Form FLR(S) - UK Border Agency - the Home Office

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Sex: Male Female Male FemaleWas the birth recorded? Ifso, at which registry?Current nationality:Country of origin:Current place ofresidence:Ethnicity:Home Office referencenumber (if applicable):If relevant to your claim to be stateless, please provide further family details below:8.6 Grandparents Applicant’s paternalgrandfatherFull name:Applicant’s paternalgrandmotherDate and place of birth:Was the birth recorded? Ifso, at which registry?Current nationality:Country of origin:Current place ofresidence:Ethnicity:Home Office referencenumber (if applicable):STATELESS LEAVE APPLICATION FORM Version 03/2013 – page 10 of 33
Applicant’s maternalgrandfatherApplicant’s maternalgrandmotherFull name:Date and place of birth:Was the birth recorded? Ifso, at which registry?Current nationality:Country of origin:Current place ofresidence:Ethnicity:Home Office referencenumber (if applicable):STATELESS LEAVE APPLICATION FORM Version 03/2013 – page 11 of 33
Page 4 and 5: SECTION 4 ~ Travel history4.1 Date
Page 6: SECTION 7 ~ DocumentationPlease pro
Page 9: Current nationality:Country of orig
Page 13 and 14: SECTION 10 ~ Personal historyYou mu
Page 15 and 16: 10.3. Do you or any dependants who
Page 17 and 18: * DefinitionsFor the purposes of an
Page 19 and 20: 5. If the BRP was stolen, please gi
Page 21 and 22: 16. Please explain why a person oth
Page 23 and 24: SECTION 13 ~ DeclarationYou must no
Page 25 and 26: FORM FLR(S) APPLICATION FOR LEAVE A
Page 27 and 28: enquiries the telephone number is 0
Page 29 and 30: 7. The Post Office offers a walk-in
Page 31 and 32: 29. If the application is successfu
Page 33: What should I do if the information

Form FLR(S) - UK Border Agency - the Home Office

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