Application For Leave To Remain In The UK On The Basis Of ...bingham.butterworths.co.uk/PDF/level1/hoflrlr.pdf · A2-A3 If the address for correspondence is different from your home

This form is to be used for applications made on or after 05 November 2018

FLR (LR)version 11/2018

In accordance with paragraph 34 of the Immigration Rules, this form is a specified form for the purpose of the Immigration Rules as of 05 November 2018 and must be used for all applications made on or after that date for the purposes stated on this page.

You also need the separate guidance document listed below, which you should read before making your application:

- FLR (LR) guidance notes If you do not already have this document, you can get it from our website at www.gov.uk/government/organisations/uk-visas-and-immigrationOur application forms change periodically. If you obtain this form some time before applying, please check that it is still the version which must be used when you are ready to apply.

Application for leave to remain in the UK on the basis of long residence and for a Biometric Immigration Document

Applications on this form may be made by post only.Please post to: Home Office

Leave to Remain - FLR (LR)PO Box 495DurhamDH99 1WR

Long Residence in the UK

As part of your application you may be required to pay the Immigration Health Surcharge. Before going any further, you should check www.gov.uk to confirm if an Immigration Health Surcharge assessment is required as part of your application. You must complete this before submitting your application and enter the reference number in this application.

The Home Office will use the personal information you provide to consider your application. We may also share your information with other public and private sector organisations in the UK and overseas. For more detail please see the Privacy Notice for the Border, Immigration and Citizenship system at www.gov.uk/government/publications/personal-information-use-in-borders-immigration-and-citizenship. This also sets out your rights under the Data Protection Act 2018 and explains how you can access your personal information and complain if you have concerns about how we are using it.

http://www.nationalarchives.gov.uk/doc/open-government-licence/version/2/

www.gov.uk/government/publications/personal-information-use-in-borders-immigration-and-citizenship



FLR (LR) Application Form (version 11/2018) Page 2

PAYMENT GUIDANCE

The Fee

There is a fee of £1033 for this application.

Please note that your application will be rejected as invalid if you do not pay the specified fee.

Applications made on this form may not be made in person at the Premium Service Centre of the Home Office.

The fee charged is for the processing and consideration of the application. This fee will be payable once the application form is received by the Home Office or its payment processing agent, regardless of the outcome of the application. If your application contains errors or is missing information it may be rejected as invalid. Your application will not be considered and your fee will be refunded less an administration fee of £25 for each person included in the application.

We cannot begin the consideration process until the payment has cleared. We allow 5 working days for payments made by cheque to clear, credit/debit cards and postal orders will clear immediately.

Biometric enrolment fee

As part of your application you are required to enrol your biometric information. You will be charged an additional handling fee for this service, payable to the Post Office Ltd. You must pay the fee by cash or debit card when you attend Post Office Ltd to enrol your biometrics. Do not send the biometric enrolment fee with your application fee.

Applicants on some immigration routes are exempt from paying an enrolment fee at the Post Office Ltd. If you are in one of these categories you will be informed of this when we send you a biometric notification letter. Your application may be rejected as invalid if you do not enrol your biometrics

when requested. For more information about enrolling biometrics and the current fee, please visit the following section of our website:

www.gov.uk/biometric-residence-permits

Who may apply with you

The immigration rules for Long Residence do not allow dependants.

How you can pay

You can pay by any of the following methods:

• Cheque/Bankers Draft

• Postal Order

• Credit card1 - Mastercard, Visa (including Electron) or American Express (Amex)

• Debit card - Delta, Maestro* (including Solo)

* Maestro - We can accept only Maestro cards issued in the UK.

Cheques and postal orders

You must make the cheque or postal order payable to ‘Home Office’ and cross the cheque or postal order A/C Payee only. Please write the full name and date of birth of the applicant on the back of the cheque and/or each postal order and keep the postal order receipt(s).Please make sure that the date and the amount (words and figures) are correct and that the cheque is signed properly. Attach your cheque or postal order(s) to the front of the application form.

1 Please note that when making large or multiple payments using your credit card, the anti-fraud measures that banks operate sometimes stop the full payment being taken. This is can happen for a number of reasons. To prevent this you may inform your bank of your intention to make large or multiple payments in advance so that your bank allows the full payment to be taken when you submit your application. Please be aware that not all banks offer this service.


