set_o__form_04-14

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Application for

Indefinite Leave to

Remain

in the UK in One of the

Categories Listed in

this Form and a

Biometric Immigration

Doc

um

entIn accordance with

paragraph ! of

the

Immigration

Rules" this form

is a specified form

for the purpose of

the

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Immigration Rules as of # Decem$er % and must $e used for all applications

made on or after that date for the purposes stated on this page and listed in

section '

(ou also need the separate guidance documents listed $elow" which )ou should

read $efore ma*ing )our application+

1- ,-./O0 guidance notes

2- UK 1isas 2 Immigration photograph guidance

If )ou do not alread) have these documents" )ou can get them from our we$siteat www'gov'u*3government3organisations3u*4visas4and4immigration

Our application forms change periodicall)' If )ou o$tain this form some time

$efore appl)ing" please chec* that it is still the version which must $e used when

)ou are read) to appl)'

.o appl) in person" )ou must ma*e an appointment' Alternativel)" )ou ma) wish

to use the ,ettlement Chec*ing ,ervice operated $) a num$er of local authorities

which is generall) a faster service than the normal postal application process'

5lease see the 6ome Office7s we$site to see if )ou can use this service when

appl)ing on this form'

.he applications which ma) not $e made in person are those in the following

categories3routes+ $usinessperson8 innovator8 investor8 self4emplo)ed law)er8 .ier

# /-ntrepreneur0 migrant8 .ier # /Investor0 migrant8 .ier # /-ntrepreneur0 migrant"

accelerated8 .ier # /Investor0 migrant" accelerated'

Certain applications ma) $e delivered $) courier 4 see the guidance notes'

If )ou appl) $) post" )ou must send )our application to the following address+

6ome Office

,-./O0Indefinite Leave to Remain

5O Bo9 :;#

Durham

D6# ;F,

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Payment Guidance

The Fee

If )ou are a single applicant on form ,-./O0 and no dependants are appl)ing with )ou" the normal

specified fee is #&; for standard applications made $) post or courier'

Applications can $e made in person at a 5remium ,ervice Centre for a same da) consideration

of )our application' .here is an additional fee for this service and all fees will $e ta*en when )ou

$oo* an appointment' For more details and to $oo* an appointment please visitwww'gov'u*3u*vi4 premium4service4centres

.he fees are different for nationals of countries which have ratified the #;# Council of -urope

,ocial Charter /C-,C0" ie Croatia" F(R >acedonia and .ur*e)" $ut onl) if the) are appl)ing in

an) of the following categories or routes+ wor* permit holder" highl) s*illed migrant /of either *ind0"

.ier # /@eneral0 migrant" .ier # /-ntrepreneur0 migrant and .ier % migrant' .he fees for such

applications are #& for applications made $) post or courier'

If one or more dependants are appl)ing with )ou" the fee for each dependant appl)ing is shown in

the ta$le $elow'

Number of applicants Standard CESC Standard

Yourself and 1 dependant

218

6

213

1

Yourself and 2 dependants

327

9

322

4

Yourself and 3 dependants

437

2

431

7

Fee for each additional dependant

109

3

109

3

For more information a$out the current fees" please see the ,-./O0 guidance notes 4

version &!3%!'

5lease note that )our application will $e re?ected as invalid if )ou do not pa) the specified fee'

If )ou are claiming an e9emption from pa)ing the fee $ecause )ou are appl)ing to sta) in the UK

under -uropean Convention on 6uman Rights Article medical grounds" tic* the $o9 at item : on

page ! to confirm this'

If )ou are claiming an e9emption from pa)ing the fee $ecause )ou are a child under the age of #

in the care of social services at the time of application" tic* the $o9 at item : on page ! to confirm

this'

If )ou are appl)ing under one of the a$ove categories failure to tic* the $o9 at item : on page !

will result in )our application $eing re?ected if )ou have not sent a fee'

Biometric Enrolment Fee

As part of )our applciation )ou are re=uired to enrol )our $iometric information' (ou will $e

charged an additional handling fee for this service" pa)a$le to the 5ost Office Ltd' (ou must pa)

the fee $) cash or de$it card when )ou attend 5ost Office Ltd to enrol )our $iometrics' -ach

dependant included on )our application must also pa) this fee when the) enrol their $iometric

information' Do not send the $iometric enrolment fee with )our application fee'

Applicants on some immigration routes are e9empt from pa)ing an enrolment fee at the 5ost

Office Ltd' If )ou are in one of these categories )ou will $e informed of this when we send )ou a

$iometric notification letter'

(our application ma) $e re?ected as invalid if )ou do not enrol )our $iometrics when re=uested'

For more information a$out enrolling $iometrics and the current fee" please visit the following

section of our we$site+ www'gov'u*3$iometric4residence4permits
http://www.gov.uk/ukvi-premium-service-centreshttp://www.gov.uk/biometric-residence-permitshttp://www.gov.uk/biometric-residence-permitshttp://www.gov.uk/ukvi-premium-service-centreshttp://www.gov.uk/ukvi-premium-service-centreshttp://www.gov.uk/ukvi-premium-service-centreshttp://www.gov.uk/biometric-residence-permits

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,-./O0 Application form /1ersion &!3%!0 45age % of &

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Who May Apply With ou!

(ou ma) include )our spouse" civil partner" unmarried or same4se9 partner and3or children under

the age of # if the) are appl)ing as )our dependants' 6owever" the) must pa) the full specified

fee if the) appl) separatel)' Children aged # or over ma) not $e included' .he) must appl)

individuall) and pa) the specified fee in each case'

"o# can you pay!

(ou must pa) $) one of the methods specified $elow'

1 Che=ue

2 5ostal Order

3 Credit card# 4 1isa /including -lectron0" >asterCard or American -9press /Ame90

4 De$it card 4 Delta" >aestro /including ,olo0

5 Ban*er7s draft /pa)a$le to the 6ome Office0

>aestro 4 we will accept an) >aestro card if )ou are appl)ing in person at a 5remium ,erviceCentre $ut onl) >aestro cards issued in the UK if )ou are appl)ing $) post or courier'

Che$ues And Postal %rders

(ou must ma*e the che=ue or postal order pa)a$le to 6ome Office Leave to Remain and cross

the che=ue or postal order/s0 A3C 5a)ee onl)'

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4## Complete onl) if pa)ing $) card'

## .he card securit) num$er is a three4digit securit) code *nown as the card verification value

/C110' It consists of the last three num$ers on the signature strip on the $ac* of the card as shown

$elow'

AMERICAN EXPRESS

AU.6ORI,-D ,[email protected]

4567

123 123

C111234

12341234 123456 12345

C11

,-./O0 Application form /1ersion &!3%!0 45age ! of &

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Pa!ent "etails# $et%&'ationals of Croatia" F(R >acedonia or .ur*e) must complete this page unless the) are appl)ing as a wor* permit holder" highl)

s*illed migrant /of either *ind0" .ier # /@eneral0 migrant" .ier # /-ntrepreneur0 migrant or .ier % migrant' For applications in those

categories" the) must complete the pa)ment details on page :' All other applicants must complete the pa)ment details on this

page onl)'

f )ou are appl)ing as a highl) s*illed migrant /6,>50" are )ou doing so under the terms of the 6,>5 (es

F

o

LR ?udicial review polic) documentG ,ee main guidance notes for more information a$out this'

# Contact address in the UK for correspondence

5ostcode

% Contact name in the UK if different from that of the applicant

Applicant7s full name

(ear >onth Da)

! Date of $irth

Payment 'etails

:

Amount 4 please tic* the amount )ou are pa)ing' If no fee is tic*ed we cannot ta*e a pa)ment and )our application will$e

re?ected as invalid'

,tandard

,tandard

,ingle applicant 4 no dependants

>ain applicant and twodependants

#&;

%

>ain applicant and onedependant

>ain applicant and threedependants

%# !H%

If more than dependants are appl)ing with )ou" please state the num$er in the space $elow and enter

the correct amount in the appropriate $o9 /as calculated in accordance with the pa)ment guidance0'

>ain applicant and ''''''''''''''dependants

4standard

If )ou are claiming an e9emption from pa)ing the feetic* this $o9

6ow are )ou pa)ingG 5ease tic* a $o9' 5ostal

order

H 5a)ing $) che=ue 4 please give che=ue details $elow

Che=ue num$er Account num$er

5a)ing $) card 4 please complete 4#% $elow

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>aestro 3 Delta

,olo

#& Card

num$er

1alidfrom

## Card details

# Cardholder7s

%

signature

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Pa!ent "etails# $et%&'- ()$( *pplicants

ationals of Croatia" F(R >acedonia or .ur*e) must complete this page if the) are appl)ing as a wor* permit holder" highl)

s*illed migrant /of either *ind0" .ier # /@eneral0 migrant" .ier # /-ntrepreneur0 migrant or .ier % migrant' For applications in all

other categories" the) must complete the pa)ment details on page !'

