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A R E G I S T R A T I O N C E R T I F I C A T E
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E U R O P E A N E C O N O M I C A R E A ( E E A )
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Please read the guidance notes at the front of this form before making
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Our application forms change periodically. If you obtain this form some
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There is no fee for an application on this form.
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For information about other EEA forms, see page 4.
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If you need help in completing this form telephone [phone].
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Applications on this form may be made by post or in person at our
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Croydon Public Enquiry Office. To apply in person, you must make an
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If you apply by post you must send your application to the following
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address:
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UK Border Agency
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European Applications EEA1
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PO Box 306
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Dept 45
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This form is
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Liverpool to be used for
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applications
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made on or after
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WORKING TOGETHER TO PROTECT THE PUBLIC
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EEA1 Version 05/2008 - page 1 of 15
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FO R M E EA1 : GUI DANCE NOT E S
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1
:
G
U
I
D
A
N
C
E
N
O
T
E
S
THER E IS N O L EGAL R EQU IR EME NT FOR E EA AN D S WIS S N ATION AL S TO OBTAI N A R EGI STR ATI ON
T
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I
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A
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Q
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T
R
A
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I
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N
CERTI FICATE TO CO N FIRM THEI R RIG HT OF RE SIDEN CE IN THE UK . THIS I S A VOL UN TARY R EGI STR ATION
C
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T
I
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A
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F
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PR OCES S FOR WH ICH YO U S HOU LD U SE FOR M EEA 1 IF YO U WIS H TO APP L Y
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1
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1 FOR WHICH APPLICATIONS SHOULD YOU USE FORM EEA1?
1
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1
?
Section 1 This is where you give your own details. Leave a space
S
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n
1
between each name and part of the address(es) required in this
To apply for a registration certificate if you are an EEA national
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section (do the same where names and addresses are required
exercising Treaty rights in the UK. See part 15 of these notes
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in other sections).
for information about Treaty rights.
Sections 1 and 2 It s essential that you provide the photographs
S
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s
1
a
n
d
2
You may include your family members in the application if
of yourself and any family members included in the application.
they are EEA or Swiss nationals.
Please use one staple or one paper clip in each person s case to
attach the photographs within the spaces provided. Do not use
To apply for a registration certificate if you are a Swiss national
T
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glue or any other sticky adhesive. See part 7 below for more
residing in the UK. You may include your family members in the
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guidance on photographs.
application if they are Swiss or EEA nationals.
If there is any difference between the personal details given in
Although Switzerland is not a Member State of the EEA the
these sections and those contained in your and/or your family
Agreement between the European Community, its Member
member(s) passports or identity cards, we will always use those
States and the Swiss Confederation on the free movement of
given in the passport(s) or identity card(s).
persons gives similar rights of residence to Swiss nationals and
their family members.
All sections If you are at present unable to provide any of the
A
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s
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c
t
i
o
n
s
information or details requested in any of the relevant sections,
You and any family members included in the application must
please explain the reasons in a letter and enclose it with the
be in the UK to apply.
application form. If you need help with any of the questions, you
0
8
7
0
6
0
6
7
7
6
6
can seek advice by telephoning 0870 606 7766.
2 RELEVANT UK LEGISLATION
2
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V
A
N
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U
K
L
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G
I
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L
A
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Section 9 This section lists the documents and photographs
S
e
c
t
i
o
n
9
which you have to provide. If you can t provide any of the docu-
The relevant legislation for applications on this form is The
ments specified in the application form, please explain why in a
Immigration (European Economic Area) Regulations 2006. You
letter with the form and say when you will be able to provide
www.ukba.homeoffice.gov.uk
w
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can consult it on our website at or
them. See part 8 below for more guidance on documents.
obtain a copy from HMSO.
Ensure that your passport or identity card and those of any fam-
ily members included in the application are signed as required.
3 WHO CAN APPLY ON THIS FORM?
3
W
H
O
C
A
N
A
P
P
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O
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T
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F
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Section 10 You must sign and date the declaration. If you don t,
S
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c
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i
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n
1
0
Only EEA or Swiss nationals and their EEA or Swiss family mem-
it will delay your application.
bers residing in the UK.
7 PHOTOGRAPHS
7
P
H
O
T
O
G
R
A
P
H
S
4 WHEN TO APPLY
4
W
H
E
N
T
O
A
P
P
L
Y
You must provide the following photographs:
You may apply at any time during your stay in the UK.
Two identical colour passport-size photographs of yourself
T
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with your name written on the back of each one
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5 MAKING SURE YOUR APPLICATION IS COMPLETE
5
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Two identical colour passport-size photographs of any family
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Your application will be delayed if it is incomplete. To avoid that,
members included in the application with their names writ-
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you must:
ten on the back of each one.
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.
make it on the current version of EEA1
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1
The photographs should be in colour, recent (within the last
month), and approximately 45 millimetres high and 35 millime-
provide all the photographs of yourself and any family mem-
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tres wide, the size of a passport photo.
bers included in the application as specified in the form
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Each photograph must show the individual s full face clearly
provide all documents specified in the form
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i
d
e
a
l
l
d
o
c
u
m
e
n
t
s
s
p
e
c
i
f
i
e
d
i
n
t
h
e
f
o
r
m
against a light background. Sunglasses are not acceptable. Nor
is any head covering unless this has to be worn for religious or
complete all sections of the form as required
c
o
m
p
l
e
t
e
a
l
l
s
e
c
t
i
o
n
s
o
f
t
h
e
f
o
r
m
a
s
r
e
q
u
i
r
e
d
cultural reasons. But if the covering conceals the face, this will
not be acceptable.
sign and date the declaration in the form.
s
i
g
n
a
n
d
d
a
t
e
t
h
e
d
e
c
l
a
r
a
t
i
o
n
i
n
t
h
e
f
o
r
m
.
