FLR(S) - Gio Legal Services · FLR(S) Student Student undertaking examination re-sits Postgraduate student writing up a thesis Student nurse Prospective student Sabbatical officer

FFLLRR((SS))

SSttuuddeenntt

SSttuuddeennttuunnddeerrttaakkiinnggeexxaammiinnaattiioonn rree--ssiittss

PPoossttggrraadduuaatteessttuuddeennttwwrriittiinngg uupp aa tthheessiiss

SSttuuddeenntt nnuurrssee

PPrroossppeeccttiivvee ssttuuddeenntt

SSaabbbbaattiiccaall ooffffiicceerr

BBiioommeettrriicc iimmmmiiggrraattiioonnddooccuummeenntt((IIddeennttiittyy ccaarrdd ffoorr ffoorreeiiggnn nnaattiioonnaallss))

VVeerrssiioonn 1111//22000088

TThhiiss ffoorrmm iiss vvaalliidd oonnllyy ffoorr aapppplliiccaattiioonnss mmaaddee oonn oorr aafftteerr2255 NNoovveemmbbeerr 22000088

IInn aaccccoorrddaannccee wwiitthh ppaarraaggrraapphh 3344 ooff tthhee IImmmmiiggrraattiioonn RRuulleess,, tthhiiss ffoorrmm iiss aassppeecciiffiieedd ffoorrmm ffoorr tthhee ppuurrppoossee ooff tthhee IImmmmiiggrraattiioonn RRuulleess aass ooff 2255 NNoovveemmbbeerr22000088 aanndd mmuusstt bbee uusseedd ffoorr aallll aapppplliiccaattiioonnss mmaaddee oonn oorr aafftteerr tthhaatt ddaattee ffoorr tthheeppuurrppoosseess ssttaatteedd oonn tthhiiss ppaaggee ((aanndd iinn sseeccttiioonnss 33 aanndd 44))..

YYoouu aallssoo nneeeedd tthhee sseeppaarraattee gguuiiddaannccee ddooccuummeennttss lliisstteedd bbeellooww,, wwhhiicchh yyoouusshhoouulldd rreeaadd bbeeffoorree mmaakkiinngg yyoouurr aapppplliiccaattiioonn::

-- FFLLRR((SS)) gguuiiddaannccee nnootteess

-- UUKKBBAA pphhoottooggrraapphh gguuiiddaannccee

IIff yyoouu ddoo nnoott aallrreeaaddyy hhaavvee tthheessee ddooccuummeennttss,, yyoouu ccaann ggeett tthheemm ffrroomm oouurr wweebb--ssiittee aatt wwwwww..uukkbbaa..hhoommeeooffffiiccee..ggoovv..uukk oorr bbyy ccaalllliinngg 00887700 224411 00664455..

OOuurr aapppplliiccaattiioonn ffoorrmmss cchhaannggee ppeerriiooddiiccaallllyy.. IIff yyoouu oobbttaaiinn tthhiiss ffoorrmm ssoommee ttiimmeebbeeffoorree aappppllyyiinngg,, pplleeaassee cchheecckk tthhaatt iitt iiss ssttiillll tthhee vveerrssiioonn wwhhiicchh mmuusstt bbee uusseeddwwhheenn yyoouu aarree rreeaaddyy ttoo aappppllyy..

AApppplliiccaattiioonnss oonn tthhiiss ffoorrmm mmaayy bbee mmaaddee bbyy ppoosstt oorr iinn ppeerrssoonn aatt oonnee ooff oouurrppuubblliicc eennqquuiirryy ooffffiicceess.. TToo aappppllyy iinn ppeerrssoonn,, yyoouu mmuusstt mmaakkee aann aappppooiinnttmmeenntt..

IIff yyoouu aappppllyy bbyy ppoosstt,, yyoouu mmuusstt sseenndd yyoouurr aapppplliiccaattiioonn ttoo tthhee ffoolllloowwiinngg aaddddrreessss::

UUKK BBoorrddeerr AAggeennccyyLLeeaavvee ttoo RReemmaaiinn -- FFLLRR((SS))PPOO BBooxx 449955DDuurrhhaammDDHH9999 11WWRR

FFLLRR((SS)) VVeerrssiioonn 1111//22000088 -- ppaaggee 11 ooff 1177

WWOORRKKIINNGG TTOOGGEETTHHEERR TTOO PPRROOTTEECCTT TTHHEE PPUUBBLLIICC

AA PP PP LL II CC AA TT II OONN FF OORR AA PP PP LL II CC AA TT II OONN FF OORR AANNAANN

EE XX TT EENN SS II OONN OO FF SS TT AA YY II NN TT HH EE UU KK EE XX TT EE NNSS II OONN OO FF SS TT AA YY II NN TT HH EE UUKK II NN OONN EE OO FF TT HH EE SS TT UUDD EENN TT CC AA TT EEGGOORR II EE SSII NN OONN EE OO FF TT HH EE SS TT UUDDEE NN TT CC AA TT EE GGOORR II EE SS

LL II SS TT EEDD II NN TT HH II SS FF OORRMMLL II SS TT EEDD II NN TT HH II SS FF OORRMMAANNDD FF OORR AA AA NNDD FF OORR AA

BB II OOMMEE TT RR II CC II MMMM II GGRRAA TT II OONN DDOOCC UUMMEENN TTBB II OOMMEE TTRR II CC IIMMMM II GGRRAA TT II OONN DDOO CCUUMMEENN TT

TTHHEE FFEEEE

For applications on this form, there is a fee of ££229955 for appli-cations made by post or ££550000 for applications made in personat our public enquiry offices. Applying by post takes longer.

There is only one fee per application form. You may includeyour spouse or civil partner and/or children under the age of18 for no additional fee if they are applying as your depen-dants. But if they apply separately, they must pay the pre-scribed fee.

Children aged 18 or over cannot be included. They must applyindividually and pay the prescribed fee in each case.

Your application on this form is also one for an identity card forforeign nationals for yourself and any dependants who areapplying with you. There is no additional fee to pay.

HHOOWW CCAANN YYOOUU PPAAYY??

You must pay by one of the methods specified below:

•Cheque•Postal Order •Credit card - Visa (including Electron) or MasterCard only •Debit card - Delta or Maestro* (including Solo)•Banker’s draft•Cash - but only for applications at a public enquiry office;

pplleeaassee ddoonn’’tt sseenndd ccaasshh bbyy ppoosstt.

* MMaaeessttrroo - we will accept any Maestro card if you are apply-ing in person at a public enquiry office but only Maestro cardsissued in the UK if you are applying by post.

YYoouurr aapppplliiccaattiioonn iiss iinnvvaalliidd iiff yyoouu ddoo nnoott ppaayy tthhee ffeeee iinn ffuullll oorr iiffyyoouu ppaayy bbyy aannyy mmeetthhoodd ootthheerr tthhaann tthhoossee ssppeecciiffiieedd hheerree..

CCHHEEQQUUEESS AANNDD PPOOSSTTAALL OORRDDEERRSS

You must make the cheque or postal order(s) payable to‘‘HHoommee OOffffiiccee LLeeaavvee ttoo RReemmaaiinn’’ and cross the cheque or postalorder(s) AA//CC PPaayyeeee oonnllyy.

Write the full name, nationality and date of birth of the mainapplicant on the back of the cheque and/or each postal orderand keep the postal order stub(s).

Make sure that the date and the amount (words and figures)are correct and that the cheque is signed properly.

If applying by post, attach your cheque or postal order(s) to thefront of the application form.

If applying in person at a public enquiry office and paying bycheque, you must have a cheque guarantee card with a limitsufficient to cover the amount to be paid.

CCOOMMPPLLEETTIINNGG TTHHEE PPAAYYMMEENNTT DDEETTAAIILLSS PPAAGGEE

To ensure that your payment is processed without any delay, please follow the guidance below when completing the nextpage.

AApppplliiccaanntt’’ss ddeettaaiillss ((11--55))

11 Full name of main applicant as given in his or her passport or travel document.

22 Nationality of main applicant. If more than 25 letters, please abbreviate..

33 Date of birth - for example, 3 January 1980 should be written 03 01 1980 in the spaces provided.

44 Home Office reference if you have one (it should be a letter and seven numbers, such as A1234567).

55 The address of the person named in 1.

NNaammee aanndd aaddddrreessss ffoorr ccoorrrreessppoonnddeennccee iiff ddiiffffeerreenntt ffrroomm tthhoossee ooff tthhee aapppplliiccaanntt ((66--77))

66//77 If a solicitor or other authorised immigration adviser is submitting the application, give their name and address at 6 and 7 for any correspondence aboutpayment issues. The address must be in the UK.