5lease complete this page in $loc* capitals and $lac* in* after first reading the pa)ment guidance'

f )ou are appl)ing as a highl) s*illed migrant /6,>50" are )ou doing so under the terms of the 6,>5 (es

Fo

LR ?udicial review polic) documentG ,ee main guidance notes for more information a$out this'

# Contact address in the UK for correspondence

5ostcode

% Contact name in the UK if different from that of the applicant

Applicant7s full name

Da) >onth (ear

! Date of $irth

5A(>-. D-.AIL,

:Amount 4 please tic* the amount )ou are pa)ing' If no fee is tic*ed we cannot ta*e a pa)ment and )our application will $e

re?ected as invalid' 5osta

l5ostal

,ingle applicant 4 no dependants>ain applicant and twodependants#&

%%

!

>ain applicant and one dependant>ain applicant and threedependants%#

#!#

H

If more than dependants are appl)ing with )ou" please state the num$er in the space $elow andenter

the correct amount in the appropriate $o9 /as calculated in accordance with the pa)ment

guidance0'

>ain applicant and '''''''''''''' dependants B 4 postal

6ow are )ou pa)ingG 5ease tic* a $o9'

5ostalChe=ue De$it or

Ban*er7s

ordercreditcard

draft

H 5a)ing $) che=ue 4 please give che=ue details $elow

Che=ue num$er Account num$er ,ort code

5a)ing $) card 4 please complete 4#%$elow

asterCard>aestro3

Delta

5lease tic* a $o9'-lectron 3 Ame9 ,olo

9 ame on

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card

1& Card

num$er

## Card details

1alid from -9pir) date Card securit) num$er 4 C11

Issueo'

/where

availa$le0

#

% Cardholder7s Date

signature

,-./O0 Application form /1ersion &!3%!0 4 5age of &

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For official use onl) 4 uni=ue reference num$er ,-./O01ersion &!3%!

,ection # 4 Applicant7s Details#'# (our title 4 please tic*

If other" what is )ourtitleG

>r>rs

>iss

>s

Other

#'%

(our gender 4 pleasetic*

>ale

Female

Da) >onth (ear

1+3 (

o

u

rd

a

t

e

of

$

i

r

t

h

1+4 (our full name as in )ourpassport or travel document

5hotographs

(ou must provide two identical

photographs of )ourself with )our full

name on the $ac* of each one' 5lease

place the photographs" together with

those of an) dependants included in

section %" in a small sealed envelope

and attach it across this space with a

staple

or paper clip at the right4hand side of

the page3envelope'

5lease ma*e sure that the staple or

paper clip does not damage or mar*

the photographs' All photographs

must $e as

specified

in the

separate

photograph guidance'

1+5 ,urname or famil) name

1+6 An) other name/s0 $) which)ou are or have $een*nown

1+7 ationalit)

1+8 5lace of $irth 4town or cit) andcountr)

#'; 5assport or travel document num$er

#'## ational insurance num$er if )ou have one

1+13 (our UKaddress 4please inform

usimmediatel) ifthis changes

#'#! (our da)time telephone num$er

1+15 (our e4mailaddress if )ouhave one

1+16 ame and address in the UK for allcorrespondence a$out )our application ifdifferent from #'#

5

1+17 If )ou have completed #'# and the

address is that of )our immigration

adviser" please state their Office of the

Immigration ,ervices Commissioner

/OI,C0 num$er,-./O0 Application form /1ersion &!3%!0 4 5age H of &

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, - C . I O % 4 D - 5 - D A . , < 6 O A R - A L , O A 5 5 L ( I @f )ou have a partner and3or an) children under # who are living with )ou in the UK and who are appl)ing for

ndefinite leave to remain as )our dependants" this is where )ou give their details' 5artnerJ means )our spouse" civil

partner" unmarried or same4se9 partner'

f more than % children are appl)ing" please give their details on a photocop) of this page" enclose it with this form"

and place the photographs in a sealed envelope attached to section # as instructed there' Children aged # or over

must appl) separatel)'

(our partner7s full name

ationalit) BR5 Reference um$er

5hotographs 5lace of $irth 4 town or cit) andcountr)

(ou must provide two

identical photographs of

each dependant who is

appl)ing'

onth (ear 4 please tic*

them in an envelope

,pouseCivil

partner

>ale

Femaleattached to section # Unmarrie

d ,ame4se9

as instructed there'

partnerpartner

Child7s full name


5lace of $irth 4 town or cit) andcountr)

5hotographs

(ou must provide two

dentical photographs of

each dependant who is

appl)ing'

onth (ear 4 please tic*

4 pleasetic*

them in an envelope >ale

Female

,on

Daughter

attached to section #


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Child7s full name


5hotographs

5lace of $irth 4 town or cit) and countr)

(ou must provide twoidentical photographs

of

each dependant whois

appl)ing'

onth

(e

ar 4 please tic*

4 please

tic*them in an envelope >al

eFemale

,on

Daughterattached to section #


,-./O0 Application form /1ersion &!3%!0 4 5age of &

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Section ( ) Which Cate&ory!

5lease tic* a $o9 to show us the categor) in which )ou are appl)ing for indefinite leave to remain

and to confirm that )ou are also appl)ing for a $iometric immigration document'

If appl)ing under section A" please note that )ou will also need to complete the appropriate .ier #

5oints scoring Assessment at section ;'

Section A

.ier # /@eneral0 migrant /e9cluding applicants appl)ing under the terms of the6,>5 Forum Eudicial Review 5olic) Document0

.ier # /-ntrepreneur0 migrant

.ier # /-ntrepreneur0 migrant accelerated

.ier # /Investor0 migrant

.ier # /Investor0 migrant accelerated

If appl)ing under section B" please note that )ou are not re=uired to complete section ;'

Section B

.ier # /@eneral0 >igrant appl)ing under the terms of the 6,>5 Forum Eudicial

Review 5olic) Document

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Section * ) +no#led&e %f ,an&ua&e And ,ife -n The .+

(ou are not re=uired to complete this section if )ou are appl)ing in one of the following categories+ .ier #

/@eneral0 >igrant appl)ing under the terms of the 6,>5 Forum Eudicial Review 5olic) Document8

highl) s*illed migrant under the terms of the 6,>5 ILR ?udicial review polic) document8 or $ereaved

partner' If )ou are appl)ing in one of these categories" go to section :'

From % Octo$er %" to =ualif) for indefinite leave to remain" all applicants aged #4! must meet a

revised Knowledge of Language and Life in the UK re=uirement'

.he separate guidance notes to this form provide details of where to find further information a$out thisre=uirement'

'# Are )ou aged #4!G (es

o !'% If )our partner is appl)ing with

(es

Fo

)ou is he or she aged #4!G

If )ou have answered )es to !'# and3or !'%" continue $elow' If )ou answered no to !'# and !'%" or )our

partner is not appl)ing with )ou" go to section :'

(ou

(our

partner!' 6ave )ou and3or )our partner

o$tained Life in the UK pass Life in the UKthe following to show that )ou have test pass

met the Knowledge of Language and And one of the And one of theLife in the UK re=uirement' follo#in& lan&ua&e follo#in& lan&ua&e

$ualifications/ $ualifications/

-nglish language -nglish languagespea*ing andlistening

spea*ing andlistening

=ualification" or =ualification" or

A degree taught or A degree taught or

researched in -nglish"researched in-nglish"

or or

are )ou a national of Is he3she a national

a ma?orit) -nglish4of a ma?orit)-nglish4

spea*ing countr)G spea*ing countr)G

ote # Relevant =ualifications are+

1 A pass in the test *nown as the Life in the UKJ test

And one of the follo#in& lan&ua&e $ualifications/

2 A spea*ing and listening =ualification at level B# or a$ove from the ,ecure -nglish Language .est/,-L.0 list8

3 An -,OL =ualification at -ntr) Level " Level # or Level % " that includes spea*ing and listeningwhich has $een regulated $) the Office of ualifications and -9aminations Regulation /Of=ual0' It must$e listed as an -,OL =ualification on the Of=ual Register and ta*en in -ngland"

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o es o

)ou from ta*ing the Life in the UK test or doing a spea*ing and

listening =ualification in -nglishG ,ee ote %'

ote % If )ou and3or )our partner are claiming e9emption" )ou must provide a doctor7s letter or similar

evidence confirming that )ou and3or )our partner are una$le to ta*e the test or o$tain a spea*ing and

listening =ualification' An e9emption will onl) $e agreed e9ceptionall)'

./O0 Application form /1ersion &!3%!0 4 5age #& of &

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Section 0 ) our "ome And Finances

(ou are not re=uired to complete this section if )ou are appl)ing in the $ereaved partner categories'

: ' # Is )oura0owned

$0 rented from alocal

homein

$))ouG

authorit) orhousing

theUK+

association $))ouG

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c0privatel) d0 owned or

e0 otherG@ive

rented $) rented $) adetails$elow'

)ouGrelative orfriendG

: ' % Do )ou or )our partner" or

$oth" pa)an) rent or mortgage for )ourhomeG

: ' Are )ou wor*ing in the UKG

:'!