Use one staple or paper clip in each person s case to attach the
photographs to the spaces provided. When stapling, do so at
6 COMPLETING THE FORM
6
C
O
M
P
L
E
T
I
N
G
T
H
E
F
O
R
M
the edge of the photograph so as not to damage the image of
D
o
n
o
t
u
s
e
g
l
u
e
o
r
a
n
y
o
t
h
e
r
s
t
i
c
k
y
a
d
h
e
s
i
v
e
.
the face. Do not use glue or any other sticky adhesive.
Please note the following guidance and information when you
complete the form.
If the application(s) is/are successful, the photograph(s) provid-
ed will be reproduced in your and your family members registra-
Use a black pen to complete the form - and capital letters for
U
s
e
a
b
l
a
c
k
p
e
n
tion certificate(s).
names, addresses and similar details.
Complete all sections as required including the Personal History
C
o
m
p
l
e
t
e
a
l
l
s
e
c
t
i
o
n
s
section.
EEA1 Version 05/2008 - page 2 of 15
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FOR M E E A1 - G UIDA NCE NO T ES
F
O
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M
E
E
A
1
-
G
U
I
D
A
N
C
E
N
O
T
E
S
1
1
D
E
C
I
S
I
O
N
T
I
M
E
S
8 DOCUMENTS 11 DECISION TIMES
8
D
O
C
U
M
E
N
T
S
The documents provided with the application must be We aim to decide applications as soon as possible. For informa-
T
h
e
d
o
c
u
m
e
n
t
s
p
r
o
v
i
d
e
d
w
i
t
h
t
h
e
a
p
p
l
i
c
a
t
i
o
n
m
u
s
t
b
e
originals. tion on the current processing times for postal applications for
o
r
i
g
i
n
a
l
s
.
registration certificates on form EEA 1, see the  EEA/EU nation-
Copies of any kind are not acceptable unless there are valid
als page on our website.
reasons for not being able to provide the original document. In
such circumstances, we may accept a copy certified by the
body or authority which issued the original (for example, a copy
12 CONTACTING US AFTER YOU HAVE APPLIED
1
2
C
O
N
T
A
C
T
I
N
G
U
S
A
F
T
E
R
Y
O
U
H
A
V
E
A
P
P
L
I
E
D
of a savings book certified by the building society or bank), or
by a notary.
If you need to contact us after you have applied, please do so as
instructed below.
The reasons for not being able to provide the original docu-
ment must be explained in a covering letter. As a rule, we are
To send us more information about your application, write to the
T
o
s
e
n
d
u
s
m
o
r
e
i
n
f
o
r
m
a
t
i
o
n
a
b
o
u
t
y
o
u
r
a
p
p
l
i
c
a
t
i
o
n
unlikely to be able to grant your application without the origi-
address in part 9 and give the following details in your letter:
nal document.
the applicant s full name, date of birth and nationality
Any documents which are not in English must be accompanied
by a reliable English translation.
any Recorded or Special Delivery number
the date on which the application was posted or made in per-
son
9 APPLYING BY POST - THE ADDRESS
9
A
P
P
L
Y
I
N
G
B
Y
P
O
S
T
-
T
H
E
A
D
D
R
E
S
S
the Home Office reference number if you have one.
If you are applying by post, the address to which you must post
an application on form EEA1 is:
If you need your passport because you have to travel urgently
I
f
y
o
u
n
e
e
d
y
o
u
r
p
a
s
s
p
o
r
t
b
e
c
a
u
s
e
y
o
u
h
a
v
e
t
o
t
r
a
v
e
l
u
r
g
e
n
t
l
y
and unexpectedly, call 0870 606 7766 and provide the person-
a
n
d
u
n
e
x
p
e
c
t
e
d
l
y
0
8
7
0
6
0
6
7
7
6
6
UK Border Agency
U
K
B
o
r
d
e
r
A
g
e
n
c
y
al and other details listed immediately above.
European Applications EEA1
E
u
r
o
p
e
a
n
A
p
p
l
i
c
a
t
i
o
n
s
E
E
A
1
PO Box 306
P
O
B
o
x
3
0
6
Dept 45
D
e
p
t
4
5
Liverpool
L
i
v
e
r
p
o
o
l
13 OBTAINING ANOTHER FORM
1
3
O
B
T
A
I
N
I
N
G
A
N
O
T
H
E
R
F
O
R
M
L2 0QN
L
2
0
Q
N
You can obtain application forms from the Application Forms
Posting it to any other address will delay it.
0
8
7
0
2
4
1
0
6
4
5
Unit on 0870 241 0645 or from our website.
Please also use this address for any other correspondence
about your application.
14 OTHER TELEPHONE ENQUIRIES
1
4
O
T
H
E
R
T
E
L
E
P
H
O
N
E
E
N
Q
U
I
R
I
E
S
If you use Recorded or Special Delivery, this will help us to
0
8
7
0
For enquiries other than obtaining an application form call 0870
record the receipt of your application. Please make sure that
606 7766.
6
0
6
7
7
6
6
.
you keep the Recorded or Special Delivery number.
0
8
0
0
We also have the following freephone textphone number 0800
We will return your passport(s) and other documents by
38 98 28 9.
3
8
9
8
2
8
9
.
Recorded Delivery. If you would like them to be returned by
Special Delivery, you must provide a prepaid Special Delivery
envelope which is large enough.