MMeetthhoodd ooff ppaayymmeenntt ((88--1155))

88 Tick one of the boxes to show method of payment.

99 If paying by cheque, enter the cheque number, account number and bank sort code.

1100 If paying by card, tick one of the 4 boxes to show the type of card.

1111 Tick the fee which you are paying.

1122 Complete 12-15 only if paying by card.

1144 The card security number is a three-digit security code known as the card verification value (CVV). It consists of the last three numbers on the signature strip on the back of the card as shown below.

1155 It is the cardholder as named on the credit/debit card who must sign and date.

GGUUIIDDAANNCCEE OONN CCOOMMPPLLEETT IINNGG PPAAYYMMEENNTT DDEETTAA IILLSS


3455 123 123

CVV

AAPPPPLLIICCAANNTT’’SS DDEETTAAIILLSS

NNAAMMEE AANNDD AADDDDRREESSSS IINN TTHHEE UUKK FFOORR CCOORRRREESSPPOONNDDEENNCCEE IIFF DDIIFFFFEERREENNTT FFRROOMM TTHHOOSSEE OOFF TTHHEE AAPPPPLLIICCAANNTT

MMEETTHHOODD OOFF PPAAYYMMEENNTT

FFuullll nnaammee

NNaattiioonnaalliittyy

NNaammee ffoorr ccoorrrreessppoonnddeennccee

PPoossttaalloorrddeerr

CChheeqquuee

Account numberCheque number

PPaayyiinngg bbyyccaarrdd

AAmmoouunntt

NNaammee oonnccaarrdd

CCaarrddhhoollddeerr’’ss ssiiggnnaattuurree

VViissaa // EElleeccttrroonn MMaasstteerrCCaarrdd DDeellttaa MMaaeessttrroo // SSoolloo

Sort code

DDaattee

AAddddrreessss

PPlleeaassee ccoommpplleettee tthhiiss ppaaggee iinn bblloocckk ccaappiittaallss aanndd bbllaacckk iinnkk..

DDeebbiitt oorrccrreeddiitt ccaarrdd

BBaannkkeerr’’ssddrraafftt

PPaayymmeenntt mmeetthhoodd -- pplleeaassee ttiicckk

PPaayyiinngg bbyy cchheeqquuee

11 00 PPlleeaassee ddeebbiitt mmyy::

1111

1122

11 33

11 44

11 55

PPAA YYMMEENN TT DD EE TT AA II LL SS :: FF LL RR (( SS )) -- pplleeaassee sseeee gguuiiddaannccee bbeeffoorree ccoommpplleettiinngg


11

22

66

77

88

99

CCaarrddnnuummbbeerr

CCaarrdd ddeettaaiillssVVaalliidd ffrroomm

IIssssuuee NNoo..((wwhheerree aavvaaiillaabbllee))

EExxppiirryy ddaatteeCCaarrdd sseeccuurriittyynnuummbbeerr -- CCVVVV

££229955 -- ppoossttaal ££550000 -- pprreemmiiuummPPlleeaassee ttiicckk tthhee aammoouunntt yyoouu aarree ppaayyiinngg

DDaattee ooff bbiirrtthh HHoommee OOffffiiccee rreeffeerreennccee iiff yyoouu hhaavvee oonnee33 44

55 AApppplliiccaanntt’’ss aaddddrreessss

Day Month Year

Postcode

Postcode

If you are producing a double-sided copyIf you are producing a double-sided copyof this application form, please includeof this application form, please includethis page and make sure it falls on thethis page and make sure it falls on thereverse of the payment details page in thereverse of the payment details page in thetwo-sided copy. two-sided copy.

For administrative reasons, it’s importantFor administrative reasons, it’s importantthat the rest of the form begins withthat the rest of the form begins withSection 1 - Applicant’s Details facingSection 1 - Applicant’s Details facingupwards. upwards.

Your full name as in your passport or travel document

Surname or family name

Passport or travel document number Home Office reference if you have one

11..44

11..55

11..77

Any other name(s) by which you are or have been known

11..99

National insurance number if you have one

11..1100

11..1111

11..1122

Nationality

Your UK address - please inform us immediately if this changes

Your daytime telephone number

11..1166

Your e-mail address if you have one

Your mobile telephone number if you have one

11..1155

If you have completed 11..1155 and the address is that of your immigration adviser, please state their Office of the ImmigrationServices Commissioner (OISC) number

11..1133

11..66

11..1144

Your title - please tick

Your date of birth

If ootthheerr, what is your title?11..11

11..22 Your gender - please tick

Mr Mrs Miss Ms Other

Male Female

Postcode

PPhhoottooggrraapphhssYou must provide two identical photographs of yourself with your fullname on the back of each one. Please place the photographs in asmall sealed envelope, together with those of any dependants includ-ed in section 2, and attach the envelope across this space with a sta-ple or paper clip at the right-hand side of the page/envelope.

PPlleeaassee mmaakkee ssuurree tthhaatt tthhee ssttaappllee oorr ppaappeerr cclliipp ddooeess nnoott ddaammaaggee oorrmmaarrkk tthhee pphhoottooggrraapphhss.. AAllll pphhoottooggrraapphhss mmuusstt bbee aass ssppeecciiffiieedd iinn tthheesseeppaarraattee pphhoottooggrraapphh gguuiiddaannccee..


Place of birth - town or city and country11..88

Postcode

Day Month Year11..33

Name and address in the UK for all correspondence about your application if different from 11..1122

FFLLRR((SS))VVeerrssiioonn 1111//22000088

SS EECC TT II OONN 11 -- AA PPPP LL II CC AANN TT ’’ SS DDEE TT AA II LL SS IItt iiss mmaannddaattoorryy ttoo ccoommpplleettee tthhiiss sseeccttiioonn aass rreeqquuiirreedd.. PPlleeaassee nnoottee tthhaatt tthhiiss aapppplliiccaattiioonn wwiillll bbee iinnvvaalliidd iiff yyoouu ddoo nnoott..

SS EE CC TT II OONN 22 -- DD EE PP EENNDDAANN TT SS WW HHOO AA RR EE AA LLSSOO AA PPPP LL YY II NNGGIIff yyoouu hhaavvee aa ppaarrttnneerr aanndd//oorr aannyy cchhiillddrreenn uunnddeerr 1188 lliivviinngg iinn tthhee UUKK wwhhoo aarree aappppllyyiinngg ffoorr aann eexxtteennssiioonn ooff ssttaayy iinn tthhee UUKKaass yyoouurr ddeeppeennddaannttss,, tthhiiss iiss wwhheerree yyoouu ggiivvee tthheeiirr ddeettaaiillss.. ““PPaarrttnneerr”” mmeeaannss yyoouurr ssppoouussee oorr cciivviill ppaarrttnneerr..

IItt iiss mmaannddaattoorryy ttoo ccoommpplleettee tthhiiss sseeccttiioonn aass rreeqquuiirreedd.. PPlleeaassee nnoottee tthhaatt tthhiiss aapppplliiccaattiioonn wwiillll bbee iinnvvaalliidd iiff yyoouu ddoo nnoott..

IIff mmoorree tthhaann 22 cchhiillddrreenn aarree aappppllyyiinngg,, pplleeaassee ggiivvee tthheeiirr ddeettaaiillss oonn aa pphhoottooccooppyy ooff tthhiiss ppaaggee,, eenncclloossee iitt wwiitthh tthhiiss ffoorrmm,, aannddppllaaccee tthhee pphhoottooggrraapphhss iinn tthhee eennvveellooppee aattttaacchheedd ttoo sseeccttiioonn 11 aass iinnssttrruucctteedd.. CChhiillddrreenn aaggeedd 1188 oorr oovveerr mmuusstt aappppllyy sseeppaa--rraatteellyy..