Completing the payment details page

To ensure that your payment is processed without any delay, please follow this guidance when completing Section 1 of this form (Payment Details).

A1 Tick the fee appropriate to your application - see above guidance. If you do not select a fee then we cannot take a payment and your application will be rejected as invalid.

A2-A3 If the address for correspondence is different from your home address in the UK, please give that address at A2. If a solicitor or other authorised immigration adviser is submitting the application, it should be their address at A2 and their name at A3. These details will also be used to acknowledge receipt of the application.

A4 Applicant’s full name, as given in his or her passport or travel document.

A5 Applicant’s date of birth

Method of payment A6 Tick one of the boxes to show which method of payment you are using

A7 - A9 If paying by cheque or bankers draft enter the bank account number, sort code and cheque number

Paying by credit / debit card

A10 The name as displayed on the credit/debit card

A11 Card number - this is the long number across the centre of the card

A12-A14 Enter the details where available on the card

A15 The Card Verification Value (CVV) is a 3-digit security code found on the back of the card on the signature strip - it consists of the last 3 digits. For Amex the security code consists of 4-digits and is found on the front of the card.

If you do not provide the CVV number, we cannot take your payment and your application will be rejected as invalid.

AMERICAN EXPRESS

1234 1234 123456 12345

CVV 1234

A16 For card payments circle the amount you are required to pay

A17-A18 Cardholder’s signature - the person named on the credit/debit card must sign and date these sections.

Consideration process

• If the payment submitted does not cover the full cost of your application, it will be an invalid application and the form, together with any documentation submitted, will be returned to you.

• The fee charged is for the processing and consideration of the application. This fee will be payable once the application form is received by the Home Office or its payment processing agent, regardless of the outcome of the application. We cannot begin the consideration process until the payment has cleared. We allow 5 working days for payments made by cheque to clear, credit/debit cards and postal orders will clear immediately.

4567 123AUTHORISED SIGNATURE

CVV123


Section 1 - Payment Details FLR (LR)Please complete this section in block capitals and black ink. A. Application DetailsApplicants should refer to the Payment Guidance Notes which accompany this application form.

A1. Tick the applicable boxes and fee. If no fee is ticked we cannot take a payment and your application will be rejected as invalid:

the applicant is making a FLR (LR) application £1033 Standard

A2. Contact Address in the UK for correspondence

Postcode

A3. Contact Name in the UK if different from that of the applicant

A4. Applicant’s Full Name

A5. Applicant’s date of birth

A6. Please select the method of payment from the list below:United Kingdom postal order (payable to ‘Home Office’)

Cheque/bankers draft (payable to ‘Home Office’) - go to question A7

Visa/Mastercard/Amex - go to question A10 Delta / Maestro - go to question A10

A7. Account number A8. Sort code A9. Cheque number

A10. Please debit the following account: Name on card

A11. Card number (the long number across the centre of the card)

A12. Valid from A13. Expiry date A14. Issue number A15. CVV security number(where available) (3 digit number or

4 digit number for Amex)A16. Circle amount to be paid -

£1033 - standard

A17. Cardholder’s signatureA18. Date DD/MM/YYYY

If you are producing a double-sided copy of this application form, please include this page and make sure it falls on the reverse of the payment

details page in the two-sided copy.

For administrative reasons, it is important that the rest of the form begins with Section 2 -

Applicant’s Details facing upwards


Section 2 - Applicant’s Details

It is mandatory to complete this section as required. Please note that this application will be invalid if you do not.

Help on the questions is given at the end of this application form. Failure to complete this section may lead to a delay in the consideration of your application.

B. Personal Details

B1. Title - please select from the following list:

Mr Mrs Miss Ms Other (please state)

B2. First name(s) as stated in your passport or travel document:

B3. Last name(s) or family name(s) as stated in your passport or travel document:

B4. If you are known, or have ever been known, by any other name(s) than those given above, please give details below and send the evidence showing the name change:

Name known byNationality at the time of using this name

Dates from and to Evidence sent

Please photocopy this page if more space is needed.

B5. Date of birth:

B6. Gender: Male Female

B7. Your current nationality:


B8. Village, town or city of birth:

B9. Country of birth:

B10. Relationship status - please select from the following list:

Married or civil partner Unmarried partner Widowed or surviving civil partner

Single Divorced or dissolved civil partnership Separated or separation order

B11. Date of marriage or civil partnership (if applicable):

B12. If you are in a genuine and subsisting relationship with a person who is settled in the UK or who is a British citizen, please provide their details here, including their name, nationality and date of birth. You must provide evidence of cohabitation since the start of this relationship.

