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

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10. Give details of the British diplomatic post(s) involved if the application(s)was/were made abroad11. Do you have a medical or physical condition which may require specialarrangements for your biometric features to be recorded?Yes- go to question 12No- go to question 1312. Please provide us with the following documents:A letter from a treating clinician registered with the General Medical Council (GMC)giving details of the condition and/or special needs and explaining any arrangementsthat may be necessary.Dependants and applicants under the age of 16If the applicant or any dependant included on this application is under the age of 16 pleasecomplete questions 13, 14, 15 and 16. If not please go to question 17.13. Is the applicant/dependant16 years old or more - go to question 17Less than 16 years old - go to question 1414. Give details of the person who will be accompanying the applicant/dependantwhen he/she attends their Biometric Residence Permit appointment14.1 Name of responsible adult14.2 Date of birth14.3 Place of birth14.4 Relationship to child15. Is this person the applicant/dependant’s parent/legal guardianYes- go to question 17No- go to question 16STATELESS LEAVE APPLICATION FORM Version 03/2013 – page 20 of 33
16. Please explain why a person other than the applicant/dependant’s parent/legalguardian will be accompanying the applicant/dependant17. DECLARATIONAs required by the Immigration (Biometric Registration) Regulations 2008 (as amended) Iconfirm that I also apply for a biometric immigration document for myself and anydependants applying with me. If I am a sole applicant under the age of 16, or if anydependant child under the age of 16 is applying with me, I understand that the Home Officemay make enquiries about any responsible adult nominated to be present when my/theirfingerprints and/or a photograph are taken.SignatureDateSTATELESS LEAVE APPLICATION FORM Version 03/2013 – page 21 of 33
Page 4 and 5: SECTION 4 ~ Travel history4.1 Date
Page 6: SECTION 7 ~ DocumentationPlease pro
Page 9 and 10: Current nationality:Country of orig
Page 11 and 12: Applicant’s maternalgrandfatherAp
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: 5. If the BRP was stolen, please gi
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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