Child’s full name

Nationality

Place of birth - town or city and country

Date of birth Day Month Year

Gender- please tick

Male Female Son Daughter

Relationship to you- please tick

Child’s full name

Nationality



Gender- please tick

Male Female Son Daughter


Your partner’s’s full name

Nationality



Gender- please tick

Male Female

PPhhoottooggrraapphhss

You must provide two identical photographs of each dependant who is applying.

Write the dependant’s full name on the back

of each photograph andenclose both photographsin the envelope attached

to section 1 asinstructed there.

Spouse Civil partner












PPlleeaassee ttiicckk aa bbooxx bbeellooww ttoo sshhooww uuss tthhee ccaatteeggoorryy iinn wwhhiicchh yyoouu aarree aappppllyyiinngg ffoorr aann eexxtteennssiioonn ooff ssttaayy iinn tthhee UUKK aanndd ttoo ccoonn--ffiirrmm tthhaatt yyoouu aarree aallssoo aappppllyyiinngg ffoorr aa bbiioommeettrriicc iimmmmiiggrraattiioonn ddooccuummeenntt..

SS EE CC TT II OONN 33 -- WWHH II CCHH CCAA TT EE GGOORR YY ??

Student, and biometricimmigration document

Student undertaking examination re-sits, and biometric immigrationdocument

Postgraduate student writing up a thesis,and biometric immigration document

Student nurse, and biomet-ric immigration document

Prospective student, and biometricimmigration document

Sabbatical officer, and biometric immigration document

NNoottee 11 IInn aaccccoorrddaannccee wwiitthh rreegguullaattiioonnss 33 aanndd 44 ooff tthhee IImmmmiiggrraattiioonn ((BBiioommeettrriicc RReeggiissttrraattiioonn)) RReegguullaattiioonnss 22000088,, aannyyoonnee aappppllyyiinnggffoorr aann eexxtteennssiioonn ooff ssttaayy iinn tthhee UUKK iinn tthhee ccaatteeggoorriieess ffoorr wwhhiicchh tthhiiss aapppplliiccaattiioonn ffoorrmm iiss ssppeecciiffiieedd mmuusstt aappppllyy ffoorr aa bbiioommeettrriicc iimmmmiiggrraa--ttiioonn ddooccuummeenntt,, ootthheerrwwiissee kknnoowwnn aass aann iiddeennttiittyy ccaarrdd ffoorr ffoorreeiiggnn nnaattiioonnaallss.. TThhiiss aallssoo aapppplliieess ttoo aapppplliiccaattiioonnss aatt tthhee ssaammee ttiimmee bbyy aannyyddeeppeennddaannttss ooff tthhee mmaaiinn aapppplliiccaanntt.. FFoorr iinnffoorrmmaattiioonn aabboouutt iiddeennttiittyy ccaarrddss ffoorr ffoorreeiiggnn nnaattiioonnaallss,, pplleeaassee sseeee tthhee sseeppaarraattee FFLLRR((SS)) gguuiidd--aannccee nnootteess,, wwhhiicchh yyoouu sshhoouulldd rreeaadd bbeeffoorree ccoommpplleettiinngg tthhiiss ffoorrmm..

SS EE CC TT II OONN 44 -- II DD EENN TT II TT YY CC AARRDD FF OORR FFOORREE II GG NN NNAA TT II OO NNAALL SS

IItt iiss mmaannddaattoorryy ttoo ccoommpplleettee tthhiiss sseeccttiioonn iiff aannyy cchhiillddrreenn uunnddeerr tthhee aaggee ooff 1166 aarree aappppllyyiinngg wwiitthh yyoouu aass yyoouurr ddeeppeennddaannttss,,oorr iiff yyoouu aarree aa ssiinnggllee aapppplliiccaanntt uunnddeerr tthhee aaggee ooff 1166..

PPlleeaassee nnoottee tthhaatt tthhiiss aapppplliiccaattiioonn wwiillll bbee iinnvvaalliidd iiff yyoouu aarree rreeqquuiirreedd ttoo ccoommpplleettee tthhiiss sseeccttiioonn aanndd yyoouu ddoo nnoott ddoo ssoo..

If any children under the age of 16 are applying as your dependant(s), please give details below of the person who will beaccompanying them when they have their fingerprints and/or photograph taken. See NNoottee 22.

44 .. 11

NNoottee 22 UUnnddeerr TThhee IImmmmiiggrraattiioonn ((BBiioommeettrriicc RReeggiissttrraattiioonn)) RReegguullaattiioonnss 22000088,, aannyy cchhiilldd uunnddeerr tthhee aaggee ooff 1166 wwhhoo iiss rreeqquuiirreedd ttoo pprroo--vviiddee aa rreeccoorrdd ooff tthheeiirr ffiinnggeerrpprriinnttss aanndd//oorr aa pphhoottooggrraapphh mmuusstt hhaavvee tthheemm ttaakkeenn iinn tthhee pprreesseennccee ooff aa rreessppoonnssiibbllee aadduulltt wwhhoo iiss tthheecchhiilldd’’ss ppaarreenntt oorr gguuaarrddiiaann,, oorr aannootthheerr ppeerrssoonn wwhhoo ffoorr tthhee ttiimmee bbeeiinngg ttaakkeess rreessppoonnssiibbiilliittyy ffoorr tthhee cchhiilldd..

WWhheerree ddeeppeennddaannttss ooff tthhee mmaaiinn aapppplliiccaanntt aarree aallssoo rreeqquuiirreedd ttoo aappppllyy ffoorr aa bbiioommeettrriicc iimmmmiiggrraattiioonn ddooccuummeenntt,, aallll aapppplliiccaannttss wwiillll nnoorr--mmaallllyy hhaavvee tthheeiirr ffiinnggeerrpprriinnttss oorr pphhoottooggrraapphh ttaakkeenn oonn tthhee ssaammee ddaayy.. TThhiiss mmeeaannss tthhaatt yyoouu aanndd aannyy cchhiillddrreenn aappppllyyiinngg wwiitthh yyoouu wwiillllnnoorrmmaallllyy bbee eexxppeecctteedd ttoo aatttteenndd ttooggeetthheerr.. IIff tthheerree iiss aannyy rreeaassoonn pprreevveennttiinngg yyoouu ffrroomm aaccccoommppaannyyiinngg aannyy cchhiilldd uunnddeerr tthhee aaggee ooff 1166,,yyoouu mmuusstt nnoommiinnaattee tthhee rreessppoonnssiibbllee aadduulltt wwhhoo wwiillll bbee aaccccoommppaannyyiinngg tthheemm..

TThhee rreessppoonnssiibbllee aadduulltt aaccccoommppaannyyiinngg aannyy cchhiilldd uunnddeerr tthhee aaggee ooff 1166 wwiillll nneeeedd ttoo pprroovviiddee aann aacccceeppttaabbllee ffoorrmm ooff iiddeennttiiffiiccaattiioonn,, ssuucchhaass aa ppaassssppoorrtt oorr ddrriivviinngg lliicceennccee.. IIff tthhaatt ppeerrssoonn iiss nnoott tthhee ppaarreenntt oorr gguuaarrddiiaann ooff tthhee cchhiilldd,, tthheeyy mmuusstt hhaavvee aa lleetttteerr ccoonnffiirrmmiinngg tthhaatttthheeyy aarree aa rreessppoonnssiibbllee aadduulltt wwhhoo hhaass aa cclloossee ccoonnnneeccttiioonn ttoo tthhee cchhiilldd aanndd hhaass bbeeeenn aauutthhoorriisseedd ttoo aaccccoommppaannyy hhiimm oorr hheerr..

If you are applying as a single applicant under the age of 16, please give details below of the person who will be accompany-ing you when you have your fingerprints and/or photograph taken. See NNoottee 22.

44 .. 33

If you have nominated a responsible adult other than yourself at 44..11, please explain the reason below.44 .. 22


See Note 1 about indentity cards for foreign nationals.

NNaammee ooff rreessppoonnssiibbllee aadduulltt DDaattee ooff bbiirrtthh RReellaattiioonnsshhiipp ttoo cchhiilldd((rreenn))PPllaaccee ooff bbiirrtthh

NNaammee ooff rreessppoonnssiibbllee aadduulltt DDaattee ooff bbiirrtthh RReellaattiioonnsshhiipp ttoo cchhiilldd((rreenn))PPllaaccee ooff bbiirrtthh

SS EE CC TT II OONN 55 -- YY OOUURR SS TT UUDD II EESS UUNN TT II LL NNOOWW

55 .. 11 When did you begin your studies in the UK?