B13. Please provide your Immigration Health Surcharge reference number (IHS):

IHS

B14. Your Home Office reference number(s) (if known):

Reference number 1:

Reference number 2:

Reference number 3:


B15. Your UK National Insurance number (if known):

B16. If you have had a previous UK National Insurance number (please state):

B17. Home address in the UK:

Postcode:

B18. Date you started living at this address:

If you have lived at the address above for less than five years please provide your previous address details and the dates you lived there.

Previous address 1:

Postcode:

From To

B19. Telephone numbers: Preferred contact (tick)

Home:

Work:

Mobile:

B20. Email address:

B21. Correspondence address (if different from above):

Postcode:


C. Passport or travel documents and Biometric Residence Permits.It is mandatory to complete this section as required. Please note that this application will be invalid if you do not.

Help on the questions is given at the end of this application form.

In accordance with regulations 3 and 4 of the Immigration (Biometric Registration) (Amendment ) Regulations 2009, anyone applying for an extension of stay in the UK in the categories for which this application form is specified must also apply for a biometric immigration document, otherwise known as a Biometric Residence Permit. For information about Biometric Residence Permits, please see the help text, which you should read before completing this form.

For the application to be valid and complete, you must provide your original valid passport or a national identity card. If you do not have these, your most recent passport or (except a PBS applicant) national identity card. If you have neither of these, you can provide a travel document unless these are not available for one of the reasons specified on the application form. If you have a current grant of leave on a BRP you must also provide your BRP for the application to be valid and complete. You should also provide all previous passports and/or travel documents that you have used to travel to and remain in the United Kingdom.

C1. Under what nationality did you enter the United Kingdom?

C2. If you are a dual national, what is your other nationality?

C3. If you have held a previous nationality, what was it?

From To

C4. Is your original valid passport/national identity card/travel document enclosed?

Yes go to C6 No go to C5

Passport/national identity card/travel document number

Nationality Issue Date Expiry Date Place of issue

C5. If not enclosed then location of passport/national identity card/travel document

Lost Stolen Expired-returned to national authoritiesC6. Do you have any passport or travel document which contains a previous grant of leave or which you used when you last travelled to the UK?

Yes document enclosed, passport/travel document number is

Yes document not enclosed, it is: Lost Stolen Expired

No


These questions will ask you for information about the Biometric residence permit (BRP) that have previously been issued to you. If you have lost or had a BRP stolen then you should have reported this to the Police.

C7. Have you been issued with a BRP? Yes go to C8 No go to C11C8. BRP number

C9. Where is your BRP now? (please tick)

I am submitting it with this application

Expired and returned to the Home Office

Elsewhere in the Home Office

go to C11

Stolen Lost go to C10

C10. Have you reported this to the Home Office card management services?

Yes No

C11. Which age group do you belong to (at the date of submitting your application)?15 years & under go to C12 16 years & over go to part D

C12. What is the title of the person accompanying you to have your biometric details taken?

Mr Mrs Miss Ms Other (please state)

C13. First name(s) or given name(s)

C14. Last name(s) or family name(s)

C15. Their date of birth

C16. Their place of birth

C17. Relationship to you

C18. Is this person your parent or legal guardian

Yes go to Part D No go to C19

C19. Explain why your parent or legal guardian will not be accompanying you


D. Immigration HistoryIt is mandatory to complete Section D. If it is not complete the application will be invalid and will be returned to you. Help on the questions is given at the end of this application form.

D1. What is your current immigration status in the United Kingdom?

D2. When did you first enter the UK? This refers to the date of your first entry into the UK at the beginning of the period of stay on which this application is based.

Day Month Year

D3. Since then have you had any absences from the UK? If yes, give the dates you left and returned to the UK and the reason for the absence in the spaces below. List all absences however short and in date order. If you need more space, continue on a separate sheet and enclose it with your application.

Yes No

Date left the UK Date returned to the UK Reason for absence

D4. When does your current leave expire?

D5. If your leave to enter/remain has expired, did this leave expire within 14 days of this application being made?