Does a relative or friend of )ou or)ourpartner" or $oth of )ou" regularl)give)ou mone)G

(es

(es

(es

If so" how

much do

)ou pa)each

monthG

If so" what is )ourpa) each month

after income ta9

and other

deductionsG

If so" how much

do )ou

receiveeach

monthG

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: ' : Are )ou receiving an) pu$lic fundsG

.he pu$lic funds which

are relevant for the

purposes of the

Immigrat

ion

Rules

are

listed

$elow' If

)ou

have

answered

)es to

=uestion

:':" )ou

must tic*

the

relevan

t

$o9/es0

to show

which

of

these

a

r

AttendanceAllowance

Carer7s Allowance

a$le to provide )ou with

these details0

,OC code /or

nearest applica$le

which $est

descri$es )our

emplo)ment0

Current rate of 5a)/as stated in theCodes of 5ractice

hourl) rate orannual salar)0

Current rate of 5a)

/as stated in theCodes of 5ractice

hourl) rate orannual salar)0

um$er of hoursthis salar) is $asedon

5erhour

5erannum

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um$er of

wee

*l)h

our

s

,-./O 0 Applic ation form /1ersion &!3%!0 4 5age ## of &

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S e c t i o n 0 ) o u r " o m e A n d F i n a n c e s 1Cont23

: ' Complete the following ta$le indicating the sources and levels of income as indicated in :'# 4 :':that )ou and )our partner are rel)ing on to ade=uatel) maintain )ou and an) dependants'

Income ,ourceInterval Received /wee*l)3monthl)0Amount

.otal

: ' H

: '

If)ou

have$een

una$letof

itallofther

elevant

details in the ta$le a$ove" please use thespace provided $elow'

5lease give the start and end dates of the

period of maternit)" paternit) or adoption4related

a$sence /if )ou are still a$sent from the wor*place d

the end date should $e left $lan*0'

,tart date

Da)>onth (ear

Da)>onth (ear

-nd date

5lease tic* the relevant $o9/es0 $elow to confirm

the documents $eing sent with the application as

evidence of this period of maternit) or adoption4

related a$sence from the wor*place8

Child7s $irth certificate or certificate of adoption"as appropriate

/this should $e provided wherever one has$een issued0

Letter fromemplo)erconfirmingdates of

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maternit)"paternit) oradoptiona$sence

5a)slips or other remittance advices covering+

the monthimmediatel) prior

to the period ofmaternit)"paternit) oradoption relateda$sence" and

themonthsdu

ring the periodof maternit)"paternit) oradoptionleave"includingdetails of an)statutor)maternit)3ado

ptionpa)ments towhich )ouma) have$een eligi$le

,-./O0 Application form /1ersion &!3%!0 4 5age #% of &

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, - C . I O : 4 ( O U R 6 O > - A D F I A C - , /cont'0

Ban* or $uilding societ) statements covering+

the month immediatel) prior to the period of maternit)"paternit) or adoption related a$sence" and

the months during the period of maternit)"

paternit) or adoption leave'Other alternative evidence of maternit)" paternit) or adoptiona$sence

: ' ; If the alternative evidenceJ $o9 has $een tic*ed" please provide a full e9planation of wh) the specified

documents cannot $e provided and details of the alternative documentation $eing sent'

,-./O0 Application form /1ersion &!3%!0 45age # of &

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, - C . I O 4 I > > I @ R A . I O 6 I , . O R (

(ou are not re=uired to complete this section if )ou are appl)ing in the $ereaved partner categories'

' # onth (ear

refers to the date of )our first entr) into the UK at the$eginningof the period of sta) on which this application is

$ased'' % ,ince then have )ou had an) a$sences from the UKG If yes" give the dates )ou left

eso

and returned to the UK and the reason for the a$sence in the spaces $elow' List all

a$sences however short and in date order' If )ou need more space" continue on a

separate sheet and enclose it with )our application'Date left theUK Date returned to Reason for a$sence

the UK

-vidence of all wor*4related a$sences /including paid annual leave0 is re=uired from those appl)ing

under .ier # /@eneral08.ier % /Intra4Compan) .ransfer08.ier % /@eneral08 .ier % />inister of religion08 .ier

% /,portsperson08 .ier : International Agreement" and permitted emplo)ment categories 4 e9cept 6ighl)

,*illed >igrants'

-vidence of a$sence due to compelling or compassionate reasons is also re=uired from all of the

a$ove categories" and those appl)ing under the Business person8 ,elf4emplo)ed person8 Investor8Innovator8

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, - C . I O 4 I > > I @ R A . I O 6 I , . O R (

If )ou have tic*ed MOther7 please $riefl) specif) $elow what evidence )ou have provided'

5lease note onl) evidence of compelling or compassionate reasons must $e listed in this $o9'

' ! onth (ear

' : Did )ou last enter the UK using a valid passport or travel documentG (es Fo

' Do )ou currentl) have valid leave to enter or remain in the UKG (esFo

' H onth (ear

'

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Oversta)er $) Da)s

Other

,-./O0 Application form /1ersion &!3%!0 45age #: of &

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, - C . I O 4 I > > I @ R A . I O 6 I , . O R ( / c o n t ' 0

' ; If )ou spent an) part of the : )ear continuous period with leave to enter or remain in the Crown

dependencies" please indicate $elow where and when this was+

Crown Dependenc) 5lease From .o

tic*

Isle of >an

Eerse)

@uernse)

Alderne)

,ar*

' # & 5lease state the categor) of leave )ou held whilst in the Crown Dependencies e'g'

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, - C . I O H 4 5 - R , O A L 6 I , . O R (

Personal ,istor (criminal convictions, war crims, tc!"

t is !andator to co!plete section 7+ f it is not co!plete the application .ill /e inalid and .ill /e returned

to the applicant+

his section ass a/out an cri!inal conictions an ciil ude!ents or ciil penalties !ade aainst ou or

an dependants .ho are applin .ith ou and details of an inole!ent ou or an dependants .ho are

applin .ith ou !a hae had in .ar cri!es enocide cri!es aainst hu!anit or terroris!+ f ou fail to

ans.er all of these uestions as full and accuratel as possi/le our application !a /e refused+

t is an offence under $ection 26%1'%c' of the !!iration *ct 1971 to !ae a state!ent or representation

.hich is no.n to /e false or is not /elieed to /e true+ nfor!ation ien .ill /e checed .ith other aencies+

7+1+ ,ae ou or an dependants .ho are applin .ith ou /een conicted of an cri!inal offence in the

or an other countr

Yes - o to uestion 7+2 :o

- o to 6uestion

7+3

7+2+ Please ie details /elo. for each cri!inal coniction startin .ith the !ost recent one+ f ou or an

dependants .ho are applin .ith ou hae receied !ore than t.o conictions please photocop this

pae and enclose it .ith this for!+

:ote# ;e .ill carr out cri!inal record checs on all applicants and dependants+ You !ust ie details of all

unspent and spent cri!inal conictions+ his includes road traffic offences /ut not fi

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, - C . I O H 4 5 - R , O A L 6 I , . O R (

:ature of the offence

$entence ien

"ate sentenced D D > > ( ( ( (

f ou or an dependants .ho are applin .ith ou .ere sentenced to a periodof !ont

hs!prison!ent .hat .as the lenth of the prison sentence i!posed %in !onths'

7+3+ "o ou or an dependants .ho are applin .ith ou hae Yes

o to

7+4

an ciil ud!ents aainst ou or an ciil penalt under the

!!iration *cts:o

o to

7+5

7+4+ =ie details for each ciil ud!ent or an ciil penalt under the !!iration *cts startin .ith

the !ost recent one+

f ou or an dependants .ho are applin .ith ou hae receied !ore than t.o ciil ud!ents and>or

ciil penalties under the !!iration *cts please photocop this pae and enclose it .ith this for!+

"etails of ud!ent or ciil penalt 1

"ate of ud!ent or ciil penalt D D > > ( ( ( (

(ountr .here ud!ent !ade

"etails of ud!ent or ciil penalt 2

"ate of ud!ent or ciil penalt D D > > ( ( ( ((ountr .here ud!ent !ade


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You !ust ans.er uestions 7+5 to 7+10 /elo. een if ou hae ans.ered no to uestion 7+1+

For help in ans.erin these uestions please see the definitions at the end of this section+

7+5+ ,ae ou or an dependants .ho are applin .ith ou eer /een

chared in an countr .ith a cri!inal offence for .hich ou hae not et

/een tried in court

7+6+ n ti!es of either peace or .ar hae ou or an dependants .ho are

applin .ith ou eer /een inoled or suspected of inole!ent in .ar

cri!es cri!es aainst hu!anit or enocide

7+7+ ,ae ou or an dependants .ho are applin .ith ou eer /een

inoled in supported or encouraed terrorist actiities in an countr

7+8+ ,ae ou or an dependants .ho are applin .ith ou eer /een a!e!/er of or ien support to an oranisation .hich has /een concerned

in

terroris!