15 YOUR RIGHT TO RESIDE IN THE UK
1
5
Y
O
U
R
R
I
G
H
T
T
O
R
E
S
I
D
E
I
N
T
H
E
U
K
EEA nationals have a right to reside in the UK if they are exercis-
10 APPLYING IN PERSON
1
0
A
P
P
L
Y
I
N
G
I
N
P
E
R
S
O
N
ing a Treaty right in one of the following categories:
We offer a same-day service to people who apply on form EEA1
W
o
r
k
e
r
:
" Worker: a person who is pursuing an effective and genuine
in person at our Public Enquiry Office (PEO) in Croydon.
activity for remuneration as an employed person
S
e
l
f
-
e
m
p
l
o
y
e
d
" Self-employed
Appointments. To apply in person, you must make an appoint-
A
p
p
o
i
n
t
m
e
n
t
s
S
t
u
d
e
n
t
" Student
ment in advance with the Croydon PEO. If you make one for
E
c
o
n
o
m
i
c
a
l
l
y
s
e
l
f
-
s
u
f
f
i
c
i
e
n
t
" Economically self-sufficient
some time ahead, please check that the application form you
R
e
t
i
r
e
d
:
" Retired: a person who has been economically active; or
use is still valid on the day of your appointment.
I
n
c
a
p
a
c
i
t
a
t
e
d
:
" Incapacitated: a person who is permanently incapacitated
and unable to pursue employment, having been economically
The address of the Croydon PEO is:
active.
Public Enquiry Office
P
u
b
l
i
c
E
n
q
u
i
r
y
O
f
f
i
c
e
The following nationals may exercise Treaty rights in the UK:
Lunar House
L
u
n
a
r
H
o
u
s
e
40 Wellesley Road
4
0
W
e
l
l
e
s
l
e
y
R
o
a
d
Austria Belgium
Croydon
C
r
o
y
d
o
n
Bulgaria*** Cyprus**
CR9 2BY
C
R
9
2
B
Y
Czech Republic* Denmark
Estonia* Finland
The opening times from Monday to Friday inclusive are 8.00 -
France Germany
0
8
7
0
6
0
6
7
7
6
6
4.00. The telephone number is 0870 606 7766.
Greece Hungary*
Iceland Irish Republic
Italy Latvia*
For up-to-date information on opening times and services,
Liechtenstein Lithuania*
please check the PEO pages on our website or phone the num-
Luxembourg Malta
ber above.
EEA1 Version 05/2008 - page 3 of 15
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FOR M E E A1 - G UIDA NCE NO T ES
F
O
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M
E
E
A
1
-
G
U
I
D
A
N
C
E
N
O
T
E
S
O
f
f
i
c
e
o
f
t
h
e
I
m
m
i
g
r
a
t
i
o
n
S
e
r
v
i
c
e
s
C
o
m
m
i
s
s
i
o
n
e
r
Netherlands Norway Office of the Immigration Services Commissioner
Poland* Portugal
5th Floor
5
t
h
F
l
o
o
r
Romania*** Slovakia*
Counting House
C
o
u
n
t
i
n
g
H
o
u
s
e
Slovenia* Spain
53 Tooley Street
5
3
T
o
o
l
e
y
S
t
r
e
e
t
Sweden Switzerland (but see part 1 of these notes)
London
L
o
n
d
o
n
* The nationals of the countries marked with a single asterisk
SE1 2QN
S
E
1
2
Q
N
may have to register on the Worker Registration Scheme. For
advice on how to obtain information about this, see part 16
0
8
4
5
0
0
0
0
0
4
6
Telephone: [phone]
below. If you have to register on the Scheme, you are not eligi-
Alternatively the Solicitors Regulation Authority, which regu-
ble to apply for a registration certificate on the basis of employ-
lates solicitors in England and Wales, can help you find a solic-
ment until you have worked legally in the UK for a continuous
0
8
7
0
6
0
6
2
5
5
5
itor if you contact them on 0870 606 2555 or visit their web-
period of 12 months during which time you were not out of work
w
w
w
.
s
r
a
.
o
r
g
.
u
k
site at www.sra.org.uk
for more than 30 days. You are not required to register on the
Scheme if you are self-employed.
The address and telephone number for any complaints about
a solicitor are:
** A document issued by the Turkish Republic of Northern
Cyprus does not establish that the person is an EEA national.
Legal Complaints Service
L
e
g
a
l
C
o
m
p
l
a
i
n
t
s
S
e
r
v
i
c
e
Only a document issued by the Republic of Cyprus stating that
Victoria Court
V
i
c
t
o
r
i
a
C
o
u
r
t
the holder is a national of the Republic of Cyprus establishes
8 Dormer Place
8
D
o
r
m
e
r
P
l
a
c
e
that the person is an EEA national and accordingly entitled to
Leamington Spa
L
e
a
m
i
n
g
t
o
n
S
p
a
free movement within the EU.
Warwickshire
W
a
r
w
i
c
k
s
h
i
r
e
CV32 5AE
C
V
3
2
5
A
E
*** Bulgaria and Romania joined the European Union on 1
January 2007. Guidance and application forms for Bulgarian
0
8
4
5
6
0
8
6
5
6
5
and Romanian nationals are to be found at Telephone: [phone]
www.workingintheuk.gov.uk
w
w
w
.
w
o
r
k
i
n
g
i
n
t
h
e
u
k
.
g
o
v
.
u
k
19 COMPLAINTS ABOUT OUR SERVICE
1
9
C
O
M
P
L
A
I
N
T
S
A
B
O
U
T
O
U
R
S
E
R
V
I
C
E
16 WORKER REGISTRATION SCHEME
1
6
W
O
R
K
E
R
R
E
G
I
S
T
R
A
T
I
O
N
S
C
H
E
M
E
If you wish to make a complaint about our service, please refer
If you are a national of the Czech Republic, Estonia, Hungary,
to the complaints page on our website for detailed information
Latvia, Lithuania, Poland, Slovakia or Slovenia working in the
about how to do so.