YYoouu aarree rreeqquuiirreedd ttoo ccoommpplleettee tthhiiss sseeccttiioonn oonnllyy iiff yyoouurr pprreevviioouuss lleeaavvee ttoo eenntteerr oorr rreemmaaiinn iinn tthhee UUKK wwaass aass aa ssttuuddeenntt..

55 .. 22 Full name of the place of study where you are, or have most recently been, studying. See NNoottee 33.

55 .. 44 Please give details below of all the courses (or parts of courses) which you have attended since being granted leave to enteror remain in the UK to study, beginning with the most recent course. Indicate in the “name and level” space whether the coursewas full-time or part-time. Continue on a separate sheet if you need more space and enclose it with this form.

NNoottee 33 WWee eennccoouurraaggee aallll oovveerrsseeaass ssttuuddeennttss ttoo nnoottiiffyy uuss ooff cchhaannggeess iinn tthheeiirr ppllaannnneedd ccoouurrssee ooff ssttuuddyy,, eessppeecciiaallllyy wwhheerree tthhiiss iinnvvoollvveessmmoovviinngg ttoo aa ddiiffffeerreenntt eedduuccaattiioonn iinnssttiittuuttiioonn..

Name and level of course Qualification achieved

Full address of the place of study named above

Place of study

55 .. 33

Start

Finish

Start

Finish

Start

Finish

Start

Finish

Start

Finish

Start/finish dates

66 .. 11

Student’s full name

Your attendance during your current or most recent course

Name of course

Date coursestarted

Date coursefinished

SS EE CC TT II OONN 66 -- YY OOUU RR AA TT TT EE NNDDAANN CC EE UUNN TT II LL NN OOWWYYoouu aarree rreeqquuiirreedd ttoo ccoommpplleettee tthhiiss sseeccttiioonn oonnllyy iiff yyoouurr pprreevviioouuss lleeaavvee ttoo eenntteerr oorr rreemmaaiinn iinn tthhee UUKK wwaass aass aa ssttuuddeenntt..

Your place of study should complete the details specified below or provide the same information in a letter on headed notepa-per. If you have just begun your current course, this information should be provided for the course you have just undertaken orcompleted.


Day Month YearDay Month Year

Postcode

SS EE CC TT II OONN 77 -- YY OOUURR CCOOUURRSS EE OO FF SS TT UU DDYY77 .. 11 Tick one of the following boxes to show what sort of course you intend to study (this may be a continuation of your studies set

out in section 5):Full-time recognised degree course. See NNoottee 44.

Weekday daytime course at a single institution involv-ing a minimum of 15 hours organised study per week

Full-time course of study at an independent feepaying school

To re-sit an examination

To write up a thesis

Other - please give details

Nursing training course at a recognisednursing educational establishment

77 .. 22 Full name of the place where you will be studying . See NNoottee 55.

Postcode

NNoottee 55 TThhee ffuullll aaddddrreessss iiss rreeqquuiirreedd aass wwee uunnddeerrttaakkee vviissiittss ttoo eedduuccaattiioonn iinnssttiittuuttiioonnss ttoo cchheecckk aatttteennddaannccee aanndd eennrroollmmeenntt..

Full address of the place where you will be studying. See NNoottee 55.77 .. 33


Possiblenumber

Actual number

If any absences, give the reason(s) below. Continue on a separate sheet if necessary and enclose it with this form.

Administrator’s name

Administrator’s signature

Place of study stamp if there is one

Date

66 .. 22 If your place of study has not completed 66..11, are you providing a letter from them with the same detailsof your attendance? If not, please explain in the space below.

YYeess NNoo

SS EE CC TT II OONN 66 -- YY OOUU RR AA TT TT EE NNDDAANN CC EE UUNN TT II LL NN OOWW

NNoottee 44 AA rreeccooggnniisseedd ddeeggrreeee iiss oonnee wwhhiicchh iiss aawwaarrddeedd bbyy aa UUKK rreeccooggnniisseedd bbooddyy.. FFoorr aa lliisstt ooff tthheessee bbooddiieess aanndd ffoorr ffuurrtthheerr iinnffoorr--mmaattiioonn oonn ddeeggrreeeess,, sseeee wwwwww..ddccssff..ggoovv..uukk//rreeccooggnniisseedduukkddeeggrreeeess

Attendances

Visiting undergraduate or postgraduate student undertaking a period of study or research (at a publicly funded institu-tion) as part of a degree being completed overseas

If you are applying for an extension of stay as a sabbatical officer, have you previously beengranted leave to enter or remain in the UK as a sabbatical officer?

If you are applying for an extension of stay as a prospective student, were you last admitted to theUK with a valid entry clearance/visa as a prospective student?

If so, when were you granted such leave?

YYeess NNoo

If so, when were you admitted?

YYeess NNoo

SS EE CC TT II OONN 77 -- YY OOUURR CCOOUURRSS EE OO FF SS TT UU DDYY

77 .. 1100

77 .. 1111

77 .. 66 On completing the studies referred to in question 77..44, do you intend to follow any further course(s) ofstudy in the UK? If so, of what nature and for how long? Please give details below.

77 .. 77 If you have not yet enrolled but have received an unconditional offer of a place on a course of study,have you accepted the offer?

77 .. 88 If you are applying for an extension of stay to re-sit an examination, have you previously been grantedleave to enter or remain in the UK to re-sit this examination?


YYeess NNoo

77 .. 99 If you are applying for an extension of stay to write up a thesis, have you previously been granted leaveto enter or remain in the UK to write up this thesis?


YYeess NNoo

YYeess NNoo

YYeess NNoo


77 .. 44 What is the name of the course on which you are enrolled and, where relevant, what is the level of the course? You shouldalso give the name of the awarding body.

77 .. 55 Please provide thestart and end dates foryour course of study.

Start

Name of course

Level of course(where relevant)

Awarding body

Month YearDay Month YearEnd

Day

88 .. 11

88 .. 22

a) owned by you?Is your accommodation in the UK:

c) privately rented by you?

b) rented from a local council or hous-ing association by you?

d) owned or rented by arelative or friend?

f) other? Give detailsbelow.

Do you pay any rent or mortgage foryour accommodation?

Do your parents, other relatives or friends give you money, either regularly (for example, eachmonth) or occasionally? If so, how much do you receive and how often? Please give detailsbelow, including the total amount you receive for the year.

88 .. 33 Are you working in the UK? If so, how many hours on averagedo you work during term time?

Are you receiving any public funds?

NNooYYeess

TThhee ppuubblliicc ffuunnddss wwhhiicchh aarree rreelleevvaanntt ffoorr tthhee ppuurrppoosseess ooff tthhee IImmmmiiggrraattiioonn RRuulleess aarree lliisstteedd bbeellooww.. IIff yyoouu hhaavvee aannsswweerreedd yyeess ttoo qquueess--ttiioonn 88..66,, yyoouu mmuusstt ttiicckk tthhee rreelleevvaanntt bbooxx((eess)) ttoo sshhooww wwhhiicchh ooff tthheessee aarree bbeeiinngg rreecceeiivveedd.

If so, how much do youpay each month?

SS EE CC TT II OONN 88 -- YY OOUU RR AACC CCOOMMMMOODDAATT II OONN AA NNDD FF II NNAANNCC EE SS

88 .. 44

88 .. 66

Are you receiving, or have you received, sponsorship from your place of study, the BritishGovernment, any other government, or an international scholarship agency for your recent studies?

88 .. 55

NNooYYeess

NNooYYeess

e) provided by your place ofstudy?

Severe DisablementAllowance

Carer’s Allowance Disability LivingAllowance

Income Support

Working Tax Credit

Council Tax Benefit

Child Benefit

Income-basedJobseeker’s Allowance

Housing Benefit

State Pension Credit

Child Tax Credit Housing or Homeless-ness assistance

Attendance Allowance

NNooYYeess

NNooYYeess

££

££


What is your pay each month during term time after income tax and other deductions?

Social Fund Payment

Local authority accommodation

77 .. 1122 What do you intend to do when you have completed all your studies in the UK and where do you intend to do this? Pleasegive details below.