7+9+ ,ae ou or an dependants .ho are applin .ith ou eer / an

!eans or !ediu! e

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7+11+ ,o. lon hae ou lied in the

Please proide details of

an periods of a/sence of

!ore than 6 !onths

durin that ti!e+

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"ate ou left the "ate ou returned to ?eason for a/sence

the 8

,-./O0Application form/1ersion&!3%!0 4 5age#; of &

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5lease state what ties )ou have with8

he countr .here ou .ere /orn

*n other countr .hose nationalit ou hold

*n countr .here ou hae lied for !ore than 5 ears

You should tell us a/out an fa!il friends or other connections .ith that countr+

(ountr $ocial cultural or fa!il ties

7+13+ f ou hae ans.ered es to uestion 7+5 7+6 7+7 7+8 7+9 or 7+10 ou !ust ie further details in the

space proided /elo.+ f ou need !ore space continue on a separate sheet and enclose it .ith this for!+

,-./O0 Application form /1ersion &!3%!0 45age %& of &

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, - C . I O H 4 5 - R , O A L 6 I , . O R (

D-FII.IO,

For the purposes of answering =uestions H': to H'#&" the following information provides guidance onactions which ma) constitute war crimes" crimes against humanit)" genocide" or terrorist activities'

.his guidance is not e9haustive' .he full definitions of war crimes" crimes against humanit) and genocide

can $e found in ,chedule of the International Criminal Court Act %& at ###2opsi2&o42u56acts6

acts788967889889: or purchased from .he ,tationer) Office /telephone 8;:8

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@enocideActs committed with intent to destro)" in whole or in part" a national" ethnical" racial or religious group'

.errorist activitiesAn) act committed" or the threat of action" designed to influence a government or intimidate the pu$lic

and made for the purposes of advancing a political" religious or ideological cause and that involves

serious violence against a person8 that ma) endanger another person7s life8 creates a serious ris* to the

health or safet) of the pu$lic8 involves serious damage to propert)8 is designed to seriousl) disrupt or

interfere with an electronic s)stem'

Organisations concerned in terrorismAn organisation is concerned in terrorism if it commits or participates in acts of terrorism8 prepares for

terrorism8 promotes or encourages terrorism /including the unlawful glorification of terrorism08 or is

otherwise concerned in terrorism'

,-./O0 Application form /1ersion &!3%!0 45age %# of &

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, - C . I O 4 5 6 O . O @ R A 5 6 ,

It is mandator) to provide the relevant photographs specified $elow' 5lease note that this applicationwill $e invalid if )ou do not provide them'

.he photographs must $e in the format specified in the separate UK 1isas and Immigration photographguidance provided with this form' If the) are not" the) ma) $e re?ected as unaccepta$le and )ou willhave to provide others which are accepta$le' .his will dela) consideration of )our application'

.ic* the relevant $o9/es0 to confirm the photographs )ou are providing and enclose them in a smallsealed envelope attached to section # as instructed there'

.wo recent identical passport4siNe photographs of )ourself with )our full name writtenon the $ac* of each photograph' 5lease see the separate photograph guidance on theapproved format'

.wo recent identical passport4siNe photographs of each dependant included in section% and appl)ing for indefinite leave to remain in the UK with )ou" with their full namewritten on the $ac* of each photograph'

,-./O0 Application form /1ersion &!3%!0 45age %% of &

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, - C . I O B 4 O . 6 - R I F O R > A . I O

Is there an) other information concerning )ou or )our famil) which )ou wish to $e considered as part of)our applicationG

If so" please give the details in the $o9 provided'

Please continue on a seperate sheet if necessary and pro4ide any rele4ant documentary e4idence

relatin& to any issues you raise2,-./O0 Application form /1ersion &!3%!0 45age % of &

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, - C . I O ; 4 . I - R # 5 O I . , , C O R I @ A , , - , , > - .

Applicants who are appl)ing for indefinite leave to remain in the following categories are re=uired tocomplete this section8

1 .ier # /@eneral0 /e9cluding applicants appl)ing under the terms of the 6,>5 Forum EudicialReview

5olic) Document

2 .ier # /Investor0" including accelerated route

3 .ier # /-ntrepreneur0" including accelerated route

Applicants who are appl)ing for indefinite leave to remain in the following categories are re=uired to

complete this section8

1 .ier # /@eneral0 /e9cluding applicants appl)ing under the terms of the 6,>5 Forum EudicialReview

5olic) Document

2 .ier # /Investor0" including accelerated route

3 .ier # /-ntrepreneur0" including accelerated route

If )ou are appl)ing in a categor) other than those listed a$ove" please go to ,ection #&'

=A > T-E? 9 1GENE?A,3 M-G?ANTS

Applicants should refer to paragraph %!:CD of the Immigration Rules and Chapter A /.ier # ,ettlement0 of

the Immigration Directorate Instructions for further guidance on the points re=uirement for .ier #

/@eneral0 >igrants'

Attributes

A2 Pre4ious Earnin&s Assessment

(ou must claim points for )our previous earnings in order to meet the relevant points pass mar* re=uired

under paragraph %!:CD of the Immigration Rules'

Period1s3 of earnin&s claimed

A92 ou can claim points for pre4ious earnin&s for any sin&le@ consecuti4e 97 month period from

the 90 months immediately before this application2 The only eception to this is #here you ha4e

ta5en a period of maternity or adoption)related absence2

ou should indicate #hether/

(ou are claiming points for a single" consecutive #% month period from the #:

months immediatel) $efore the date of the application please go to =uestion A!

(ou have ta*en a period of maternit) or adoption4related a$sence from the

wor*place which is either ongoing or ended within the #% months immediatel)

$efore this application please go to =uestion A%

,-./O0 Application form /1ersion &!3%!0 45age %! of &

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, - C . I O ; 4 . I - R # 5 O I . , , C O R I @ A , , - , , > - .

Applicants claimin& for periods of maternity or adoption lea4e

A72 Please &i4e the start and end dates of the period of maternity or adoption)related absence

that you #ish to be ecluded from the period of pre4ious earnin&s bein& claimed 1if you are still

absent from the #or5place due to maternity or adoption)related lea4e@ the end date should be

left blan53

,tart D D > > ( ( ( (

-nd D D > > ( ( ( (

A(2 Please tic5 the rele4ant bo1es3 belo# to confirm the documents bein& sent #ith the

application as e4idence of this period of maternity or adoption)related absence from the

#or5place/

Child7s Birth Certificate or Certificate of Adoption" as appropriate /this should $e provided

wherever one has $een issued0

Letter from emplo)er confirming dates of maternit) or adoption leave

5a)slips or other pa)ment3remittance advices covering the period of maternit) or adoption4

related a$sence including detail of an) statutor) maternit)3adoption pa)ments to which )ou

ma) have $een eligi$le

Other alternative evidence of maternit) or adoption leave

If the alternative evidenceJ provided $o9 has $een tic*ed" please provide a full e9planation

of wh) the specified documents cannot $e provided" and details of the alternative

documentation $eing sent

'etails of earnin&s claimed

Earnin&s table

A*2 Please &i4e start and end dates of the period1s3 for #hich you are claimin& pre4ious

earnin&s/

,tart D D > > ( ( ( (-nd D D > > ( ( ( (

,tart-ndD D > > ( ( ( ( D D > > ( ( ( (

,tart-ndD D > > ( ( ( ( D D > > ( ( ( (

,tart-ndD D > > ( ( ( ( D D > > ( ( ( (

,-./O0 Application form /1ersion &!3%!0 45age %: of &

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, - C . I O ; 4 . I - R # 5 O I . , , C O R I @ A , , - , , > - .

A02 ou should complete the follo#in& table &i4in& details of pre4ious earnin&s bein& claimed2

-f earnin&s ori&inated from more than one source@ each source should be entered separately2

Source of Country of Currency Earnin&sEchan&erate Earnin&s E4idence

earnin&s earnin&s in #hich claimed appliedinpounds of earnin&s

/includedetails /this is the earnin&s

/inoriginal sterlin& pro4ided

of emplo)er8 countr) where#erepaid currenc)0

name of the wor* was

$usiness etc ph)sicall)

and start3 carried out0

end dates for

this source of

earning0

5lease photocop) this page if additional space is re=uired'

A' (ou should input )our earnings into the .ier # /@eneral0 points $ased calculator and provide

)our total earning claimed in the $o9 $elow+


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, - C . I O ; 4 . I - R # 5 O I . , , C O R I @ A , , - , , > - .

AH' 5lease confirm points $eing claimed for total earnings'

Applications for indefinite lea4e to remain #here an applicant has had lea4e as a Writer@

Composer or Artist@ Self)employed la#yer@ or as a Tier 9 1General3 Mi&rant under the ?ules in

place before < April 7898

#"&&& 4#H";;; : points %;"&&& 4 #";;;

&points

#"&&&

4#;";;; #& points %"&&& 4 !";;;

:points

%&"&&&

4%%";;; #: points :"&&& 4 ;";;;

!&points

%"&&&

4%:";;; %& points !&"&&&

!:points

%"&&&

4%";;; %: points

(ou can onl) claim points for earnings $elow %&"&&& if )ou have had leave to enter or remain as a

igrant8 and that leave was

granted $efore # >arch %&&;'

Applications for indefinite lea4e to remain #here pre4ious lea4e as a Tier 9 1General3 Mi&rant #as

&ranted under the ?ules in place on or after < April 7898

%:"&&& 4%;";;; : points

::"&&& 4 !";;;

:points

&"&&& 4!";;; #: points

:"&&& 4 H!";;;

!&points

:"&&& 4

;";;; %& points

H:"&

&& 4 #!;";;;

!:

points!&"&&& 4

!;";;; %: points #:&"&&&&points

:&"&&& 4:!";;; & points

Supportin& e4idence for Pre4ious Earnin&s Claimed

(ou should $e aware that at least two t)pes of documentation for each source of earnings must $e

provided /,elf4emplo)ed applicants must also provide an additional document as listed in Anne9 A of

Chapter A .ier # ,ettlement of the Immigration Directorate Instructions0' If earnings from an) onesource have $een paid in more than one wa) /for e9ample pa)ment for a period of emplo)ment $)

means of a monthl) salar) and a dividend0" two t)pes of documentation must $e provided in respect

of each part of the pa)ment claimed' .he supporting evidence must $e from separate sources and

must corro$orate with one another to clearl) support the earnings claimed' Accountants providing

evidence must $e appropriatel) regulated" and evidence of the regulation must $e provided'

,-./O0 Application form /1ersion &!3%!0 45age %H of &

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, - C . I O ; 4 . I - R # 5 O I . , , C O R I @ A , , - , , > - .