Yes go to D6 No or not expired go to D7

D6. Tick to confirm you have provided evidence that your application was submitted out of time due to reasons beyond your control.


D7. Have you ever stayed in the United Kingdom beyond the end of your period of leave?

Yes provide details below: No

reason(s) why and the dates of the overstay

D8. Have you ever worked in the United Kingdom without immigration permission to do so (that is, contrary to your conditions of stay)?


reason(s) why and the dates this work was undertaken

D9. Have you ever illegally entered the United Kingdom?


details and dates when this happened

D10. Have you ever used deception when seeking leave to enter or leave to remain?


details and dates when this happened

D11. Do you currently have any other applications with us on which you are awaiting a decision?


details, including the date the application was submitted,the category and the payment reference number


D12. Do you currently have an appeal with the Asylum and Immigration Chamber which is yet to be heard?


details, including the date the appeal, the category and the payment reference number of the original application (where applicable)

If your 10 years continuous lawful residence includes a period of time spent in the UK as an EEA national exercising treaty rights, or as a family member of an EEA national exercising treaty rights you must complete the following. If you are not relying on a period spent in the UK as an EEA national exercising treaty rights or as a family member of an EEA national exercising treaty rights please go to section E.

D13. Have you spent time in the UK as;

• an EEA national exercising treaty rights

• a family member of an EEA national exercising treaty rights?

D14. Please state on what basis the EEA national was exercising treaty rights.

Date from Date toBasis of Stay e.g. worker,

student, self-employed, self-sufficient, retired, incapacity.

Please provide details of employment, self-employment, school or college.

D15. If EEA treaty rights were exercised in employment, self-employment or study, please give details below starting with the most recent.

Name and address of employer or place of study

From To Type of buisness if self-employed

Job title if employed

You must provide evidence to support the above.


If you are the family member of an EEA national exercising their treaty rights you should provide sufficient evidence to demonstrate when you became the family member of an EEA national, e.g. marriage/birth certificate.

Please tick to confirm that you have enclosed the relevant evidence

D16. Do you have a child or children in the UK?

Yes go to D17: No go to D19

D17. Please provide the name, nationality and date of birth of any children who reside with you in the UK. Please provide evidence of their residence with you.

D18. If you have any information you wish to be considered about the welfare or best interests of any child in the UK, please provide details here. To suppport this, you should provide evidence of parental responsibility, current care provision and education provision confirmed by a third party (school, nursery, Doctors, local authority health visitor) where appropriate.


D19. If you have any reasons or grounds for wishing to stay in the United Kingdom which you have not already mentioned in your application, you should do so now in the box below.


E. Personal History (criminal convictions, war crimes, etc.)

It is mandatory to complete section E. If it is not complete the application will be invalid and will be returned to you.

This section asks you about any criminal convictions or cautions you have, any civil judgements or civil penalties made against you and details of any involvement you may have had in war crimes, genocide, crimes against humanity or terrorism. If you fail to answer all of these questions as fully and accurately as possible, your application may be refused. It is an offence under Section 26(1)(c) of the Immigration Act 1971 to make a statement or representation which is known to be false or is not believed to be true. Information given will be checked with other agencies.

E1. Have you been convicted of any criminal offence in the UK or any other country?

Yes - go to question E2 No - go to question E3

Note: You must give details of all criminal convictions including spent convictions. This includes convictions for road traffic offences, including drink-driving offences, but not fixed penalty notices (such as speeding or parking tickets).

E2. Please give details below for each criminal conviction, starting with the most recent one. If you have received more than two convictions, please photocopy this page and enclose it with this form.

Criminal conviction 1

Country where convicted:

Nature of the offence:

Sentence given:

Date sentenced:

If you were sentenced to a period of imprisonment, what was the length of the prison sentence imposed (in months)? months


Criminal conviction 2

Country where convicted:

Nature of the offence:

Sentence given:

Date sentenced

If you were sentenced to a period of imprisonment, what was the length of the prison sentence imposed (in months)? months

E3. Have you been subject to, or received, any other penalty in relation to a criminal offence; for example caution, reprimand, warning, or similar penalties in the UK or any other country?

Yes go to E4 No go to E5

E4. Give details of each penalty you have received, starting with the most recent one. If you have received more than two such penalties, please photocopy this page and enclose it with this form.

