Form FLR(S) - UK Border Agency - the Home Office
Form FLR(S) - UK Border Agency - the Home Office
Form FLR(S) - UK Border Agency - the Home Office
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Country of origin:Current place ofresidence:Ethnicity:<strong>Home</strong> <strong>Office</strong> referencenumber (if applicable):8.4 Bro<strong>the</strong>rs / sisters 1 2Full name:Sex: Male Female Male FemaleDate and place of birth:Was <strong>the</strong> birth recorded? Ifso, at which registry?Current nationality:Country of origin:Current place ofresidence:Ethnicity:<strong>Home</strong> <strong>Office</strong> referencenumber (if applicable):Full name:3 4Sex: Male Female Male FemaleDate and place of birth:Was <strong>the</strong> birth recorded? Ifso, at which registry?STATELESS LEAVE APPLICATION FORM Version 03/2013 – page 8 of 33
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