A;2 Please tic5 the rele4ant boes to confirm all documents bein& sent in as e4idence of

pre4ious earnin&s claimed2

5a)slips

Dividend vouchers

5ersonal $an* statements showing pa)ments made to )ou

Letter from )our /previous0 emplo)er/s0 /or" in the case of winnings" the relevant awarding

$od)0 confirming that )ou have received the e9act amount )ou are claiming now'

Compan)3$usiness accounts which clearl) show the net profit of the compan)

Official ta9 document generated $) the ta9 authorit) or )our emplo)er showing earnings

upon which ta9 has $een paid3is to $e paid in a ta9 )ear /e'g' 5& in the United Kingdom0

Letter from )our managing agent3accountant confirming that )ou received the e9act amount

that )ou are claiming" or the net profit to which )ou are entitled

Business $an* statements showing the pa)ments made to )ou

If )ou are su$mitting a com$ination of $an* statements and a letter3invoice summar) from )our

accountant the invoices generated during the period for which earnings are $eing claimed

A=2 Please pro4ide full contact details that #ill allo# each of the documents pro4ided to be

4erified if necessary2 Please also pro4ide here any additional information or eplanation of the

documentation sent #hich #ill assist us in our consideration of the earnin&s bein& claimed2 -f

more space is re$uired@ please pro4ide the re$uired information in a co4erin& letter2

No# &o to Section B


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, - C . I O ; 4 . I - R # 5 O I . , , C O R I @ A , , - , , > - .

B2 ualifications Assessment

ou can claim points for one $ualification only2

-f you ha4e claimed points for a $ualification on a pre4ious Tier 9 1General3 application and

sent in e4idence of the $ualification at that time@ you should still list this $ualification in thissection belo#2 "o#e4er@ you do not need to pro4ide this e4idence a&ain in order to claim

points for this application2

-f you ha4e &ained further $ualifications since your last application for lea4e as a Tier 9

1General3 Mi&rant and #ish to claim points for this@ you must pro4ide e4idence of this

$ualification as specified belo#2

B92 Please pro4ide details of the hi&her education@ 4ocational or professional $ualification for

#hich you are claimin& points/Countr) of Award

,tate /if applica$le0

Institution

(ear of Award

( ( ( (

Duration of ,tud)

FromD D > > ( ( ( ( .o D D > > ( ( ( (

ualification

Field of ,tud)

@rade

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, - C . I O ; 4 . I - R # 5 O I . , , C O R I @ A , , - , , > - .

B72 Please indicate your method of 4erifyin& your $ualification/

ualification recognised on the points calculator

ualification recognised on points calculator and evidence su$mitted as part of previous .ier #

/@eneral0 application

ualification not on the points $ased calculator" $ut a UK ARIC letter and3or certificate

is enclosed

ualification not on the points $ased calculator" $ut a UK ARIC letter and3or Certificate was

provided with a previous .ier # /@eneral0 application

ualification not on the points calculator" $ut a letter stating the UK academic e=uivalence from

the relevant United Kingdom professional $od) is enclosed

ualification not on the points $ased calculator" $ut a letter ,tating the UK academice=uivalence from the relevant United Kingdom professional $od) was provided with a previous

.ier # /@eneral0 application

B(2 Please indicate the points bein& claimed for your $ualification@ includin& e$ui4alent

professional64ocational $ualifications/

Applications for indefinite lea4e to remain #here you ha4e had lea4e as a "i&hly S5illed Mi&rant@

Writer@ Composer or Artist@ Self)employed ,a#yer@ or as a Tier 9 1General3 Mi&rant under the

?ules in place before < April 7898

Bachelor7s degree&points

>aster7s degree:points

5hD:&points

(ou can onl) claim points for a Bachelor7s degree level =ualification if )ou have previousl) $een granted

leave to enter or remain as a .ier # /@eneral0 migrant under the rules in place $efore # >arch %&&; or after

: April %&8 or as a 6ighl) ,*illed >igrant"

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, - C . I O ; 4 . I - R # 5 O I . , , C O R I @ A , , - , , > - .

Original certificate of award

Original academic reference from awarding $od) and original academic transcript

Original academic reference alone

No# &o to Section C

C2 A&e Assessment

Please tic5 the rele4ant bo to confirm the points you are claimin& on the basis of your a&e at

application for your first &rant of lea4e in a rele4ant route/

Applications for indefinite lea4e to remain #here an applicant has had@ lea4e as a Writer@

Composer or Artist@ Self Employed ,a#yer@ or as a Tier 9 1General3 Mi&rant under the rules in

place before < April 7898

Under % )ears of age

%&

points

% or %; )ears of age#&points

& or # )ears of age:points

Applications for indefinite lea4e to remain #here pre4ious lea4e as a Tier 9 1General3 Mi&rant #as

&ranted under the rules in place on or after < April 7898

Under & )ears of age%&points

& to ! )ears of age

#&

points

: to ; )ears of age:points

No# &o to section '

'2 Continuous ?esidence Assessment

'92 Please confirm #hether you ha4e spent a continuous period of 0 years la#fully in the .nited

+in&dom/

(es


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, - C . I O ; 4 . I - R # 5 O I . , , C O R I @ A , , - , , > - .

E2 .+ Eperience Assessment2

E92 Please confirm #hether you #ish to claim points for your .+ eperience/

(es: points L go to ,ection #& 4 Biometric Residence5ermits

o & points 4 go to ,ection #& 4 Biometric Residence5ermits

=B > T-E? 9 1ENT?EP?ENE.?3 M-G?ANTS

Applicants should refer to paragraph %!:DF of the Immigration Rules and Chapter A /.ier # ,ettlement0

of the Immigration Directorate Instructions for further guidance on the points re=uirement for .ier #

/-ntrepreneur0 >igrants'

Attributes

?EG-ST?AT-%N

A2 ?e&istered as self)employed or a director or a ne# or eistin& business #ithin si months of

enterin& cate&ory 178 points a4ailable3

(ou must demonstrate that )ou registered as self4emplo)ed or as a director of a new or e9isting $usiness

within si9 months of specified date'

A92 'o you #ish us to ta5e your date of entry into the .nited +in&dom as your specified date!

(esgo to =uestionA%

ogo to =uestionA

A72 ou must pro4ide the follo#in& e4idence to establish your date of entry to the .+ 1Please tic5

to indicate #hat e4idence has been pro4ided32

5assport containing 1isa which has $een stamped on entr)

Flight tic*ets and $oarding card

Other If other give details+

A(2 ou must tic5 one of the follo#in& boes2 "a4e you/

Registered with 6> Revenue and Customs as self4emplo)edgo to =uestionA!

within si9 months of the specified date

Registered as a director of a new or e9isting $usiness withingo to =uestionA:

si9 months of the specified date

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,-./O0 Application form /1ersion &!3%!0 4 5age % of &

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, - C . I O ; 4 . I - R # 5 O I . , , C O R I @ A , , - , , > - .