Details of penalty 1

Country where penalty given:

Offence:

Type of penalty (e.g caution, reprimand, warning or other - please state):

Date of penalty:


Details of penalty 2

Country where penalty given:

Offence:

Type of penalty (e.g caution, reprimand, warning or other - please state):

Date of penalty:

E5. Have you had any UK court judgment against you for non-payment of a debt, or received a civil penalty under UK Immigration Acts?

Yes go to E6 No go to E7

E6. Give details for each UK court judgment or civil penalty under UK Immigration Acts, starting with the most recent one. If you have received more than two court judgments and/or civil penalties under the UK Immigration Acts, please photocopy these pages, complete the details, and enclose them with this form.

Details of court judgment or civil penalty 1:

Specify whether you had a court judgment or civil penalty:

Date of of court judgment or civil penalty:

Details of court judgment or civil penalty 2:

Specify whether you had a court judgment or civil penalty:

Date of of court judgment or civil penalty:


Questions E7 to E11 below must be answered, even if question E1 has been answered “No”.

For help in answering these questions, please see the definitions at the end of this section.

E7. Have you been arrested and charged in any country with any criminal offence and are awaiting, or are currently on trial? Yes No

E8. In times of either peace or war have you ever been involved, or suspected of involvement, in war crimes, crimes against humanity or genocide?

Yes No

E9. Have you ever been involved in, supported or encouraged terrorist activities in any country? Yes No

E10. Have you ever been a member of, or given support to, an organisation which has been concerned in terrorism? Yes No

E11. Have you ever, by any means or medium, expressed views that justify or glorify terrorist violence or that may encourage others to terrorist acts or other serious criminal acts?

Yes No

E12. If question E7, E8, E9, E10, E11 above has been answered “yes” please give further details in the space provided below. If more space is needed continue on a separate sheet and enclose it with this form.


Definitions

For the purpose of answering questions E7 to E11, the following information provides guidance on actions which may constitute war crimes, crimes against humanity, genocide, or terrorist activities.

This guidance is not exhaustive. The full definitions of war crimes, crimes against humanity and genocide can be found in Schedule 8 of the International Criminal Court Act 2001 or purchased from The Stationery Office (telephone 0870 600 5522). It is the applicant’s responsibility to satisfy him/herself that he/she is familiar with the definitions and can answer the questions accurately.

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

Crimes against humanityActs committed at any time (not just during armed conflict) as part of a widespread or systematic attack, directed against any civilian population with knowledge of the attack. This would include offences such as murder, torture, rape, severe deprivation of liberty in violation of fundamental rules of international law and enforced disappearance of persons.

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

Terrorist activitiesAny act committed, or the threat of action, designed to influence a government or intimidate the public and made for the purposes of advancing a political, religious or ideological cause and that involves serious violence against a person; that may endanger another person’s life; creates a serious risk to the health or safety of the public; involves serious damage to property; is designed to seriously disrupt or interfere with an electronic system.

Organisations concerned with terrorismAn organisation is concerned with terrorism if it commits or participates in acts of terrorism; prepares for terrorism; promotes or encourages terrorism (including the unlawful glorification of terrorism); or is otherwise concerned in terrorism.


Section 3 - Documents

You must provide the documents specified below which are relevant to your application. If you do not, we reserve the right to decide your application on the basis of the information and documents provided. Tick the relevant boxes to show the documents you are providing.

Please note that in some cases we may have to ask for other documents in addition to those specified in this form.

Passport and immigration documentsYour original valid passport or a national identity card. If you do not have these, your most recent passport or (except a PBS applicant) national identity card. If you have neither of these, you can provide a travel document.

Your Biometric Residence Permit if you have been issued with one since entering the UK. See Note 4.

Note 4 Residence Permits have been issued to certain foreign nationals since 25 November 2008 when they have been given permission to remain in the UK. Unless reported lost or stolen, they should be enclosed with any application for further permission to remain in the UK.

All the passports you have held during this time. If you cannot provide them all, you must provide the passports you have together with any Home Office letter(s) or other document(s) granting you leave to enter and/or remain in the UK. You should also provide documents of the type listed below to show that you were continuously resident in the UK during any periods for which you are unable to provide a passport.