SS EE CC TT II OONN 77 -- YY OOUURR CCOOUURRSS EE OO FF SS TT UU DDYY

99 .. 11 Do you or any dependants applying with you have any criminal convictions in the UK or any othercountry (including traffic offences) or any civil judgments made against you?

If you have answered yyeess to question 99..11 above, give details below for each criminal conviction and/or civil judgment, starting withthe most recent one - but first see NNoottee 66 about criminal convictions. If you or any dependants applying with you have received morethan two convictions and/or civil judgments, give details on a copy of this page and enclose it with this form.

YYeess NNoo

Date of sentence/judgmentDetails of the sentence or civil judgment (give details on separate sheet if you need more space)

Country where the sentence was passed or the civil judgment was made

99 .. 22 Have you or any dependants applying with you ever been charged in any countrywith a criminal offence for which you have not yet been tried in court?

YYeess NNoo99 .. 33 In times of either peace or war have you or any dependants applying with you ever beeninvolved, or suspected of involvement, in war crimes, crimes against humanity or genocide?

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)

99 .. 44

Have you or any dependants applying with you ever been a member of, or given support to,an organisation which has been concerned in terrorism?

Have you or any dependants applying with you ever, by any means or medium, expressedviews that justify or glorify terrorist violence or that may encourage others to terrorist actsor other serious criminal acts?

NNaammee ooff ppeerrssoonn ccoonnvviicctteedd oorr aaggaaiinnsstt wwhhoomm aa cciivviill jjuuddggmmeenntt wwaass mmaaddee

NNoottee 66 CCoonnvviiccttiioonnss ssppeenntt uunnddeerr tthhee RReehhaabbiilliittaattiioonn ooff OOffffeennddeerrss AAcctt 11997744 nneeeedd nnoott bbee ddiisscclloosseedd.. MMoorree iinnffoorrmmaattiioonn aabboouutt tthhee AAccttiiss ggiivveenn ttoowwaarrddss tthhee eenndd ooff tthhiiss sseeccttiioonn..

99 .. 55

SS EE CC TT II OONN 99 -- PP EE RR SSOONNAA LL HH II SS TT OORR YY

YYeess

YYeess

YYeess NNoo

NNoo

NNoo

Have you or any dependants applying with you ever been involved in, supported or encour-aged terrorist activities in any country?

YYeess NNoo

99 .. 66

Date of sentence/judgment

Country where the sentence was passed or the civil judgment was made

NNaammee ooff ppeerrssoonn ccoonnvviicctteedd oorr aaggaaiinnsstt wwhhoomm aa cciivviill jjuuddggmmeenntt wwaass mmaaddee

Nature of the criminal offence or civil action (give details on separate sheet and enclose it with this form if you need more space)

Details of the sentence or civil judgment (give details on separate sheet if you need more space)


YYoouu mmuusstt aannsswweerr eevveerryy qquueessttiioonn iinn tthhiiss sseeccttiioonn oonn bbeehhaallff ooff yyoouurrsseellff aanndd aannyy ddeeppeennddaannttss aappppllyyiinngg wwiitthh yyoouu.. IItt iiss aannooffffeennccee uunnddeerr SSeeccttiioonn 2266((11))((cc)) ooff tthhee IImmmmiiggrraattiioonn AAcctt 11997711 ttoo mmaakkee aa ssttaatteemmeenntt oorr rreepprreesseennttaattiioonn wwhhiicchh yyoouu kknnooww ttoobbee ffaallssee oorr ddoo nnoott bbeelliieevvee ttoo bbee ttrruuee.. IInnffoorrmmaattiioonn ggiivveenn wwiillll bbee cchheecckkeedd wwiitthh ootthheerr aaggeenncciieess..

YYoouu mmuusstt aannsswweerr qquueessttiioonnss 99..22 ttoo 99..77 bbeellooww eevveenn iiff yyoouu hhaavvee aannsswweerreedd nnoo ttoo qquueessttiioonn 99..11.. FFoorr hheellpp iinn aannsswweerriinngg tthheessee qquueessttiioonnss,,pplleeaassee sseeee tthhee ddeeffiinniittiioonnss oonn tthhee nneexxtt ppaaggee..

IItt iiss mmaannddaattoorryy ttoo ccoommpplleettee tthhiiss sseeccttiioonn aass rreeqquuiirreedd.. PPlleeaassee nnoottee tthhaatt tthhiiss aapppplliiccaattiioonn wwiillll bbee iinnvvaalliidd IIff yyoouu ddoo nnoott..

99 .. 77 Have you or any dependants applying with you ever engaged in any other activities which mightindicate that you may not be considered to be persons of good character?

If you have answered yyeess to question 99..22,, 99..33,, 99..44,, 99..55,, 99..66 or 99..77 above, you must give further details in the space provided below.If you need more space, continue on a separate sheet and enclose it with this form.

YYeess NNoo

DDEEFFIINNIITTIIOONNSS

For the purposes of answering questions 99..33 to 99..77,, the following information provides guidance on actions which may constitutewar 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 Schedule8 of the International Criminal Court Act 2001 at wwwwww..ooppssii..ggoovv..uukk//aaccttss//aaccttss22000011//2200001100001177 or purchased from The StationeryOffice (telephone 00887700 660000 55552222)). It is your responsibility to satisfy yourself that you are familiar with the definitions and cananswer the questions accurately on behalf of yourself and any dependants applying with you.

WWaarr ccrriimmeessGrave breaches of the Geneva Conventions committed during an armed conflict. This includes an internal armed conflict and aninternational armed conflict. The types of acts that may constitute a war crime include wilful killing, torture, extensive destructionof property not justified by military necessity, unlawful deportation, the intentional targeting of civilians and the taking of hostages.

CCrriimmeess aaggaaiinnsstt hhuummaanniittyyActs 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.

GGeennoocciiddee Acts committed with intent to destroy, in whole or in part, a national, ethnical, racial or religious group.

TTeerrrroorriisstt aaccttiivviittiieessAny act committed, or the threat of action, designed to influence a government or intimidate the public and made for the purposesof 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.

OOrrggaanniissaattiioonnss ccoonncceerrnneedd iinn tteerrrroorriissmmAn organisation is concerned in terrorism if it commits or participates in acts of terrorism; prepares for terrorism; promotes orencourages terrorism (including the unlawful glorification of terrorism); or is otherwise concerned in terrorism.

RREEHHAABBIILLIITTAATTIIOONN OOFF OOFFFFEENNDDEERRSS AACCTT 11997744

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 isdecided by the original sentence, not the time served. Prison sentences of more than two and a half years can never become spentand should always be disclosed. Further information on rehabilitation periods can be found at Nacro's Resettlement Plus Helplineon 002200 77884400 66446644 or by obtaining a free copy of their leaflet on 002200 77884400 66442277.

SS EE CC TT II OONN 99 -- PP EE RR SSOONNAA LL HH II SS TT OORR YY


YYoouurr ccuurrrreenntt ppaassssppoorrtt oorr ttrraavveell ddooccuummeenntt.. If you last entered the UK on a previous passport or travel document orother document, please also provide this document if you have it.

TThhee ccuurrrreenntt ppaassssppoorrtt((ss)) oorr ttrraavveell ddooccuummeenntt((ss)) ooff eeaacchh ddeeppeennddaanntt included in section 2 and applying for an exten-sion of stay in the UK with you. If they last entered the UK on previous passport(s) or travel document(s), please also providethese documents if you have them.

YYoouurr ppoolliiccee rreeggiissttrraattiioonn cceerrttiiffiiccaattee if you have been asked to register with the police.

TThhee ppoolliiccee rreeggiissttrraattiioonn cceerrttiiffiiccaattee((ss)) ffoorr eeaacchh ddeeppeennddaanntt included in section 2 and applying for an extension of stayin the UK with you if they have been asked to register with the police.


SS EE CC TT II OONN 11 00 -- PPHHOO TT OOGGRRAA PPHH SS

TTwwoo rreecceenntt iiddeennttiiccaall ppaassssppoorrtt--ssiizzee pphhoottooggrraapphhss ooff yyoouurrsseellff with your full name written on the back of each photo-graph.Please see the separate photograph guidance on the approved format.

TTwwoo rreecceenntt iiddeennttiiccaall ppaassssppoorrtt--ssiizzee pphhoottooggrraapphhss ooff eeaacchh ddeeppeennddaanntt included in section 2 and applying for anextension of stay in the UK with you, with their full name written on the back of each photograph.