A*2 ou must tic5 one bo to confirm the specified documents supplied to demonstrate that you

ha4e re&istered as self employed/

.he welcome letter from 6> Revenue and Customs /6>RC0

.he 6>RC ,mall -arnings -9ception certificate

A02 ou must tic5 the bo to confirm the specified documents supplied to demonstrate yourre&istration as a 'irector/

.he Companies 6ouse printout of the Current Appointments Report for an) $usiness where

)ou were listed as a Director at the appropriate time'

Points #ill only be a#arded for one re&istration2

%B C?EAT-%N

B2 ou ha4e established a ne# .+ business or businesses or ta5en o4er or in4ested in aneistin& .+ business or businesses and created at least t#o full time e$ui4alent posts 178 points

a4ailable3

During )our period of leave as an -ntrepreneur" )ou must have either esta$lished a new $usiness or

$usinesses in the UK" or have ta*en over or invested in an e9isting UK $usiness or $usinesses'

(ou must also have created an aggregate of at least % new full time posts for % people for at least #%

months each across )our $usiness'

-f you are applyin& under the ne# ( year accelerated route to settlement for Tier 9 1Entrepreneur3

Mi&rants@ you must indicate ho# you $ualify for this route2

If )ou are appl)ing under the accelerated route to settlement" )ou must demonstrate+

1+ that )ou have created an aggregate of at least #& new full time posts for #& people for at least #%

months each across )our $usiness' Or8

2+ that )ou have esta$lished a new UK $usiness that has had a gross income from $usiness

activit) of at least : million during the )ear period in which )ou have had leave as a .ier #

/-ntrepreneur0 >igrant' Or8

3+ that )ou have ta*en over or invested in an e9isting UK $usiness and )our services or investmenthave resulted in a net increase in gross income from $usiness activit) to that $usiness of

:million during a )ear period in which )ou have had leave as a .ier # /-ntrepreneur0 >igrant"

when compared to the immediatel) preceding )ear period'

,pecified documents must $e provided to demonstrate the a$ove" details of which must $e entered in

ta$les B# and B% $elow'

B92 Please tic5 to confirm that you ha4e established a ne# .+ business or businesses or ta5en

o4er or in4ested in an eistin& .+ business or businesses/

(es

5lease complete .a$le B#a" listing the specified documents )ou have su$mitted to demonstrate )our

investment',-./O0 Application form /1ersion &!3%!0 45age of &

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a/le @1a A a/le of eidence for the inest!ent of funds into the +

You !ust co!plete the follo.in ta/le listin each specified docu!ent proided to de!onstrate each inest!ent+ he first line has

/een co!pleted as an e

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B co!pan 12345678 17>04>2008 CD0000 Yes :o :o :o Yes Yes

Y

e

s

Please continue if necessar+

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, - C . I O ; 4 . I - R # 5 O I . , , C O R I @ A , , - , , > - .

B72 Please tic5 to confirm that you ha4e created 7 or more ne# full time Dobs in the .+!

(es

5lease complete ta$le B%a" listing the specified documents )ou have su$mitted to demonstrate that )ou

have created the re=uired num$er of ?o$s'.ier # /-ntrepreneur0 >igrants investing in the same $usiness who are not part of an entrepreneurial

team may notuse the same evidence of ?o$ creation' B) entrepreneurial team mem$ers" we mean

people appl)ing under this provision of the Immigration Rules'

Are )ou the sole partner or director in )our $usinessG

(es please go to B

o please complete ta$le B%$

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B%$

(ou must complete the following ta$le if )ou are not the sole partner or director in )our $usiness' 5lease

list each person separatel)'

ames ofother Are these If )es" Are the) If the) are not part of )our

partner/s03 partner/s0 or please part of )our entrepreneur team" please list the

director/s0director/s0 also.ier state the

entrepreneurial names of the holders of the ?o$s

# /-ntrepreneur0datesthe) team /answer the) have created'

migrants /answer $ecame )es or no0G

)es or no0G partner/s0

ordirector/s0

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a/le @2a A a/le of eidence for e!plo!ent created

You !ust co!plete the follo.in ta/le to confir! the eidence proided to de!onstrate the !ini!u! of t.o full ti!e o/s or ten full ti!e o/s if ou

are applin under the accelerated route+ he first line has /een co!pleted as an e

lo!en

t

.ith P45

or period of

e!ploed

(o!panies,ouse

for!atdd> !!> P46 if start

!plo!ent

Yes>:o to sho. that ou !!> and finish created

./O0

are>.ere a

director dates not for each

of each /usiness sho.n on.orer+Yes>

mplition

for the period+

Yes>

P11+

Yes>:o :o+

:o

ofH5e43%!0eron

*+ :+ &ther Yes Bco!pan Yes 19>04>2008 19>04>2009 C10+50 1560 Yes Yes

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ease continue if necessar+

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Section = ) Tier 9 Points Scorin& Assessment

B(2 Please tic5 to indicate that the specified documents belo# ha4e been supplied for all

employees in addition to those specified in table B7a/

Form 5: for the )ear prior to )ou ?oining the $usiness" showing the total num$er ofemplo)ees8 and

Form 5: for the )ear where the ?o$s were created8 OR

Draft 5: if the ?o$ was created in the current reporting )ear And no 5: has

$een su$mitted8 and

Letter from an accountant confirming the net creation of the posts

If )ou are appl)ing under the )ear accelerated route to settlement" please go to =uestion

B!'

If )ou are appl)ing for settlement on the standard : )ear route" please go to ,ection C'

B*2 -f you are applyin& under the ( year accelerated route to settlement@ you must tic5 one of

the follo#in& boes to sho# ho# you $ualify for the accelerated route

Please tic5 one of the follo#in& to sho# that/)

i3 ou ha4e created 98 or more ne# full time Dobs in the .+@ #hich must ha4e eisted for at least

97 months2

(esgo to ,ectionC

(ou should list the specified documents )ou have su$mitted to demonstrate that )ou have created

the re=uired num$er of ?o$s in .a$le B%a a$ove'

ii3 ou ha4e established a ne# .+ business that has had a &ross income from business acti4ity

of at least 0 million durin& a ( year period in #hich you ha4e had lea4e as a Tier 9 1Entrepreneur3

Mi&rant2

(esgo to ,ectionC

If )ou are rel)ing on income from $usiness activit) to show that )ou =ualif) for the accelerated route to

settlement" )ou must provide evidence of this income' For guidance on specified documents" please

refer to Chapter A of the Immigration Rules" /.ier # ,ettlement0 Anne9 A'

iii3 ou ha4e ta5en o4er or in4ested in an eistin& .+ business and your ser4ices or in4estmentha4e resulted in a net increase in &ross income from business acti4ity to that business of 0

million durin& a ( year period in #hich you ha4e had lea4e as a Tier 9 1Entrepreneur3 Mi&rant@

#hen compared to the immediately precedin& ( year period2

(esgo to ,ectionC

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If )ou are rel)ing on income from $usiness activit) to show that )ou =ualif) for the accelerated route to

settlement" )ou must provide evidence of this income' For guidance on specified documents" please refer

to Chapter A of the Immigration Rules" /.ier # ,ettlement0 Anne9 A

If )ou have tic*ed )es to B! /iii0 )ou must also provide evidence of the income from $usiness activit) to

for that $usiness for the )ear period immediatel) preceding the period )ou are rel)ing upon to claim

points'

Go to Section C2

Continuous ?esidence

C2 ?e$uirement to ha4e spent the specified period of continuous la#ful lea4e in the .nited

+in&dom

C92 Please confirm that you ha4e not been absent from the .nited +in&dom for more than 9;8

days in any 97 consecuti4e months durin& the specified period of continuous lea4e/

I have not $een a$sent for more than #& da)s in an) #% consecutive months during the

specified period of continuous leave'

=C2 Tier 9 1-n4estor3 Mi&rants2

A92 Applicants should refer to para&raph 7*0EF of the immi&ration rules and chapter

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B72 -f you ha4e indicated abo4e that the minimum 9 million under your control in the .+ #as

loaned to you by a .+ re&ulated financial institution@ you must confirm that you o#n personal

assets #hich@ ta5in& into account any liabilities to #hich they are subDect@ ha4e a 4alue of not

less that 7 million2

(es

B(2 ou must establish that you ha4e in4ested not less than :0 of your money in the .+ by

#ay of Go4ernment Bonds@ share capital or loan capital in acti4e and tradin& .+ re&istered

companies2

(ou must provide a portfolio of investments certified $) a UK regulated financial institution covering

the full period of )our leave as a .ier # /Investor0 >igrant /with the e9ception of the first three months0

showing the amount of )our investment' 5lease tic* to confirm that )ou have provided this+

(es

our in4estments must amount to at least :08@8882 -f the 4alue of these in4estments is bet#een

:08@888 and 9 million@ you must confirm that you ha4e maintained the total amount of funds

in the .+ at 9 million or more2

Go to Section E

Accelerated ?oute To Settlement > ( ears

C2 ?e$uirement to ha4e 0 million under your control in the .+ and to ha4e in4ested not less than

:0 of this money in specified #ays 178 points a4ailable32

C92 ou must confirm that you still ha4e 0 million in the .+@ #hich is under your control2 ou

must tic5 one bo to confirm #hether the money you ha4e is under your control in the .+ and

amounts to no less than 0 million #hich may be your o#n funds or money loaned to you@

pro4ided that it #as loaned by a .+ re&ulated financial institution2

(es 4 I have : million under m) control in the UKgo to =uestionC%

which was loaned to me $) a UK regulated financial

nstitution

(es 4 I have : million of m) own mone) under m)go to =uestionC

control in the UK

C72 -f you ha4e indicated abo4e that the minimum 0 million under your control in the .+ #as




(es

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, - C . I O ; 4 . I - R # 5 O I . , , C O R I @ A , , - , , > - .