Doctor’s letter(s) showing registration for each year of your stay and lettes from hospital(s) or other local health service(s)

Council tax letter(s) or bills for each year of your stay

Gas, electricity and water and other domestic bills or statements for each year of your stay

National Insurance contribution records for each year of your stay or P60 forms

HM Revenue and Custom/Inland Revenue letter(s) and/or P60 statements of income tax paid

Employer(s) letter(s) confirming the dates during which you have been employed

Department for Work and Pensions letter(s) and letters or other documents from other government departments or agencies

Full birth certificate(s), ie one which shows the parents names for any of your children born in the UKMortgage document(s) showing any property you own in the UK and/or a letter from your landord confirming the period of your tenancy

Any other documents/details which support your application


Section 4 - Consent for Home Office to Request Verification Checks

From the applicant :I understand that you will check whether the information and supporting documentation that I have supplied to the Home Office from a bank or utility company is correct. ‘Correct’ means unaltered evidence issued by the bank or utility company and that the information on them is correct and applies to me or the person named as a customer on the document. I agree to the bank or utility company, without seeking any further consent from me, telling you whether the information or documentation I have supplied is correct or in what way (if any) it is not correct. I agree to the bank’s or utility company’s disclosure to the Home Office of any relevant personal data they hold on me for the above purposes. If I have not supplied correct information or sup-porting documentation to the Home Office the bank or utility company may disclose my relevant correct personal data.

If the information or supporting documentation also contains personal data relating to a joint cus-tomer or customers of mine on the bank or utility company account, or relates to another person who is to provide financial support, I confirm that I have obtained the consent of those persons to the disclosure of their personal data to the extent reasonably necessary for the above purposes.I understand that the information obtained may be used as part of the decision making process about my application and may, if necessary, be disclosed to a court.[I understand that providing information or documentation that is not correct will normally result in my application being refused and may lead to my prosecution for a criminal offence.]

Name and address of applicant:

Postcode:

Signature:

Date:


If the account with the bank or utility company is in the joint names of the applicant and other people, each of those others should sign the following declaration :The above-named person (‘the applicant’) has given the Home Office documentation about his or her accounts with banks or utility companies (a ‘company’) so that the Home Office can check that is correct. I am a joint customer with the applicant on some or all of those accounts. Information about the applicant may thus also reveal information about me.I agree to the company giving the Home Office relevant personal data it holds about me in relation to the account. This only covers data about me as joint customer with the applicant (and not about any other accounts I hold in my sole name) and limited to what is necessary to confirm that the documentation the applicant has supplied is correct. If that documentation is not correct, the company may give the Home Office details of any inaccuracies / discrepancies in the information that the applicant has provided, and may also disclose to the Home Office the correct information that they have on record about the account.I agree that this information may be used as part of the decision making process about the application and may, if necessary, be disclosed to a court.

Name and address of applicant

Postcode:

Signature:

Date:


Section 5 - DeclarationsF. Applicant DeclarationIt is mandatory for you to sign below to show you have read and understood the following declaration. If it is not complete the application will be invalid and returned to you. It must be signed by you personally and not by a representative or other person acting on your behalf. If you are under 18, your parent or legal guardian should sign on your behalf.

DeclarationI hereby apply for Further Leave to Remain in the UK for myself. The information I have given in this form is complete and is true to the best of my knowledge.The documents I have submitted in support of my application are complete and correct to the best of my knowledge and belief.I agree to co-operate with Home Office officials, or any other person charged by the Secretary of State for the Home Office with conducting pre-issue and post-issue checks in relation to this application. If there is a material change in my circumstances or any new information relevant to this application becomes available before it is decided, I will inform the Home Office.I am aware that the rules and requirements for applications may change in the future and that I should not assume the current rules and requirements will continue to apply.I understand that all information provided by me to the Home Office will be treated in confidence; that it may be disclosed to other government departments, agencies, local authorities, the police, foreign governments and other bodies for immigration purposes or to enable them to perform their functions; and that, if such bodies provide the Home Office with any information about me which may be relevant for immigration purposes, it may be used in reaching a decision on my application.I understand that documents provided in support of this application, will be checked for authenticity; and that false documents will be retained and may result in my application being refused and in my prosecution and subsequent removal from the UK.I understand that the Home Office may also use the information provided by me for training purposes.I am aware that it is an offence under the Immigration Act 1971 as amended by the Immigration and Asylum Act 1999 and the Nationality, Immigration and Asylum Act 2002, to make to a person acting in execution of any those Acts a statement or representation which I know to be false or do not believe to be true, or to obtain or to seek to obtain leave to remain in the UK by means which include deception.I understand that my details may in certain circumstances be passed to fraud prevention agencies to prevent and detect fraud and 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 information may be used can be obtained from the Home Office website.I understand that if I am informing the Home Office that I have changed my gender, these details may in certain circumstances be shared with other Home Office colleagues. I consent to this, where necessary and understand that this information will only be shared in limited circumstances relating to identity and security in line with Section 22 of the Gender Recognition Act. I am aware they will otherwise be treated in confidence and that my rights under the Equality Act 2010, Data Protection Act 2018 and Article 8 of the European Convention on Human Rights will be unaffected.