UK you may have to register on this Scheme (this Scheme
does not apply to self -employment). Further information about
If you are unable to access the website or if you need further
w
w
w
.
w
o
r
k
i
n
g
i
n
t
h
e
u
k
.
g
o
v
.
u
k
the Scheme is available at www.workingintheuk.gov.uk
advice after reading the information on the complaints page,
0
8
7
0
6
0
6
please telephone our immigration enquiry bureau on 0870 606
7766.
7
7
6
6
17 OTHER EEA FORMS
1
7
O
T
H
E
R
E
E
A
F
O
R
M
S
The other EEA forms are as follows:
20 DATA PROTECTION NOTICE
2
0
D
A
T
A
P
R
O
T
E
C
T
I
O
N
N
O
T
I
C
E
EEA 2 for residence card applications by non-EEA national or
E
E
A
2
We will treat all information provided by you in confidence but
non-Swiss national family members of an EEA national or
may disclose it to other government departments, agencies,
Swiss national
local authorities, the police, foreign governments and other
bodies for immigration purposes or to enable them to perform
EEA 3 for permanent residence applications by EEA nationals
E
E
A
3
their functions.
and their EEA or Swiss national family members and by Swiss
nationals and their Swiss or EEA national family members
We may also use the information provided by you for training
purposes.
EEA 4 for permanent residence applications by non-EEA or
E
E
A
4
non-Swiss national family members of an EEA national or
Swiss national
FMRS for residence stamp applications by non-EEA national
F
M
R
S
family members of persons required to register under the
Worker Registration Scheme.
18 CHOOSING AN IMMIGRATION ADVISER
1
8
C
H
O
O
S
I
N
G
A
N
I
M
M
I
G
R
A
T
I
O
N
A
D
V
I
S
E
R
If you engage an immigration adviser, take care when choos-
ing one. The Office of the Immigration Services Commissioner
(OISC) regulates immigration advisers. Their website at
www.oisc.gov.uk contains a list of authorised advisers. It also
w
w
w
.
o
i
s
c
.
g
o
v
.
u
k
has links to websites for solicitors, barristers and legal execu-
tives. If you have a complaint about an immigration adviser or
need other information, the OISC contact details are:
EEA1 Version 05/2008 - page 4 of 15
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EEA1
E
E
A
1
REGISTRATION
R
E
G
I
S
T
R
A
T
I
O
N
CERTIFICATE
C
E
R
T
I
F
I
C
A
T
E
S
E
C
T
I
O
N
1
-
A
P
P
L
I
C
A
N
T

S
D
E
T
A
I
L
S
Staple here S E C T I O N 1 - A P P L I C A N T  S D E T A I L S
S
t
a
p
l
e
h
e
r
e
Mr Mrs Miss Ms Other
1.1 Your title - please tick
1
.
1
Attach two identical
photographs of you
o
t
h
e
r
(the applicant) If other, what is your title?
here with staple or
paper clip
1.2 Your date of birth Your gender - please tick
1
.
2
Day Year Male Female
Month
Do not use glue or
D
o
n
o
t
u
s
e
g
l
u
e
o
r
other sticky adhesive
o
t
h
e
r
s
t
i
c
k
y
a
d
h
e
s
i
v
e
1.3 Your full name as in your passport or identity card (ID card)
1
.
3
Surname or family name
1.4
1
.
4
Any other name(s) by which you are or have been known
1.5
1
.
5
1.6 Nationality
1
.
6
1.7 Passport or identity card number 1.8 Home Office reference if you have one
1
.
7
1
.
8
Date you
1.9 National insurance number if you have one Day Year
1
.
9
1.10 Month
1
.
1
0
last entered
the UK
1.11 Your UK address - please inform us immediately if this changes
1
.
1
1
Post code
1.12 Your daytime telephone number Your mobile telephone number if you have one
1
.
1
2
1.13 Your e-mail address if you have one
1
.
1
3
1.14
1
.
1
4
1
.
1
1
Name and address in the UK for all correspondence about your application if different from 1.11
Post code
1
.
1
4
1.15 If you have completed 1.14 and the address is that of your immigration adviser, please state their Office of the Immigration
1
.
1
5
Services Commissioner (OISC) number
EEA1 Version 05/2008 - page 5 of 15
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S E C T I O N 2 - E E A O R S W I S S N A T I O N A L F A M I L Y M E M B E R S I N C L U D E D
S
E
C
T
I
O
N
2
-
E
E
A
O
R
S
W
I
S
S
N
A
T
I
O
N
A
L
F
A
M
I
L
Y
M
E
M
B
E
R
S
I
N
C
L
U
D
E
D
I N Y O U R A P P L I C A T I O N
I
N
Y
O
U
R
A
P
P
L
I
C
A
T
I
O
N
Please give details below of any EEA or Swiss national family members included in the application. If more than 3 are applying,
P
l
e
a
s
e
g
i
v
e
d
e
t
a
i
l
s
b
e
l
o
w
o
f
a
n
y
E
E
A
o
r
S
w
i
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n
a
t
i
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n
a
l
f
a
m
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y
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m
b
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s
i
n
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u
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d
i
n
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e
a
p
p
l
i
c
a
t
i
o
n
.
I
f
m
o
r
e
t
h
a
n
3
a
r
e
a
p
p
l
y
i
n
g
,
please give their details, with photographs, on a copy of this page and enclose it with this form. Non-EEA or non-Swiss national fam-
p
l
e
a
s
e
g
i
v
e
t
h
e
i
r
d
e
t
a
i
l
s
,
w
i
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ily members wishing to apply for a residence card should complete form EEA2.
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.
If the family member is your child, please provide documentary evidence of the relationship (ie full birth certificate), if your details are
I
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not shown in the child s passport or ID card.
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If the family member is a relative other than a child (eg parent, brother, sister, cousin), please provide appropriate documentary evi-
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dence to confirm the relationship (ie full birth, marriage or civil partnership certificates).
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.
