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TIER 4 (G)

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TIeR 4 (GeneRAl) APPlICATIOn FORM<br />

Section J - About your Immigration History<br />

In this section you will be asked to provide information about your current and previous immigration<br />

status in the UK, including previous applications that you have made.<br />

J1; What is your current immigration status?<br />

I have leave to enter/remain for a limited period - Go to J4<br />

I am an EU national / family member of an EU national - Go to J4<br />

I am exempt from immigration control - Go to J4<br />

I have leave to enter/remain for a limited period, but leave has now expired - Go to J2<br />

None of the above - Go to J4<br />

J2; Did this leave expire more than 28 days before this application was made?:<br />

Yes - Go to J3<br />

No - Go to J4<br />

J3; I am submitting evidence of exceptional circumstances which prevented me from<br />

submitting my application within 28 days of overstaying.<br />

Tick to confirm<br />

J4; Were you required to register with the Police as a condition of your previous leave?<br />

Yes No<br />

J5; Did you have a visa or entry clearance when you came to the UK? (ht)<br />

Yes go to J6 No go to J10<br />

J6; In which country did you obtain your visa or entry clearance?<br />

J7; What is the reference number of the visa or entry clearance?<br />

J8; What date was your visa or entry clearance valid from?<br />

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

J9; What date was your visa or entry clearance valid to?<br />

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

Tier 4 (G) Application Form (version 10/12) - page 21

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