Form EEA4 - UK Border Agency - the Home Office

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Date sentenced D D M M Y Y Y YIf you or any family members who are applying with you were sentencedto a period of imprisonment, what was the length of the prison sentenceimposed (in months)?months9.3. Do you or any family members who are applyingwith you have any civil judgments against you or any civilpenalty under the UK Immigration Acts?Yes - go to 9.4No - go to 9.59.4. Give details for each civil judgment or any civil penalty under UK the Immigration Acts, startingwith the most recent one.If you or any family members who are applying with you have received more than two civil judgmentsand/or civil penalties under the UK Immigration Acts, please photocopy this page and enclose it withthis form.Details of judgment or civil penalty 1Date of judgment or civil penalty D D M M Y Y Y YCountry where judgment madeDetails of judgment or civil penalty 2Date of judgment or civil penalty D D M M Y Y Y YCountry where judgment madeYou must answer questions 9.5 to 9.10 below even if you have answered no to question 9.1.For help in answering these questions, please see the definitions at the end of this section.9.5. Have you or any family members who are applying with you everbeen charged in any country with a criminal offence for which youhave not yet been tried in court?9.6. In times of either peace or war have you or any family memberswho are applying with you ever been involved, or suspected ofinvolvement, in war crimes, crimes against humanity or genocide?9.7. Have you or any family members who are applying with you everbeen involved in, supported or encouraged terrorist activities in anycountry?9.8. Have you or any family members who are applying with you everbeen a member of, or given support to, an organisation which hasbeen concerned in terrorism?YesYesYesYesNoNoNoNoEEA4 Permanent Residence Card Version 06/2014 - page 30 of 38
9.9. Have you or any family members who are applying with youever, by any means or medium, expressed views that justify or glorifyterrorist violence or that may encourage others to terrorist acts orother serious criminal acts?9.10. Have you or any family members who are applying with you everengaged in any other activities which might indicate that you may notbe considered to be persons of good character?YesYesNoNo9.11. How long have you lived in the UK? Years MonthsPlease provide details of any periods of absence of more than 6 months during that time.Date you left the UK(ddmmyyyy)Date you returned tothe UK (ddmmyyyy)Reason for absence9.12. Please state what ties you have with;• The country where you were born• Any other country whose nationality you hold• Any country where you have lived for more than 5 yearsYou should tell us about any family, friends, or other connections with that country.CountrySocial cultural or family ties9.13. If you have answered yes to question 9.5, 9.6, 9.7, 9.8, 9.9 or 9.10, you must give further detailsin the space provided below. If you need more space, continue on a separate sheet and enclose itwith this form.EEA4 Permanent Residence Card Version 06/2014 - page 31 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 26 and 27: Section 7 - Details Of The Exercise
Page 28 and 29: Section 8 - Time Spent Outside The
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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