Family member s full name
Staple here
S
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a
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Attach two identical
photographs of your
family member
Nationality
here with staple or
paper clip
Do not use glue or
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Date of birth
please tick
Relationship to you
Home Office reference if they have one
Family member s full name
Staple here
S
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a
p
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Attach two identical
photographs of your
family member
Nationality
here with staple or
paper clip
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Date of birth
please tick
Relationship to you
Home Office reference if they have one
Family member s full name
Staple here
S
t
a
p
l
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h
e
r
e
Attach two identical
photographs of your
family member
Nationality
here with staple or
paper clip
Do not use glue or
D
o
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u
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g
l
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r
Male Female
Day Year
Month
other sticky adhesive
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s
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e
Gender -
Date of birth
please tick
Relationship to you
Home Office reference if they have one
EEA1 Version 05/2008 - page 6 of 15
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S E C T I O N 3 - E M P L O Y M E N T
S
E
C
T
I
O
N
3
-
E
M
P
L
O
Y
M
E
N
T
Complete this section only if you are applying as a worker - but see the information below.
C
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m
p
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t
e
t
h
i
s
s
e
c
t
i
o
n
o
n
l
y
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u
a
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a
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a
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a
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-
b
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t
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i
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f
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a
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b
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w
.
Worker - person pursuing an effective and genuine activity for remuneration as an employed person. If you are applying on the basis of being a
W
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r
-
p
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r
s
o
n
p
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u
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a
worker, and you are not a national who has been required to register under the Worker Registration Scheme (ie nationals of the Czech Republic,
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,
Estonia, Hungary, Latvia, Lithuania, Poland, Slovakia or Slovenia), you must complete this section. If you are a national who has registered under
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the Worker Registration Scheme, please go to section 7.
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n
7
.
Full name of employer (ie business or firm)
3 . 1
3
.
1
Business address and telephone number
3 . 2
3
.
2
Post code
Telephone number
3 . 3 Address and telephone number if the address at which applicant is employed is different from the one in 3.2
3
.
3
3
.
2
Post code
Telephone number
3
.
5
Type of business 3 . 5
Position offered to, or held by, you
3 . 4
3
.
4
3 . 7 Number of hours to be worked each week
3
.
7
3 . 6
3
.
6
Date employment started/will start
Month
Day Year
3 . 9 Expected duration of employment
3
.
9
3 . 8 Salary/wages received each month/week
3
.
8
Ł a month / week (delete as appropriate)
3 . 1 0 National insurance number if obtained
3
.
1
0
Employer s Declaration
E
m
p
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o
y
e
r

s
D
e
c
l
a
r
a
t
i
o
n
(employee s name) has been employed as a worker in this business
Month
Day Year
from
in accordance with the details given above.
Signature of employer
Employer s stamp
Date
Evidence of Employment: Please provide us with at least one of the following and tick relevant box(es):
E
v
i
d
e
n
c
e
o
f
E
m
p
l
o
y
m
e
n
t
Contract(s) of employment
Most recent wage slips (at least one)
Letter(s) from employer confirming your employment
EEA1 Version 05/2008 - page 7 of 15
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S E C T I O N 4 - S E L F E M P L O Y M E N T
S
E
C
T
I
O
N
4
-
S
E
L
F
E
M
P
L
O
Y
M
E
N
T
Complete this section only if you are applying as a self-employed person.
C
o
m
p
l
e
t
e
t
h
i
s
s
e
c
t
i
o
n
o
n
l
y
i
f
y
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u
a
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a
p
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g
a
s
a
s
e
l
f
-
e
m
p
l
o
y
e
d
p
e
r
s
o
n
.
4 . 1 Your business details
4
.
1
Y
o
u
r
b
u
s
i
n
e
s
s
d
e
t
a
i
l
s
Name of business
Business address and telephone number
Post code
Telephone number
Evidence of self-employment/business to be provided:
E
v
i
d
e
n
c
e
o
f
s
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-
e
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/
b
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s
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p
r
o
v
i
d
e
d
:
4 . 2
4
.
2
A lease on business premises Construction Industry Scheme Bank statement(s)
(CIS) card (for the building
trade)
Invoices Inland Revenue self-assesment Evidence of national insurance
forms contributions being paid.
Signature of applicant
Date
S E C T I O N 5 - S T U D E N T
S
E
C
T
I
O
N
5
-
S
T
U
D
E
N
T
Complete this section only if you are applying as a student.
C
o
m
p
l
e
t
e
t
h
i
s
s
e
c
t
i
o
n
o
n
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g
a
s
a
s
t
u
d
e
n
t
.
5 . 1
5
.
1
Name, address and telephone number of the educational establishment at which you are studying
Post code
Telephone number
5 . 2
5
.
2
Course title
5 . 3 Date course of study starts/started Date course of study will end
5
.
3
Year
Day Month Year Day Month
5 . 4
5
.
4
You are required to provide the following documentary evidence of your course of study and funds:
- a school, college or university letter confirming enrolment and the completion date of the course, and
- a bank statement or evidence of a grant or scholarship.
EEA1 Version 05/2008 - page 8 of 15
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S E C T I O N 6 - O T H E R Q U A L I F I E D P E R S O N S
S
E
C
T
I
O
N
6
-
O
T
H
E
R
Q
U
A
L
I
F
I
E
D
P
E
R
S
O
N
S
Complete this section only if you are applying as someone who is economically self-sufficient, retired or permanently incapacitated.
C
o
m
p
l
e
t
e
t
h
i
s
s
e
c
t
i
o
n
o
n
l
y
i
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y
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a
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a
p
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a
s
s
o
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e
o
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e
w
h
o
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s
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c
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o
m
i
c
a
l
l
y
s
e
l
f
-
s
u
f
f
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c
i
e
n
t
,
r
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t
i
r
e
d
o
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m
a
n
e
n
t
l
y
i
n
c
a
p
a
c
i
t
a
t
e
d
.