C(2 ou must establish that you ha4e in4ested not less than :0 of your money in the .+ by


companies2 Please tic5 the rele4ant bo to confirm the e4idence pro4ided2


the full period of )our leave as a .ier # /Investor0 >igrant /with the e9ception of the first three months0

showing the amount of )our investment' 5lease confirm whether )ou have provided this+

(es

our in4estments must amount to at least (@:08@8882 -f the 4alue of these in4estments is bet#een

(@:08@888 and 0 million@ you must confirm that you ha4e maintained the total amount of

funds in the .+ at 0 million or more2

Go to Section E

Accelerated ?oute To Settlement > 7 ears

'2 ?e$uirement to ha4e 98 million under your control in the .+ and to ha4e in4ested not less

than :0 of this money in specified #ays 178 points a4ailable32

'92 ou must confirm that you still ha4e 98 million in the .+@ #hich is under your control2 ou

must tic5 one bo to confirm #hether the money you ha4e is under your control in the .+ and

amounts to no less than 98 million #hich may be your o#n funds or money loaned to you@

pro4ided that it #as loaned by a .+ re&ulated financial institution2

(es 4 I have #& million under m) control

in the UK which was loaned to me $) a UK

regulated financial institution

(es 4 I have #& million of m) own mone)

under m) control in the UK

'72 -f you ha4e indicated abo4e that the minimum 98 million under your control in the .+ #as




(es

'(2 ou must establish that you ha4e in4ested not less than :0 of your money in the .+ by


companies2

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the full period of )our leave as a .ier # /Investor0 >igrant /with the e9ception of the first three

months0 showing the amount of )our investment' 5lease confirm whether )ou have provided this+

(es

(our investments must amount to at least H":&&"&&&' If the value of these investments is $etweenH":&&"&&& and #& million" )ou must confirm that )ou have maintained the total amount of funds in the

UK at #& million or more'

E4idence %f Source %f Funds

-' Re=uirement to have had the additional mone) or assets not awarded points in the previous grant

of leave for a consecutive ;&4da) period of time" ending no earlier than one calendar month $efore

the date/s0 this additional capital was invested" and to provide specified evidence of the source of

these additional mone) or assets'

Unless stated otherwise" onl) original documents will $e accepted' 5lease tic* all $o9es that show the originof the funds that have $een ac=uired in the months that the applicant is rel)ing on to claim points'

At least one $o9 must $e tic*ed" then go to section F

Irrevoca$le memorandum of gift and confirmation from a legal adviser that the memorandum

is valid /% pieces of evidence0

Deeds of sale of assets" and confirmation from a legal adviser that the sale was genuine and

the mone) is availa$le' /% pieces of evidence0

Business financial accounts covering consecutive months from the period immediatel) prior

to the investment of the additional funds" showing the full amount of the availa$le mone)8 plus

a letter from their legal adviser stating that the applicant can lawfull) e9tract the mone) from

the $usiness /% pieces of evidence0

otarised cop) of a will showing that the applicant /or applicant and3or spouse3civil partner3

unmarried partner3same se9 partner0 has inherited the mone)" and confirmation from a

legal adviser that the will is valid /% pieces of evidence0

otarised cop) of a divorce settlement showing the amount of mone) awarded to the applicant

/or applicant and3or spouse3civil partner3unmarried partner3same se9 partner0 and a letter from

a legal adviser confirming the validit) of the settlement /% pieces of evidence0

A letter from an organisation issuing a financial award or winnings" with details of the amount

and date of the winnings" and confirmation from a legal adviser that the award was made /%

pieces of evidence0

If the applicant /or applicant and3or spouse3civil partner3unmarried partner3same se9 partner0

has received mone) from a source not covered a$ove" the) must provide evidence of source

of funds" and independent corro$oration' /% pieces of evidence0

Is the applicant rel)ing on funds held either ?ointl) with their spouse3civil partner3unmarried

partner3same se9 partner or solel) $) their spouse3civil partner3unmarried partner3same

se9 partnerG 5lease tic* one $o9'(es 4 go to section -#

o 4 go to section F

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E 92 The applicant must establish that he6she has control of the funds in the .+2 Pleasetic5 at least one bo from each of the three sections a3@ b3 and c3 belo# to confirm #hate4idence has been pro4ided to establish that the applicant has control of the money/ Thee4idence must be in the form of ori&inal documents2

a0 -vidence of the relationship+

A marriage certificate or civil partner document to confirm the relationship8

OrAt least three pieces of evidence of ?oint commitments from the following list8

A $an* statement or letter from a $an* confirming a ?oint $an* account /i'e' in $oth names0

Official document such as a mortgage agreement showing a ?oint mortgage

Official documents such as deeds of ownership or a mortgage agreement showing a ?oint

investment" e'g' propert)" $usiness

Eoint rent agreement

An) other official correspondence lin*ing $oth partners to the same address e'g' Council .a9 and

utilit) $ills

Life insurance polic) naming other partner as $eneficiar)

Birth certificates of an) children of the relationship" showing $oth partners as parents

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F2 ou must pro4ide sufficient e4idence to establish any balance of funds in the .+2 Please tic5 thebo1es3 to pro4ide details of the balance of funds and to confirm the e4idence submitted2

(ou have purchased assets in the UK and have provided documents confirming

the purchase/s0' (ou must list the assets purchased" the value and the dates of

purchase'

List the assets purchased in the UK" the value of the assets and the dates of purchase here'

Go to section G

Maintenance %f -n4estment

G2 ?e$uirement to ha4e maintained the full specified in4ested amount referred to in Table = of

Appendi A of the -mmi&ration ?ules throu&hout the rele4ant specified period@ other than in the

first ( months of that period2

(ou have maintained mone) on deposit in the UK and provided account

statements and3or a letter from an authorised person from a financial institution

holding their funds confirming the $alance held for the specified period'

Go to Section "

Continuous ?esidence

"2 ?e$uirement to ha4e spent the specified period of continuous la#ful lea4e in the .nited

+in&dom 1(0 points a4ailable3

"92 Please confirm that you ha4e not been absent from the .nited +in&dom for more than 9;8

days in any 97 consecuti4e months durin& the specified period of continuous lea4e/

I have not $een a$sent for more than #& da)s in an) #%

consecutive months during the specified period of continuous leave'

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Section 98 ) Biometric ?esidence Permits

It is mandator) to complete this section' If it is not complete" the application will $e invalid and will

$e returned to )ou'

In accordance with regulation of the Immigration /Biometric Registration0 /Amendment0 Regulations

%% an)one appl)ing for leave to remain in the UK in the categories for which this application form

is specified must also appl) for a $iometric immigration document" otherwise *nown as a $iometric

residence permit' .his also applies to applications made at the same time $) an) dependants of the

main applicant' For information a$out $iometric residence permits" please see the separate ,-. /O0guidance notes" which )ou must read $efore completing this form'

If )ou have a current grant of leave on a Biometric Residence 5ermit )ou must provide )our Biometric

Residence 5ermit for the application to $e valid and complete'

92 "a4e you been issued #ith a Biometric ?esidence Permit #ith a pre4ious application for lea4e!

(es 4 go to =uestion %

o 4 go to =uestion H

72 Please &i4e details of your Biometric ?esidence Permit2 Please note for the application to be

4alid and complete your current Biometric ?esidence Permit must be pro4ided@ unless it is not

a4ailable for one of the reasons specified on the application form

Biometric ?esidence Permit

2+1 Biometric ?esidence Permit Number

2+2 Nationality

2+3 -ssue date

D D > > ( ( ( (

%'! -9pir) date

D D > > ( ( ( (

%'

:

5lace of

issue

Biometric Residence 5ermit enclosedG (esF

o

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If not enclosed then please state the location of Biometric Residence 5ermit

Returned to 6ome Office 4 go to =uestion

Lost 4 go to =uestion !

,tolen 4 go to =uestion :

Other 4 go to =uestion

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(2 -f the re$uired Biometric ?esidence Permit has been returned to the "ome %ffice@ please&i4e details of the reason and the date that it #as sent to us

D D > > ( ( ( (

*2 -f the B?P #as lost@ please &i4e the date this #as reported to the "ome %ffice Card

Mana&ement Ser4ice

D D > > ( ( ( (

02 -f the the B?P #as stolen@ please &i4e the police report number@ crime referencenumber@ the police station and the date reported to the police

5olice report num$er

Crime reference num$er

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5olice station

Date reported to the 5olice

D D > > ( ( ( (

6+ -f the re$uired B?P is not enclosed then please &i4e details #hy you are unable to pro4ide it

7+ "a4e you had your fin&erprints ta5en as part of a pre4ious .nited +in&dom immi&ration

application made in the .nited +in&dom or abroad!

(es 4 go to =uestion

o 4 go to =uestion ##


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Gi4e details #hen your fin&erprints #ere ta5en

8+ Gi4e details #here your fin&erprints #ere ta5en@ includin& the to#n or city and

country

9+ Gi4e details of the British diplomatic post1s3 in4ol4ed if the application1s3 #as6#ere made

abroad

10+ 'o you ha4e a medical or physical condition #hich may re$uire special arran&ements for your

biometric features to be recorded!