IItt iiss mmaannddaattoorryy ttoo pprroovviiddee tthhee rreelleevvaanntt pphhoottooggrraapphhss ssppeecciiffiieedd bbeellooww,, aanndd ffoorr eeaacchh pphhoottooggrraapphh ttoo ccoommppllyy wwiitthh tthhee mmaannddaa--ttoorryy ffoorrmmaatt rreeqquuiirreemmeennttss ssppeecciiffiieedd iinn tthhee sseeppaarraattee pphhoottooggrraapphh gguuiiddaannccee pprroovviiddeedd wwiitthh tthhiiss ffoorrmm..

PPlleeaassee nnoottee tthhaatt tthhiiss aapppplliiccaattiioonn wwiillll bbee iinnvvaalliidd iiff yyoouu ddoo nnoott pprroovviiddee tthhee pphhoottooggrraapphhss oorr iiff tthheeyy ddoo nnoott ccoommppllyy wwiitthh tthhee ssppeecc--iiffiieedd mmaannddaattoorryy ffoorrmmaatt rreeqquuiirreemmeennttss..

TTiicckk tthhee bbooxx ((eess)) ttoo ccoonnffiirrmm tthhee pphhoottooggrraapphhss yyoouu aarree pprroovviiddiinngg aanndd eenncclloossee tthheemm iinn aa ssmmaallll sseeaalleedd eennvveellooppee aattttaacchheedd ttoosseeccttiioonn 11 aass iinnssttrruucctteedd tthheerree..

SS EE CC TT II OONN 1111 -- DDOOCC UUMMEENN TT SS

YYoouu mmuusstt pprroovviiddee tthhee ddooccuummeennttss ssppeecciiffiieedd bbeellooww wwhhiicchh aarree rreelleevvaanntt ttoo yyoouurr aapppplliiccaattiioonn.. IIff yyoouu ddoo nnoott,, wwee rreesseerrvvee tthhee rriigghhttttoo ddeecciiddee yyoouurr aapppplliiccaattiioonn oonn tthhee bbaassiiss ooff tthhee iinnffoorrmmaattiioonn aanndd ddooccuummeennttss pprroovviiddeedd.. TTiicckk tthhee rreelleevvaanntt bbooxxeess ttoo sshhooww tthheeddooccuummeennttss yyoouu aarree pprroovviiddiinngg.. TThheeyy mmuusstt bbee oorriiggiinnaallss..

AAllll aapppplliiccaannttss mmuusstt pprroovviiddee tthhee rreelleevvaanntt ddooccuummeennttss ssppeecciiffiieedd iinn ssuubb--sseeccttiioonn 1111AA .. IIff yyoouu aarree aappppllyyiinngg iinn aannyy ooff tthhee ccaattee--ggoorriieess lliisstteedd iinn ssuubb--sseeccttiioonnss 1111BB ttoo 1111EE,, yyoouu mmuusstt aallssoo pprroovviiddee tthhee ddooccuummeennttss ssppeecciiffiieedd iinn tthhee ssuubb--sseeccttiioonn ffoorr tthhee ppaarrttiiccuu--llaarr ccaatteeggoorryy iinn wwhhiicchh yyoouu aarree aappppllyyiinngg..

PPlleeaassee nnoottee tthhaatt,, iinn ssoommee ccaasseess,, wwee mmaayy hhaavvee ttoo aasskk ffoorr ootthheerr ddooccuummeennttss iinn aaddddiittiioonn ttoo tthhoossee ssppeecciiffiieedd iinn tthhiiss ffoorrmm..

11 11AA AAllll aapppplliiccaannttss

YYoouurr iiddeennttiittyy ccaarrdd ffoorr ffoorreeiiggnn nnaattiioonnaallss if you have been issued with one since entering the UK. See NNoottee 77.

NNoottee 77 IIddeennttiittyy ccaarrddss ffoorr ffoorreeiiggnn nnaattiioonnaallss wwiillll bbee iissssuueedd ttoo ffoorreeiiggnn nnaattiioonnaallss ffrroomm 2255 NNoovveemmbbeerr 22000088 wwhheenn tthheeyy aarree ggiivveenn ppeerr--mmiissssiioonn ttoo rreemmaaiinn iinn tthhee UUKK.. UUnnlleessss rreeppoorrtteedd lloosstt oorr ssttoolleenn,, tthheeyy sshhoouulldd bbee eenncclloosseedd wwiitthh aannyy aapppplliiccaattiioonn ffoorr ffuurrtthheerr ppeerrmmiissssiioonn ttoorreemmaaiinn iinn tthhee UUKK.. IInniittiiaallllyy,, mmoosstt ffoorreeiiggnn nnaattiioonnaallss aappppllyyiinngg ttoo rreemmaaiinn iinn tthhee UUKK wwiillll nnoott hhaavvee bbeeeenn iissssuueedd wwiitthh UUKK iiddeennttiittyy ccaarrddss..

IIddeennttiittyy ccaarrddss ffoorr ffoorreeiiggnn nnaattiioonnaallss ffoorr eeaacchh ddeeppeennddaanntt included in section 2 and applying for an extension of stayin the UK with you if they have been issued with them since entering the UK. See NNoottee 77.

PPaassssppoorrttss aanndd iimmmmiiggrraattiioonn ddooccuummeennttss

EEvviiddeennccee ooff aatttteennddaannccee.. If you have to complete section 6 and your place of study has not completed question 66..11, a doc-ument from the place of study giving details of your attendance for the course you have just undertaken or completed.

EEvviiddeennccee ooff ssppoonnssoorrsshhiipp.. If you have answered yyeess to question 88..55, a document confirming that you are still sponsoredfor the course of study and the period for which you are applying for an extension of stay, or that a former sponsoring author-ity consents to you continuing to study in the UK.


AA vvaalliidd AAccaaddeemmiicc TTeecchhnnoollooggyy AApppprroovvaall SScchheemmee ((AATTAASS)) cclleeaarraannccee cceerrttiiffiiccaattee from the Counter-ProliferationDepartment of the Foreign and Commonwealth Office must be provided if you are undertaking postgraduate studies leadingto a Doctorate or Masters by research, or a taught Masters degree, in certain designated subjects listed in Appendix 6 of theImmigration Rules. See NNoottee 99.

NNoottee 99 AApppplliiccaattiioonnss ffoorr aa cclleeaarraannccee cceerrttiiffiiccaattee mmuusstt bbee mmaaddee oonnlliinnee aatt wwwwww..ffccoo..ggoovv..uukk//aattaass.. TThhiiss ssiittee aallssoo ccoonnttaaiinnss iinnffoorrmmaattiioonnaabboouutt tthhee sscchheemmee aanndd aa lliisstt ooff tthhee ddeessiiggnnaatteedd ssuubbjjeeccttss..

EEvviiddeennccee ooff pprrooggrreessss. If you have to complete section 5, evidence that you have made satisfactory progress on yourcourse(s), such as certificates or documents showing examination results or qualifications obtained (see 55..44).

AA ddooccuummeenntt ccoonnffiirrmmiinngg yyoouu aarree rreeggiisstteerreedd aass aann eexxtteerrnnaall ssttuuddeenntt wwiitthh tthhee UUKK ddeeggrreeee aawwaarrddiinngg bbooddyy, ifyou are an external student studying for a degree at a private education institution. See NNoottee 1100.

NNoottee 1100 TThhiiss iiss nnoott rreeqquuiirreedd iiff tthhee pprriivvaattee eedduuccaattiioonn iinnssttiittuuttiioonn iiss aa LLiisstteedd BBooddyy..

SSEE CC TT II OONN 1111 -- DDOOCC UUMMEENN TT SS

UUnnccoonnddiittiioonnaall ooffffeerr.. If you have not yet enrolled and answered yyeess to question 77..77, you must provide document(s) fromthe place of study confirming that you have received an unconditional offer of a place, and document(s) showing that you haveaccepted the unconditional offer made to you.