Please tick the relevant box below to show the basis on which you are applying for a registration certificate and provide the documen-
P
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t
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c
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b
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n
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a
p
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d
p
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d
o
c
u
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n
-
tary evidence requested.
t
a
r
y
e
v
i
d
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n
c
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e
q
u
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s
t
e
d
.
Economically self-sufficient
E
c
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i
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a
l
l
y
s
e
l
f
-
s
u
f
f
i
c
i
e
n
t
Evidence of comprehensive sickness insurance and funds sufficient to maintain yourself and any family members included
in this application during the time you intend to reside on this basis. These funds can come from the employment or self-
employment of any of your family members residing in the UK with you. Documentary evidence of their employment or
funds should be supplied.
Retired
R
e
t
i
r
e
d
Evidence that you are in receipt of a pension.
Incapacitated
I
n
c
a
p
a
c
i
t
a
t
e
d
A doctor s letter or medical report confirming incapacity. This should state if the incapacity is likely to be permanent.
S E C T I O N 7 - W O R K E R R E G I S T R A T I O N S C H E M E
S
E
C
T
I
O
N
7
-
W
O
R
K
E
R
R
E
G
I
S
T
R
A
T
I
O
N
S
C
H
E
M
E
Complete this section only if you have completed 12 months continuous lawful employment in the UK after registering under the
C
o
m
p
l
e
t
e
t
h
i
s
s
e
c
t
i
o
n
o
n
l
y
i
f
y
o
u
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a
v
e
c
o
m
p
l
e
t
e
d
1
2
m
o
n
t
h
s

c
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n
t
i
n
u
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u
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a
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f
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m
p
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U
K
a
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r
r
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g
i
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t
e
r
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g
u
n
d
e
r
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e
Worker Registration Scheme. The nationals who may have to register under the Scheme are those of the Czech Republic, Estonia,
W
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r
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S
c
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.
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S
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C
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p
u
b
l
i
c
,
E
s
t
o
n
i
a
,
Hungary, Latvia, Lithuania, Poland, Slovakia or Slovenia. Please make sure you provide your worker registration card and all worker
H
u
n
g
a
r
y
,
L
a
t
v
i
a
,
L
i
t
h
u
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a
,
P
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a
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d
,
S
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a
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S
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.
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w
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r
registration certificates.
r
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c
a
t
e
s
.
7 . 1 Date worker registration card issued Your worker registration card reference number
7
.
1
Month
Day Year
7 . 2 Have you changed employment since you obtained your worker registration card
7
.
2
Yes
No
and worker registration certificate?
Please provide employment details/dates below. If you have worked for more than 2 employers in the last 12 months, please
7 . 3
7
.
3
continue on a separate sheet.
Full name of employer (ie the business or firm)
Address of employer
Post code
Telephone number of employer
Date employment started
Date ended
Month Year
Day
Month
Day Year
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S E C T I O N 7 - W O R K E R R E G I S T R A T I O N S C H E M E
S
E
C
T
I
O
N
7
-
W
O
R
K
E
R
R
E
G
I
S
T
R
A
T
I
O
N
S
C
H
E
M
E
Full name of employer (ie the business or firm)
Address of employer
Post code
Telephone number
Date employment started
Date ended
Month
Day Year
Month
Day Year
7 . 4 Yes No
7
.
4
Have you been unemployed since you obtained your worker registration card?
y
e
s
If yes, please provide all the dates (MM/YY) of unemployment subsequent to obtaining your worker registration card (contin-
ue on a separate sheet if necessary).
From To
Month
Month Year Year
Month
Month Year Year
Month
Month Year Year
Month
Month Year Year
7 . 5
7
.
5
Please provide us with the following documentation to prove that you have been lawfully engaged in employment in the UK
while registered on the Worker Registration Scheme for a continuous 12 month period. You must provide the worker registra-
tion card and all worker registration certificate(s), together with evidence from any of the other sources so long as, individual-
ly or collectively, they cover a continuous period of 12 months.
Worker registration card and all worker registration certificate(s), together with one of the following:
wage slips for the last 12 months; or
contract(s) of employment covering the last 12 months; or
letter(s) from your employer(s) confirming your employment over the last 12 months.
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S E C T I O N 8 - P E R S O N A L H I S T O R Y
S
E
C
T
I
O
N
8
-
P
E
R
S
O
N
A
L
H
I
S
T
O
R
Y
You must answer all the questions in this section on behalf of yourself and any family members included in this applica-
Y
o
u
m
u
s
t
a
n
s
w
e
r
a
l
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q
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y
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f
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s
a
p
p
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a
-
tion. It is an offence under Section 26(1)(c) of the Immigration Act 1971 to make a statement or representation which
t
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.
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w
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you know to be false or do not believe to be true. Information given will be checked with other agencies.
y
o
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n
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w
t
o
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f
a
l
s
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n
c
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s
.
8 . 1 Do you or any family members included in this application have any criminal convictions in the Yes No
8
.
1
Y
e
s
N
o
UK or any other country (including traffic offences) or any civil judgments made against you?
y
e
s
8
.
1
If you have answered yes to question 8.1 above please give details below for each criminal conviction and/or civil judgment, start-
N
o
t
e
1
ing with the most recent one - but first see Note 1 about criminal convictions. If you or any family members included in this applica-
tion have received more than two convictions and/or civil judgments, give details on a copy of this page and enclose it with this form.
Note 1 Convictions spent under the Rehabilitation of Offenders Act 1974 need not be disclosed. More information about the Act
N
o
t
e
1
C
o
n
v
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is given towards the end of this section.
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.