F. Applicant Declaration continued

Name:

Signature:

Date:


G. Representative’s Details and Declaration

You should fill in this section if you are a third party, such as a representative, dealing with the application on behalf of an applicant.

G1. Is a representative acting for you in relation to this application?

Yes - go to question G2 No - go to section 6

G2. Name of your representative’s organisation:

G3. Contact name of your representative:

G4. Select the title of the contact person within your organisation:Mr Mrs Miss Ms Other (please state)

G5. Representative’s address:

Postcode:

G6. Representative’s telephone number:

G7. Representative’s email address:

G8. Representative’s fax number

G9. Are you regulated by the Office of the Immigration Service Commissioner (OISC)?

Yes - go to question G10 No - go to question G11

G10. Give your OISC registration number: (Then go to question G14)


G11. Are you authorised to practice and regulated by a designated professional body or supervised by such a person?

Yes - go to G12 No - go to G14

G12. Select the relevant body from the following options:The Law Society The Law Society of

ScotlandThe Law Society of

Northern IrelandThe Faculty of

AdvocatesThe Institute of Legal

ExecutivesThe General Council of the

Bar of Northern Ireland

The General Council of the Bar

G13. Is your representative approved by the British Council? Yes No

G14. This section must be completed by all representatives, who are dealing with this application on the applicant’s behalf. They must now read the declaration below and authorise as the representative or other person acting on the applicant’s behalf:

• I have been appointed by the applicant to make this application.• I confirm that the applicant has completed and verified the application and the application is, to the best of my knowledge and belief, true and correct.

• Once the Home Office has decided the application, I will give the applicant all correspondence from the Home Office relating to the decision.

• I am permitted to give immigration advice and immigration services by Section 84 of the Immigration and Asylum Act 1999.

• I am aware that it is an offence under the Immigration Act 1971, as amended by the Immigration and Asylum Act 1999 and the Nationality, Immigration and Asylum Act 2002, to do an act which facilitates the commission of a breach of immigration law by an individual who is not a citizen of the European Union, knowing or having reasonable cause to believe that the act has this effect.

Name:

Signature:

Date:

Name of representative organisation:

Position within organisation:


Section 6 - Summary Sheet

Fill in this part of the form to help us make sure that we have received your documents and to keep a record of them while they are with us. At “A”, tell us how many of each of the listed documents you have sent with this application. This is a standard list, you should only send in the documents from this list that are required for your application. At “B”, list any other documents and state how many in each case. Continue on a separate sheet if necessary.

A. Type of document How many? B. Listed items How many?

Original passports

National identity cards

Travel documents

Biometric Residence Permit and/or travel documentsMarriage or civil partnership certificate

Birth certificate

Driving Licence

Letter/docs from your employer

Life in the UK pass notification

Bank statements

Building Society savings books

Payslips

Previous travel documents


FINAL CHECKS

To ensure that your application is complete, please make the following final checks. Tick each box that is relevant to your application.

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

Have you completed the appropriate payment details page and made the correct payment?

Have you completed section E and the rest of the form as specified?

Have you provided your original valid passport(s), national identity card(s) or travel document(s)? (We also require photocopies of the same).

If you are unable to send us any of the documents specified in section C which are relevant to your application, have you given an explanation and said when you will be able to send them?

Have you, or a parent or guardian if you are under 18, signed and dated the declaration in section ?

Finally, please ensure your application is addressed correctly as follows:

Home OfficeLeave to Remain - FLR (LR)PO Box 495DurhamDH99 1WR

FLR(LR) Guidance Notes (Version 10/2016) - Page 1 of 4

FLR(LR)

GUIDANCE

NOTES Version 10/2016

If you wish to apply for an extension of stay in the UK on form FLR(LR), please read these guidance

notes and the separate UK Visas and Immigration photograph guidance before making your application.

