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Reference number:
Date of birth:
(dd/mm/yyyy)
Otherwise, please start entering your information below. Note that questions marked with * are mandatory for you to answer.
Main applicant
Applicant Details
Title:*
**Please Choose**
First name:*
Family name:*
Aliases:
Date of birth:*
(dd/mm/yyyy)
Sex:*
**Please Choose**
NI Number:
Preferred language:
**Please Choose**
Latvian
Interpreter required:
yes
no
Nationality:
**Please Choose**
Bulgaria
Romania
Ethnic origin:*
**Please Choose**
Address 1:*
Address 2:*
Address 3:
Address 4:
Address 5:
Postcode:*
Date moved in to this address:*
(dd/mm/yyyy)
Home telephone:
Work telephone:
Mobile telephone:
Email:
Other Details
Pregnant:
yes
no
Pregnancy due date:
(dd/mm/yyyy)
Child access:
yes
no
Access details:
From abroad:
yes
no
From abroad eligibility:
**Please Choose**
e. Persons granted other protection leave
Correspondence address
Name:*
Same address as main applicant:
yes
no
If yes, then please ignore the following address fields
Address line 1:*
Address line 2:*
Address line 3:
Address line 4:
Postcode:*
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