Name of person convicted or against whom a civil judgment was made
N
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w
a
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m
a
d
e
Nature of the criminal offence or the civil action (give details on a separate sheet and enclose it with this form if you need more space)
Details of the sentence or civil judgment (give details on a separate sheet and enclose it with this form if
you need more space)
Date of sentence/judgment
Country where the sentence was passed or the civil judgment was made
Name of person convicted or against whom a civil judgment was made
N
a
m
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o
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m
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n
t
w
a
s
m
a
d
e
Nature of the criminal offence or civil action (give details on a separate sheet and enclose it with this form if you need more space)
Details of the sentence or civil judgment (give details on a separate sheet and enclose it with this form if
you need more space)
Date of sentence/judgment
Country where the sentence was passed or the civil judgment was made
For help in answering the questions below, please see the definitions on the next page.
F
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x
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.
8 . 2 Yes No
8
.
2
Y
e
s
N
o
Have you or any family members included in this application ever been charged in any country
with a criminal offence for which you have not yet been tried in court?
8 . 3 Yes
8
.
3
Y
e
s
In times of either peace or war have you or any family members included in this application No
N
o
ever been involved, or suspected of involvement, in war crimes, crimes against humanity or
genocide?
Yes
Y
e
s
8 . 4 Have you or any family members included in this application ever been involved in, supported No
8
.
4
N
o
or encouraged terrorist activities in any country?
Yes No
Y
e
s
N
o
Have you or any family members included in this application ever been a member of, or given
8 . 5
8
.
5
support to, an organisation which has been concerned in terrorism?
Yes No
Y
e
s
N
o
8 . 6 Have you or any family members included in this application ever, by any means or medium,
8
.
6
expressed views that justify or glorify terrorist violence or that may encourage others to terror-
ist acts or other serious criminal acts?
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S E C T I O N 8 - P E R S O N A L H I S T O R Y
S
E
C
T
I
O
N
8
-
P
E
R
S
O
N
A
L
H
I
S
T
O
R
Y
N
o
Yes No
Y
e
s
Have you or any family members included in this application ever engaged in any other activities
8 . 7
8
.
7
which might indicate that you may not be considered to be persons of good character?
y
e
s
8
.
2
,
8
.
3
,
8
.
4
,
8
.
5
,
8
.
6
8
.
7
If you have answered yes to question 8.2, 8.3, 8.4, 8.5, 8.6 or 8.7 above please give further details in the space provided below. If
you need more space, continue on a separate sheet.
REHABILITATION OF OFFENDERS ACT 1974
R
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A
B
I
L
I
T
A
T
I
O
N
O
F
O
F
F
E
N
D
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S
A
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T
1
9
7
4
The Rehabilitation of Offenders Act 1974 enables criminal convictions to become 'spent' or ignored after a 'rehabilitation period'.
The length of the rehabilitation period depends on the sentence given. For a custodial (prison) sentence the rehabilitation period is
decided by the original sentence, not the time served. Prison sentences of more than two and a half years can never become spent
and should always be disclosed. Further information on rehabilitation periods can be found at Nacro's Resettlement Plus Helpline
0
2
0
7
8
4
0
6
4
6
4
0
2
0
7
8
4
0
6
4
2
7
on 020 7840 6464 or by obtaining a free copy of their leaflet on 020 7840 6427.
DEFINITIONS
D
E
F
I
N
I
T
I
O
N
S
8
.
3
8
.
7
,
For the purposes of answering questions 8.3 to 8.7, the following information provides guidance on actions which may constitute
war crimes, crimes against humanity, genocide, or terrorist activities.
This guidance is not exhaustive. The full definitions of war crimes, crimes against humanity and genocide can be found in Schedule
w
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1
7
.
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8 of the International Criminal Court Act 2001 at www.opsi.gov.uk/acts/acts2001/20010017.htm or purchased from The
0
8
7
0
6
0
0
5
5
2
2
Stationery Office (telephone [phone]). It is your responsibility to satisfy yourself that you are familiar with the definitions
and can answer the questions accurately on behalf of yourself and any family members included in the application.
War crimes
W
a
r
c
r
i
m
e
s
Grave breaches of the Geneva Conventions committed during an armed conflict. This includes an internal armed conflict and an
international armed conflict. The types of acts that may constitute a war crime include wilful killing, torture, extensive destruction
of property not justified by military necessity, unlawful deportation, the intentional targeting of civilians and the taking of hostages.
Crimes against humanity
C
r
i
m
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s
a
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a
i
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s
t
h
u
m
a
n
i
t
y
Acts committed at any time (not just during armed conflict) as part of a widespread or systematic attack, directed against any civil-
ian population with knowledge of the attack. This would include offences such as murder, torture, rape, severe deprivation of liber-
ty in violation of fundamental rules of international law and enforced disappearance of persons.
Genocide
G
e
n
o
c
i
d
e
Acts committed with intent to destroy, in whole or in part, a national, ethnical, racial or religious group.
Terrorist activities
T
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r
r
o
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i
s
t
a
c
t
i
v
i
t
i
e
s
Any act committed, or the threat of action, designed to influence a government or intimidate the public and made for the purposes
of advancing a political, religious or ideological cause and that involves serious violence against a person; that may endanger anoth-
er person s life; creates a serious risk to the health or safety of the public; involves serious damage to property; is designed to seri-
ously disrupt or interfere with an electronic system.
Organisations concerned in terrorism
O
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g
a
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s
c
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c
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r
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o
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m
An organisation is concerned in terrorism if it commits or participates in acts of terrorism; prepares for terrorism; promotes or
encourages terrorism (including the unlawful glorification of terrorism); or is otherwise concerned in terrorism.
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S E C T I O N 9 - D O C U M E N T S A N D P H O T O G R A P H S
S
E
C
T
I
O
N
9
-
D
O
C
U
M
E
N
T
S
A
N
D
P
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O
T
O
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R
A
P
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S
For your application to be complete, you must provide the documents and photographs listed in this section which
F
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are relevant to your application.
a
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.