PPrrooggrreessss aanndd aatttteennddaannccee

SSppoonnssoorrsshhiipp

EExxtteerrnnaall ssttuuddeennttss aatt pprriivvaattee eedduuccaattiioonn iinnssttiittuuttiioonnss

AATTAASS cclleeaarraannccee cceerrttiiffiiccaattee

EEvviiddeennccee ooff eennrroollmmeenntt.. Document(s) from your place of study confirming your enrolment on the course for which you areapplying for an extension of stay and including the following information:

- the name and level of the course- the name and address of the awarding body- the start and finish dates- whether the course is full-time or part-time (see NNoottee 88)- the cost of the course and whether the fees have been paid in full or in part.

EEnnrroollmmeenntt // uunnccoonnddiittiioonnaall ooffffeerr

NNoottee 88 IIff yyoouu aarree eennrroolllleedd oonn aa rreeccooggnniisseedd ddeeggrreeee oorr ppoossttggrraadduuaattee ccoouurrssee,, oorr oonn aa ccoouurrssee ooff ssttuuddyy aatt aann iinnddeeppeennddeenntt ffeeee--ppaayyiinnggsscchhooooll,, tthhee lleetttteerr sshhoouulldd ssaayy wwhheetthheerr tthhee ccoouurrssee iiss ffuullll--ttiimmee oorr ppaarrtt--ttiimmee.. FFoorr aallll ootthheerr ccoouurrsseess,, tthhee lleetttteerr sshhoouulldd ssttaattee hhooww mmaannyyhhoouurrss eeaacchh wweeeekk yyoouu wwiillll ssppeenndd eennggaaggeedd iinn oorrggaanniisseedd ddaayyttiimmee ssttuuddyy aatt tthhee iinnssttiittuuttiioonn aatt wwhhiicchh yyoouu aarree eennrroolllleedd..

VViissiittiinngg uunnddeerrggrraadduuaattee oorr ppoossttggrraadduuaattee ssttuuddeennttss.. If you are such a student and are enrolled at more than one insti-tution, please provide documents from both the UK publicly funded institution you are attending and the overseas institutionat which you will complete your degree course or postgraduate studies with the evidence of enrolment specified above.

EEvviiddeennccee ooff yyoouurr ffiinnaanncceess.. Documents such as bank statements, building society savings book(s), pay slips or other for-mal documents as evidence of your ability to meet the costs of your course and to maintain and accommodate yourself andany dependants without taking employment or engaging in business, or having recourse to public funds. See NNoottee 1111..

EEvviiddeennccee ooff ppaarrtt--ttiimmee eemmppllooyymmeenntt dduurriinngg tteerrmm ttiimmee.. If you have answered yyeess to question 88..33, please provide payslips covering a period of three months when you last worked part-time during term time.

IIff aa rreellaattiivvee oorr ffrriieenndd iiss ssuuppppoorrttiinngg yyoouu, please provide a letter from him/her confirming this together with bank state-ments or other documents of the kind described above as evidence of their financial resources. See NNoottee 1111.

FFiinnaanncceess aanndd aauutthhoorriisseedd eemmppllooyymmeenntt

Evidence that you have the finances without working or recourse to public funds to meet the costs of your intended courseand to maintain and accommodate yourself and any dependants while making arrangements to study and during the courseof your studies. (See NNoottee 1111 and the related items above.)

A document from the educational institution or independent fee paying school which you attend,or attended in the previousacademic year, confirming that you are required to re-sit an examination, the date(s) of that examination and the expecteddate of the results.

11 11BB

Document(s) showing that you are a postgraduate student enrolled at an educational institution as either a full-time, part-time or writing up student and that your application is supported by the educational institution. This document should alsostate the expected date for the submission of your thesis.

If you are a postgraduate student writing up a thesis in a designated subject listed in Appendix 6 of the Immigration Rulesand you were last granted leave as a student on or after 30 November 2007, aa vvaalliidd AAccaaddeemmiicc TTeecchhnnoollooggyy AApppprroovvaallSScchheemmee cclleeaarraannccee cceerrttiiffiiccaattee must be provided. See NNoottee 99 on page 14.

11 11CC

A document showing that you intend to undertake a course of study within 6 months of your entry to the UK. This evidencemay, for example, take the form of a conditional offer of a place on a course of study or a letter inviting you to attend for inter-view for a place on a proposed course of study; and

1111 DD

SSttuuddeenntt uunnddeerrttaakkiinngg eexxaammiinnaattiioonn rree--ssiittss

PPoossttggrraadduuaattee ssttuuddeenntt wwrriittiinngg uupp aa tthheessiiss

PPrroossppeeccttiivvee ssttuuddeenntt

If you are re-sitting an examination in a designated subject listed in Appendix 6 of the Immigration Rules and you were lastgranted leave as a student on or after 30 November 2007, aa vvaalliidd AAccaaddeemmiicc TTeecchhnnoollooggyy AApppprroovvaall SScchheemmee cclleeaarr--aannccee cceerrttiiffiiccaattee must be provided. See NNoottee 99 on page 14.

SS EE CC TT II OONN 1111 -- DDOOCC UUMMEENN TT SS

NNoottee 1111 SSttuuddeennttss sshhoouulldd bbee aabbllee ttoo mmaaiinnttaaiinn aanndd aaccccoommmmooddaattee tthheemmsseellvveess aanndd aannyy ddeeppeennddaannttss wwiitthhoouutt rreellyyiinngg wwhhoollllyy oorr mmaaiinn--llyy oonn tthheeiirr eeaarrnniinnggss ffrroomm aauutthhoorriisseedd iinncciiddeennttaall ppaarrtt--ttiimmee oorr vvaaccaattiioonn eemmppllooyymmeenntt.. EEaarrnniinnggss ffrroomm ssuucchh eemmppllooyymmeenntt mmaayy bbee ttaakkeenniinnttoo aaccccoouunntt oonnllyy

iiff yyoouu hhaavvee gguuaarraanntteeeedd ppaarrtt--ttiimmee wwoorrkk aatt aa ppuubblliiccllyy ffuunnddeedd iinnssttiittuuttiioonn ooff ffuurrtthheerr oorr hhiigghheerr eedduuccaattiioonn aatt wwhhiicchh yyoouu aarree eennrroolllleedd ,, oorr

iiff yyoouu aarree aa ssttuuddeenntt nnuurrssee aanndd tthhee eemmppllooyymmeenntt iiss ddiirreeccttllyy rreellaatteedd ttoo yyoouurr ttrraaiinniinngg aanndd iiss aapppprroovveedd bbyy yyoouurr ccoouurrssee pprroovviiddeerr,, oorr

iiff yyoouu hhaavvee bbeeeenn eelleecctteedd ttoo aa ffuullll--ttiimmee ssaabbbbaattiiccaall ppoosstt aatt tthhee ppllaaccee ooff ssttuuddyy aatt wwhhiicchh yyoouu aarree eennrroolllleedd..

WWee ddoo nnoott aacccceepptt iinntteerrnneett oorr ccaasshhppooiinntt ssttaatteemmeennttss aass eevviiddeennccee ooff ffiinnaanncceess.. IIff yyoouu ccllaaiimm tthhaatt aa rreellaattiivvee oorr ffrriieenndd iiss pprroovviiddiinngg yyoouuwwiitthh ffiinnaanncciiaall ssuuppppoorrtt ((sseeee qquueessttiioonn 88..44)),, iinn aaddddiittiioonn ttoo eevviiddeennccee ooff yyoouurr oowwnn ffiinnaanncceess,, yyoouu mmuusstt pprroovviiddee bbaannkk ssttaatteemmeennttss oorr ootthheerrddooccuummeennttss ooff tthhee kkiinndd ddeessccrriibbeedd aabboovvee aass eevviiddeennccee ooff tthheeiirr ffiinnaanncceess..

TThhee ddooccuummeennttss sshhoowwiinngg tthhee ffiinnaanncceess aavvaaiillaabbllee ttoo yyoouu aanndd ttoo aannyy ppeerrssoonn ssuuppppoorrttiinngg yyoouu sshhoouulldd ccoovveerr aatt lleeaasstt tthhee llaasstt 33 mmoonntthhss..

A letter from you confirming that, at the end of your sabbatical post, you intend to complete the course of study you havealready begun or you intend to take up a further course of study which has been deferred to enable you to take up the sab-batical post or you intend to leave the UK.