(es 4 go to =uestion #%

o 4 go to =uestion #

972 Please pro4ide us #ith the follo#in& documents/

A letter from a treating clinician registered with the @eneral >edical Council /@>C0 giving details of the

condition and3or special needs and e9plaining an) arrangements that ma) $e necessar)'

'ependants and applicants under the a&e of 9 > ( ( ( (


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Section 99 ) 'ocuments

(ou must provide the documents specified $elow which are relevant to )our application' If )ou do not" we reserve

he right to decide )our application on the $asis of the information and documents provided' .ic* the relevant $o9es

o show the documents )ou are providing' .he) must $e originals' (ou should photocop) each of these documents

nd provide the copies in addition to the originals' (ou should also provide passport3s along with photocopies of an)

ages that contain personal details" visas or immigration stamps /foreign or UK0'

All applicants must provide the relevant documents specified in ##A' (ou must also provide the relevant documents

pecified in ##B to ##1 for the categor) in which )ou are appl)ing'

lease note that in some cases" we ma) have to as* for other documents in addition to those specified in this form'

5assports and immigration documents

# # A All applicants

(our current passport or travel document' If )ou last entered the UK on a previous passport or travel

document" please also provide this document if )ou have it'

An) previous passports or travel documents )ou have held during )our sta) in the UK'

.he current passport/s0 or travel document/s0 for each dependant included in section % and appl)ing for

indefinite leave to remain in the UK with )ou' If the) last entered the UK on previous passport/s0 or travel

document/s0" please also provide these documents if )ou have them'

Birth certificate3s of an) dependant3s listed in section % who were $orn in the United Kingdom'

(our Biometrics Residence 5ermit if )ou have $een issued with one since entering the UK' ,ee ote !'

.he Biometrics Residence 5ermit for each dependant included in section % and appl)ing for indefinite leave

to remain in the UK with )ou if the) have $een issued with them since entering the UK' ,ee ote !'

If )ou have a spouse or civil partner listed in section % of this application form who is appl)ing at the same

time as )ou" please provide documentar) evidence of coha$itation since )ou were last granted leave /up to a

ma9imum of two )ears0' -vidence provided should cover the whole period and $e in the form of official letters

or documents" addressed to )ourself and )our spouse'

ote ! Residence 5ermits have $een issued to certain foreign nationals since %: ovem$er %&& when the)

have $een given permission to remain in the UK' Unless reported lost or stolen" the) should $e enclosed with an)

application for further permission to remain in the UK'

(our police registration certificate if )ou have $een as*ed to register with the police'

.he police registration certificate/s0 of each dependant included in section % and appl)ing for indefinite leave

to remain in the UK with )ou if the) have $een as*ed to register with the police'

(our Finances

-vidence of )our finances' If )ou have to complete section :" $an* statements" $uilding societ) savings$oo*/s0" pa) slips or other formal documents as evidence of )our a$ilit) to maintain and accommodate)ourself and an) dependants without recourse to pu$lic funds' /,ee ote :0'

ote :

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Section 99 ) 'ocuments

Knowledge of language and life in the UK

If )ou have to complete section ! and )ou and3or a partner appl)ing with )ou are aged #4!" )ou

must provide one of the following for each of )ou+

A Life in the UK test pass notification letter8 and

A relevant spea*ing and listening =ualification" as descri$ed in the guidance on our we$site' http+33www'u*$a'homeoffice'gov'u*3sitecontent3documents3polic)andlaw3modernised3cross4cut3*nowledge4of4life3*ol'pdfGviewPBinar)

# # B inister of religion" missionar) or mem$er of a religious order /see ote 02' Representative of an overseas newspaper" news agenc) or $roadcasting organisation3' 5rivate servant in a diplomatic household /see ote H04' Overseas government emplo)ee5' >em$er of the operational ground staff of an overseas4owned airline6' Domestic wor*er in a private household /see ote H0'

ote For ministers of religion" missionaries" or mem$ers of a religious order" the documents ma) $e

from the leadership of )our church or the head of )our religious order" rather than )our emplo)er'

ote H For private servants in a diplomatic household or domestic wor*ers in a private household" if )ou

do not have pa)slips or a $an* account to confirm emplo)ment over the last : )ears" )ou should su$mit

an emplo)er7s letter confirming that the) are responsi$le for )our accommodation" food and other living

costs',-./O0 Application form /1ersion &!3%!0 45age :& of &
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, - C . I O # # 4 D O C U > - . ,# # D Businessperson If )ou are appl)ing for indefinite to remain on completing : )ears7 continuous sta) in the UK as a

$usinessperson" in addition to the relevant documents in ##A" )ou must provide the following documents+

Accounts' Audited accounts for the first four )ears of trading and management accounts for the fifth )ear /see

ote 0'

ote If )ou are una$le to provide management accounts for the fifth )ear as re=uired $) the immigration rules"

draft accounts should $e provided along with an e9planation as to wh) management accounts are not availa$le'

# # -

# # F

# # @

# # 6

I

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v

e

s

t

m

e

n

t

'

-

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i

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e

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e

t

h

a

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)

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a

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i

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s

s than %&&"&&& of )our own mone) in the $usiness

throughout the five )ear period'

ew emplo)ment' -vidence that )ou have

maintained new paid full4time emplo)ment for at least

two people settled in the UK throughout the five )ear

period' In each case please give their name" position"

salar)" hours of wor*" date the) started3ended /where

applica$le0 and evidence of their immigration status"

ie a cop) of their $irth certificate or passport

/uncertified copies are accepta$le in this instance0'

5rofits' -vidence that )our share of the profits of the

$usiness is sufficient to maintain and accommodate

)ourself and an) dependants without recourse to

emplo)ment /other than )our own $usiness0 or pu$lic

funds'

Innovator If )ou are appl)ing for indefinite leave to

remain on completing : )ears7 continuous sta) in

the UK as an innovator" in addition to the relevant

documents in ##A" )ou must provide the following

documents+

Accounts' ,tatutor) accounts for the last ! )earsand management accounts for the final )ear'

ew emplo)ment' -vidence that )ou have

maintained new paid full4time emplo)ment for at

least two people settled in the UK throughout the

five )ear period' In each case please give their

name" position" salar)"hours of wor*" date the)

started3ended /where applica$le0 and evidence

of their immigration status" ie a cop) of their $irth

certificate or passport /uncertified copies areaccepta$le in this instance0'

,hareholding' -vidence that )ou have

maintained a minimum :Q shareholding of the

e=uit) capital for a continuous period of :

)ears'

Investor If )ou are appl)ing for indefinite leave to

remain on completing : )ears7 continuous sta) in the

UK as an investor" in addition to the relevant

documents in ##A" )ou must provide the following

documents+

Assets in the UK' -vidence that )ou have maintained

not less than # million of )our own mone) under

)our control in the UK for a continuous period of five

)ears8 or that )ou own personal assets" ta*ing into

account an) lia$ilities to which )ou are su$?ect" which

8/12/2019 SET_O__Form_04-14

73/87

have a value e9ceeding % million'

Investment in the UK' -vidence that )ou have invested

not less than H:&"&&& of )our capital in the UK for a

continuous period of : )ears'

6ighl) s*illed migrant If )ou are appl)ing for indefinite

leave to remain on completing : )ears7 continuous sta)

in the UK under the 6ighl) ,*illed >igrant 5rogramme

/6,>50 and other appropriate categories" in addition

to the relevant documents in ##A" )ou must provide thefollowing+

If )ou are emplo)ed" document/s0 showing )our

economic activit) and )our personal earnings during

)our sta) in the UK'

If )ou are self4emplo)ed" )ou should provide evidenceof the progress of the $usiness'

If )ou were given leave in other categories leading to

s

e

t

t

l

e

m

e

n

t$

e

f

o

r

e

$

eing granted permission to sta) under 6,>5 and

would li*e this sta) to $e ta*en into consideration in

)our application for indefinite leave to remain" )ou

should provide details of the categories involved and

the periods spent in each of them'

6ighl) s*illed migrant under the terms of the 6,>5

indefinite leave to remain /ILR0 ?udicial review

polic) document If )ou are appl)ing for indefinite

leave to remain on completing ! )ears7 continuoussta) in the UK under the 6ighl) ,*illed >igrant

5rogramme and other appropriate categories" in

addition to the relevant documents in ##A" )ou

must provide the following+

If )ou are emplo)ed" document/s0 showing )our

economic activit) and )our personal earnings

during )our sta) in the UK'

, -./O0 Application form /1ersion &!3%!0 4 5age :# of &

8/12/2019 SET_O__Form_04-14

74/87

, - C . I O # # 4 D O C U > - . ,

If )ou are self4emplo)ed" )ou should provide evidence of the progress of the $usiness'

If )ou were given leave in other categories leading to settlement $efore $eing granted permission to sta)

under 6,>5 and would li*e this sta) to $e ta*en into consideration in )our application for indefinite leave to

remain" )ou should provide details of the categories involved and the periods spent in each of them'

# # E ,elf4emplo)ed law)er If )ou are appl)ing for indefinite leave to remain on completing : )ears7 continuoussta)

in the UK as a self4emplo)ed law)er" in addition to the relevant documents in ##A" )ou must provide the

following documents+

Accounts' Audited accounts for the $usiness for the previous )ear and an up4to4date $alance sheet'

# # K

# # L

# # >

.a9returnforthe

mostrecentta9)ear

'

If

)

o

u

a

r

e

a

sol

ic

it

or

"

a

n

o

ri

gin

al

le

tt

e

r

from the appropriate Law ,ociet) confirming that )ou

continue to $e admitted to the roll of solicitors'

If )ou are a consultant in overseas law" an original

letter from the appropriate Law ,ociet) confirming

that the) have no o$?ection to )our continuing to

practise as a consultant in overseas law'

If )ou are a $arrister" evidence that )ou continue to$e admitted to the Bar and to have

set_o__form_04-14

Documents