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TIER 4 (G)

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TIeR 4 (GeneRAl) APPlICATIOn FORM<br />

Section G - About your Biometric Residence Permit<br />

In this section you will asked to provide information about any Biometric Residence Permit(s) that<br />

have previously been issued to you.<br />

G1; Do you have a BRP?<br />

Yes go to G2 No go to Section H<br />

G2; Please provide the following details: (ht)<br />

Biometric Residence Permit<br />

What is your<br />

BRP number?<br />

What is your<br />

nationality on<br />

the BRP?<br />

What is<br />

the issue<br />

date?<br />

G3; Please explain how you lost your BRP: (ht)<br />

G4; Please provide the following details:<br />

What was the Police<br />

report number?<br />

What was the crime<br />

reference number?<br />

What<br />

is the<br />

expiry<br />

date?<br />

Is your BRP<br />

enclosed<br />

with this<br />

application?<br />

Yes - go to<br />

Section H<br />

No - go<br />

to next<br />

column<br />

Which police station<br />

was this reported at?<br />

G5; Have you reported this to the UKBA card management service?<br />

Yes go to G6 No go to Section H<br />

G6; What date did you report this?<br />

D D M M Y Y Y Y<br />

Now go to Section H<br />

Tier 4 (G) Application Form (version 10/12) - page 15<br />

If your BRP is not<br />

enclosed please<br />

indicate why:<br />

Lost - go to G2<br />

Stolen - to go<br />

G3<br />

Expired and<br />

returned<br />

to national<br />

authorities - go<br />

to Section H<br />

Already with<br />

UKBA - go to<br />

Section H<br />

What date was this<br />

reported to the Police<br />

on?

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