1111 EE SSaabbbbaattiiccaall ooffffiicceerr

A document showing that you have been elected to a full-time salaried post as a sabbatical officer at the place of study atwhich you are registered as a student; and


If you are applying as a student undertaking examination re-sits, in addition to the relevant documents in sub-section 1111AA,you must provide the following documents:

If you are applying as a postgraduate student writing up a thesis, in addition to the relevant documents in sub-section 1111AA,you must provide the following documents:

If you are applying as a prospective student, in addition to the relevant documents in sub-section 1111AA, you must provide thefollowing documents:

If you are applying as a sabbatical officer, in addition to the relevant documents in sub-section 1111AA, you must provide the fol-lowing documents:

I hereby apply for an extension of stay in the UK for myself and any dependants listed in this form. The information Ihave given in this form is complete and is true to the best of my knowledge.

I confirm that the photographs submitted with this form are a true likeness of myself and any dependants included inthe application, as named on the back of each photograph and that I have had the opportunity to see the UK BorderAgency (UKBA) photograph guidance.

As required to do so by The Immigration (Biometric Registration) Regulations 2008, I confirm that I also apply for abiometric immigration document for myself and any dependants applying with me. If I am a single applicant under theage of 16, or if any dependent child under that age is applying with me, I understand that the Home Office may makeenquiries about any responsible adult nominated by me to be present when my/their fingerprints and/or a photographare taken.

I confirm that if, before this application is decided, there is a material change in my circumstances or new informationrelevant 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; that it may be dis-closed to other government departments, agencies, local authorities, the police, foreign governments and other bod-ies for immigration purposes or to enable them to perform their functions; and that, if such bodies provide the HomeOffice with any information about me which may be relevant for immigration purposes, it may be used in reaching adecision on my application.

I understand that my details may in certain circumstances be passed to fraud prevention agencies to prevent fraudand money laundering. I also understand that such agencies may provide the Home Office with information about me.Further details explaining when information may be passed to or from fraud prevention agencies and how that infor-mation may be used can be obtained from the UKBA webite.

I understand that documents provided in support of this application will be checked for authenticity; and that falsedocuments will be retained and may result in my application being refused and in my prosecution and subsequentremoval from the United Kingdom.

I understand that the Home Office may also use the information provided by me for training purposes.

I understand that the Home Office may make enquiries of the institution(s) named in sections 5.2 and/or 7.2 of thisform in order to establish whether I meet the requirements of the Immigration Rules with regard to satisfactory atten-dance and progress. I consent to the institution(s) named in those sections disclosing details of my attendance andprogress to the Home Office in response to any such enquiries. I also consent to their informing the Home Office ontheir own initiative if I cease to attend any course of study with them for which I have been granted l e ave to enter orremain in the UK.

II aamm aawwaarree tthhaatt iitt iiss aann ooffffeennccee uunnddeerr tthhee IImmmmiiggrraattiioonn AAcctt 11997711,, aass aammeennddeedd bbyy tthhee IImmmmiiggrraattiioonn aanndd AAssyylluumm AAcctt11999999 aanndd tthhee NNaattiioonnaalliittyy,, IImmmmiiggrraattiioonn aanndd AAssyylluumm AAcctt 22000022,, ttoo mmaakkee ttoo aa ppeerrssoonn aaccttiinngg iinn eexxeeccuuttiioonn ooff aannyy ooff tthhoosseeAAccttss aa ssttaatteemmeenntt oorr rreepprreesseennttaattiioonn wwhhiicchh II kknnooww ttoo bbee ffaallssee oorr ddoo nnoott bbeelliieevvee ttoo bbee ttrruuee,, oorr ttoo oobbttaaiinn oorr ttoo sseeeekk ttoooobbttaaiinn lleeaavvee ttoo rreemmaaiinn iinn tthhee UUnniitteedd KKiinnggddoomm bbyy mmeeaannss wwhhiicchh iinncclluuddee ddeecceeppttiioonn..

YYoouu mmuusstt nnooww rreeaadd tthhee ddeeccllaarraattiioonn bbeellooww aanndd ssiiggnn iitt.. TThhiiss mmuusstt bbee ssiiggnneedd bbyy yyoouu ((tthhee aapppplliiccaanntt)) aanndd nnoott bbyy aa rreepprreesseennttaattiivvee oorr ootthheerr ppeerrssoonn aaccttiinngg oonn yyoouurr bbeehhaallff.. IIff yyoouu aarree uunnddeerr 1188,, yyoouurr ppaarreenntt oorr gguuaarrddiiaann mmaayy ssiiggnn..

IItt iiss mmaannddaattoorryy ffoorr tthhee ddeeccllaarraattiioonn ttoo bbee ssiiggnneedd..

PPlleeaassee nnoottee tthhaatt tthhiiss aapppplliiccaattiioonn wwiillll bbee iinnvvaalliidd iiff iitt iiss nnoott ssiiggnneedd aass ssppeecciiffiieedd aabboovvee..

SS EE CC TT II OONN 1122 -- DD EE CC LLAARRAA TT II OONN

Signature Date


FF II NN AA LL CC HHEE CC KKSS

Is FLR(S) the right form for you and is it valid for use?See date and notes on front page.

Have you completed the payment details page and madethe correct payment?

Have you completed section 1 and, if required to do so,sections 2 and 4?

Have you completed section 9 and the rest of the formas specified?

TToo eennssuurree tthhaatt yyoouurr aapppplliiccaattiioonn iiss ccoommpplleettee,, pplleeaassee mmaakkee tthhee ffoolllloowwiinngg ffiinnaall cchheecckkss.. TTiicckk eeaacchh bbooxx tthhaatt iiss rreelleevvaanntt ttooyyoouurr aapppplliiccaattiioonn..

Have you provided the photographs specified in section 10and are they in the approved format?

If you are unable to send us any of the documentsspecified in section 11 which are relevant to yourapplication, or if you are unable to provide originals,have you given an explanation and said when youwill be able to send them ?Have you, or a parent or guardian if you are under 18,

signed and dated the declaration in section 12?

Finally, please make sure that the application is addressedexactly as shown opposite.

UUKK BBoorrddeerr AAggeennccyyLLeeaavvee ttoo RReemmaaiinn -- FFLLRR((SS))PPOO BBooxx 449955DDuurrhhaammDDHH9999 11WWRR


Have you provided your current passport(s) or travel doc-ument(s) and all other relevant documents specified insection 11 and are they originals?

Have you ticked a box in section 3 to show the categoryin which you are applying?

PPHHOO TT OOGGRRAA PPHH SS AA NNDD DDOOCCUU MMEENN TT SS CCHH EECC KK LL II SS TTPPlleeaassee ccoommpplleettee tthhiiss ppaarrtt ooff tthhee ffoorrmm ttoo hheellpp uuss cchheecckk tthhaatt wwee hhaavvee rreecceeiivveedd yyoouurr pphhoottooggrraapphhss aanndd ddooccuummeennttss.. AAtt ““AA””,,tteellll uuss hhooww mmaannyy ooff eeaacchh ooff tthhee lliisstteedd iitteemmss yyoouu aarree pprroovviiddiinngg wwiitthh yyoouurr aapppplliiccaattiioonn.. AAtt ““BB””,, lliisstt aannyy ootthheerr ddooccuummeennttsspprroovviiddeedd bbyy yyoouu aanndd ssttaattee hhooww mmaannyy iinn eeaacchh ccaassee.. CCoonnttiinnuuee oonn aa sseeppaarraattee sshheeeett iiff nneecceessssaarryy aanndd eenncclloossee iitt wwiitthh tthhiissffoorrmm.. AAllll ddooccuummeennttss mmuusstt bbee oorriiggiinnaallss..

Photographs of yourself

Photographs of any dependants applying

Passports and/or travel documents

Police registration certificates

Evidence of enrolment

Evidence of attendance

Evidence of progress

ATAS certificate

Evidence of registration as an external student with UK degree awarding bodyBank statements

Building society savings books

Pay slips

AA.. LLiisstteedd iitteemmss BB.. OOtthheerr ddooccuummeennttssHHooww mmaannyy??

HHooww mmaannyy?

PPlleeaassee nnoottee tthhaatt,, iinn ssoommee ccaasseess,, wwee mmaayy hhaavvee ttoo aasskk ffoorr ootthheerrddooccuummeennttss iinn aaddddiittiioonn ttoo tthhoossee ssppeecciiffiieedd iinn tthhiiss ffoorrmm..