Form EEA4 - UK Border Agency - the Home Office

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Section 7 – Details Of The Exercise Of Treaty Rights For 5 YearsTo qualify for permanent residence, your EEA national family member must normally have exercisedTreaty rights in the UK for a continuous period of five years through employment, self-employment,study or economic self-sufficiency (including retirement). If your EEA national family memberstopped working or being self-employed due to early retirement, reaching state pension age orpermanent incapacity, or if you have retained the right of residence following divorce from the EEAnational or following their death or departure from the UK (see sections 4 and 5) then you are onlyrequired to provide evidence of the EEA national exercising Treaty rights before that point.The details given in this section must be supported by the documentary evidence in section 11.If your EEA national family member has already acquired permanent residence, please provideeither their document certifying permanent residence (if they have one) or evidence of how theyacquired permanent residence, for example evidence of exercising Treaty rights for a continuousperiod of 5 years prior to the date at which they acquired permanent residence.If your EEA national family member has a document certifying permanentresidence, please tick this box and go to section 8, otherwise please completesection 7 below.From (dd/mm/yyyy)EmploymentTo (dd/mm/yyyy)Self-EmploymentSeeking workEconomic self-sufficiency (includingretirement)StudyPermanent incapacityTemporarily incapacitatedUnemployed and undertakingvocational training7.2 If your EEA national family member did not exercise Treaty rights for some or all of this periodbut were supported by the employment or funds of a family member, or if there are any otherperiods of time not accounted for in the above table, please give details below. Continue on aseparate sheet if necessary and enclose it with this formEEA4 Permanent Residence Card Version 06/2014 - page 26 of 38
7.3 If your EEA national family member exercised Treaty rights in employment, self-employmentor study, please give details below starting with the most recent if there is more than one employerand/or place of study. Continue on a separate sheet if necessary and enclose it with this form.Name and address of employer or place ofstudyFromddmmyyyyUntilddmmyyyyType of business if selfemployedEEA4 Permanent Residence Card Version 06/2014 - page 27 of 38
Page 4: Page left deliberately blankEEA4 Pe
Page 7 and 8: Please note that we always use the
Page 9 and 10: The following nationals may exercis
Page 12 and 13: 1.9 Place of birth - town or city a
Page 14 and 15: 2.13 Family member’s full name2.1
Page 16: Section 4 - Retained Right Of Resid
Page 19 and 20: Section 5 - Permanent Residence Due
Page 21 and 22: About you6.6 How are you related to
Page 23 and 24: Rented by you/the BritishcitizenPro
Page 28 and 29: Section 8 - Time Spent Outside The
Page 30 and 31: Date sentenced D D M M Y Y Y YIf yo
Page 32 and 33: Section 10 - PhotographsYou must pr
Page 34 and 35: For time spent seeking work: this c
Page 36 and 37: Section 12 - DeclarationPlease read
Page 38: Final ChecklistTo ensure that your

Form EEA4 - UK Border Agency - the Home Office

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