Form EEA4 - UK Border Agency - the Home Office
Form EEA4 - UK Border Agency - the Home Office
Form EEA4 - UK Border Agency - the Home Office
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Section 9 - Personal History (criminal convictions, war crimes, etc.)You must provide details as requested below of any criminal convictions you may have both in <strong>the</strong><strong>UK</strong> and overseas. Please note that it is an offence under Section 26(1)(c) of <strong>the</strong> Immigration Act1971 to make a statement or representation which you know to be false or do not believe to be true.Information given will be checked with o<strong>the</strong>r agencies.9.1. Have you or any family members who are applying with you been convicted of any criminaloffence in <strong>the</strong> <strong>UK</strong> or any o<strong>the</strong>r country?Yes - go to question 9.2 No - go to question 9.39.2. Please give details below for each criminal conviction, starting with <strong>the</strong> most recent one. If youor any family members who are applying with you have received more than two convictions, pleasephotocopy this page and enclose it with this form.Note: We will carry out criminal record checks on all applicants and family members. You must givedetails of all unspent and spent criminal convictions. This includes road traffic offences but not fixedpenalty notices (such as speeding or parking tickets) unless <strong>the</strong>y were part of a sentence of <strong>the</strong> court.This includes all drink-driving offences.Criminal conviction 1Country where convictedNature of <strong>the</strong> offenceSentence givenDate sentenced D D M M Y Y Y YIf you or any family members who are applying with you weresentenced to a period of imprisonment, what was <strong>the</strong> length of <strong>the</strong>prison sentence imposed (in months)?Criminal conviction 2Country where convictedmonthsNature of <strong>the</strong> offenceSentence given<strong>EEA4</strong> Permanent Residence Card Version 06/2014 - page 29 of 38