number if they have one3.15 Their relationship to youNote 2. If you are applying for a permanent residence card and during the 5-year continuousresidence period your EEA national family member has died or left the UK, please complete section4.If you are applying for a permanent residence card because your EEA national family memberwho was exercising Treaty rights as a worker or self-employed person has died but you have beenresident in the UK for less than 5 years, please complete section 5.If you are applying for a permanent residence card on the basis that your British citizen familymember is treated as an EEA national under the judgment in the case of Surinder Singh, pleasecomplete section 6. Please go straight to section 7 for all other applications.EEA4 Permanent Residence Card Version 06/2014 - page 15 of 38