Any documents which are not in English must be accompanied by a reliable English translation.
A
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.
Tick the boxes next to the relevant items to show the documents and photographs you are providing. Attach
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all photographs to the spaces in sections 1 and 2 as instructed there.
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1
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2
a
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.
Two recent, colour passport-size photographs of yourself with your name written on the back of each photograph.
T
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,
c
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Please see the guidance notes for information on what types of photograph are acceptable.
Two recent, colour passport-size photographs of each family member included in section 2 for whom a registra-
T
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tion certificate is required with their written name on the back of the photographs attached.
Your current passport or ID card. If you last entered the UK on a previous passport or ID card, please also provide this
Y
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document if you have it.
The current passport(s) or ID card(s) of each family member included in section 2 for whom a registration certifi-
T
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cate is required.
If section 3 (employment) has been completed, contract(s) of employment, letter(s) from your employer(s) confirm-
I
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3
(
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d
ing your employment or your most recent wage slips (at least one) should be provided. These should feature a full national
insurance number rather than a temporary one.
If section 4 (self - employment) has been completed, evidence to show you are self-employed, eg a lease on busi-
I
f
s
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c
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i
o
n
4
(
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)
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ness premises, Construction Industry Scheme card, Inland Revenue self-assessment forms, bank statements, invoices or
national Insurance contributions.
If section 5 (students) has been completed, a school, college or university letter confirming enrolment on a course of
I
f
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5
(
s
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)
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c
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m
p
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d
study and giving the completion date of the course; and evidence of funds available to you such as a bank statement or a doc-
ument confirming the receipt of a grant or scholarship.
If section 6 (economically self-sufficient, retired or incapacitated) has been completed,
I
f
s
e
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t
i
o
n
6
(
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evidence of comprehensive sickness insurance and of funds to show you are economically self-sufficient, eg a bank statement.
If these funds come from a family member, evidence of their employment or funds should be supplied; or
evidence to show you are retired, eg document(s) confirming the receipt of a pension; or
evidence to show you are permanently incapacitated, eg doctor s letter or medical report confirming permanent incapacity,
having previously been in employment or self employment.
If section 7 (Worker Registration Scheme) has been completed,
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Your worker registration card and all worker registration certificate(s)
and one of the following as evidence of continuous employment for 12 months following worker registration:
letter(s) from your employer(s) confirming your employment over the last 12 months; or
wage slips for the last 12 months; or
contract(s) of employment covering the last 12 months.
EEA1 Version 05/2008 - page 13 of 15
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S E C T I O N 1 0 - D E C L A R A T I O N
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You must now read the declaration below and sign it. It must be signed by you (the applicant) and not by a
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representative or other person acting on your behalf. If you are under 18, your parent or guardian may sign.
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.
I hereby apply for a registration certificate for myself and any EEA or Swiss national family members listed
in this form. The information I have given in this form is complete and is true to the best of my knowledge.
I also declare that the photographs submitted with this form are a true likeness of myself and any family
members included in the application form, as named on the back of each photograph.
I confirm that if, before this application is decided, there is a material change in my circumstances or new
information relevant to this application becomes available, I will inform the Home Office.
I understand that all information provided by me to the Home Office will be treated in confidence but that
it may be disclosed to other government departments, agencies, local authorities, the police, foreign gov-
ernments and other bodies for immigration purposes or to enable them to perform their functions; and that,
if such bodies provide the Home Office with any information about me which may be relevant for immigra-
tion purposes, it may be used in reaching a decision on my application.
I understand that documents provided in support of this application will be checked for authencity; and that
false documents will be retained and may result in my application being refused and in my prosecution and
subsequent removal from the United Kingdom.
I understand that the Home Office may also use the information provided by me for training purposes.
I am aware that it is an offence to make a statement or representation which I know to be false or do not
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believe to be true, or to obtain or seek to obtain a registration certificate by means which include deception.
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Signed
Date
EEA1 Version 05/2008 - page 14 of 15
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P H O T O G R A P H S A N D D O C U M E N T S C H E C K L I S T
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Please complete this part of the form to help us check that we have received your photographs and documents, and
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to keep a record of them while they are with us. At  A , tell us how many of each of the listed items you are providing
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with your application. At  B , list any other documents provided by you and state how many in each case. Continue on
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a separate sheet if necessary and enclose it with this form. All documents must be originals.
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Photographs of yourself
Photographs of any family members
Passports and/ID cards
Contracts of employment/employment let-
ter/ wage slips
A lease/CIS card/ Inland Revenue form
Bank statements/invoices
School/college/university letter
Comprehensive sickness
insurance document
Pension document
Doctor s letter/medical report
Worker registration card and certificate(s)
A P P L I C A N T  S C H E C K L I S T
A
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S
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To ensure that your application is complete, please make the following checks before posting it. Tick each box
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that is relevant to your application.
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.
Have you completed all relevant sections of the form as
Is EEA1 the right form for you and is it valid for use?
specified?
See date on front page.
Have you sent the documents and photographs specified in section 9 as listed below?
Photographs Worker registration card All other relevant doc-
Current passport(s) or ID card(s)
and all worker registra- uments specified in
including those for family mem-
tion certificate(s) section 9
ber(s)
Have you, or your parent/guardian if you are under 18, If you are unable to send us any of the documents speci-
fied in section 9 which are relevant to your application,
signed and dated the declaration in section 10?
have you given an explanation and said when you will be
able to send them?
Finally, please make sure that the application is addressed exactly as shown below.
UK Border Agency
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European Applications EEA1
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PO Box 306
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Dept 45
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Liverpool
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EEA1 Version 05/2008 - page 15 of 15
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