CONTACTING US

OUR WEBSITE

www.gov.uk/government/organisations/uk-visas-and-immigration

For information about

immigration law and policy,

and to see and

download application forms and

related guidance.

GUIDANCE NOTES

1. FOR WHICH APPLICATIONS MUST

YOU USE FORM FLR(LR)?

Form FLR(LR) must be used if you are applying for

an extension of stay in one of the following

categories:

• Long Residence

2. QUALIFYING FOR AN EXTENSION

OF STAY

To qualify for an extension of stay in the

categories of the Immigration Rules for which

you must use form FLR(LR), you must meet the

requirements set out in the following parts of the

Rules:

Part 7 - Long Residence

The full Immigration Rules are on our website.

3. THE FEE

• Please note that when making large or multiple payments using your credit card, the anti-fraud measures that banks operate sometimes stop the full payment

being taken. This is can happen for a number of reasons. To prevent this you may inform your bank of your intention to make large or multiple payments in advance so that your bank allows the full payment to be taken when you submit your application.

• Please be aware that not all banks offer this service.

• If you do not pay the specified fee, the application will be invalid and will be returned to you.

• We will not refund the fee if we refuse the application or if you withdraw it.

For information about methods of payment, please

see the payment details guidance on page 2 of the

form. For more information about the current fees,

please go to our website.

http://www.gov.uk/government/organisations/uk-visas-and-immigration

https://www.gov.uk/government/organisations/home-office

http://www.nationalarchives.gov.uk/doc/open-government-licence/version/2/


4. WHEN TO APPLY

You must apply before the end of your permitted

stay in the UK.

If you are applying at one of our Premium Service Centres, please ensure that your appointment is no earlier than 28 days before you complete the 10 year qualifying period. If you attend a Premium Service Centre appointment and submit your application more than 28 days before completing your qualifying period, your application will normally be refused and your fee retained.

5. MAKING SURE YOUR APPLICATION

IS VALID

Paragraphs 34-34I of the Immigration Rules specify

certain requirements with which an application on

a form specified for the purpose of the Rules must

comply. To make a valid application, you must:

• apply on the current version of form FLR(LR)

• pay the specified fee by one of the methods specified in the payment guidance

• provide photographs of yourself as specified in the application form

• the correct payment has been made

towards the Immigration Health Surcharge, if applicable. You will need to assess the likely cost using the online portal www.gov.uk/ healthcare-immigration-application.

• provide your valid passport, national identity card or travel document

• complete section 2E (Personal History) as required

• sign the declaration in section 6 as specified

• send the application by prepaid post to the Home Office or make it in person at a Premium Service Centre.

If you fail to do any of these things, your

application will be invalid and we will return it to

you. This could result in the loss of appeal rights if

your permitted stay has run out by the time you

make a valid application.

6. ENSURING YOUR APPLICATION IS

COMPLETE

You must complete every relevant section of the

form and provide all the documents specified for

your particular application.

If you do not do this, we reserve the right to

decide your application on the basis of the

information and documents provided.

It is important, therefore, to provide an explanation if you cannot give us all relevant information or documents when making your application.

7. COMPLETING THE FORM

Please use a black pen to complete the form;

write names, addresses and similar details in

capital letters.

In the payment details and other sections where

you give personal details and addresses, leave

an empty box between each part of the name

and of the address.

Please note that we always use the personal

details in an applicant’s passport or travel

document for official purposes, including any

residence permit if the application is granted.

Take care to complete all sections as required,

including the Personal History section. Follow

the guidance on page 2 of the form when

completing the payment details. Read the

notes in the form.

You must enclose a letter of explanation if you

are unable to provide all the required information

or any relevant specified documents.

8. PHOTOGRAPHS

For your application to be valid, it is mandatory

to provide the following photographs:

• Two identical passport-size photographs of yourself with your full name written on the back of each one.

The photographs you provide must also comply

with the format requirements specified in the

separate UKVI photograph guidance (see page

4).

Please ensure that you place the photographs in

a small sealed envelope and attached it to section

1 of the form as instructed there - and without

any staples, clips, pins or anything else which

could mark or damage the photographs.

http://www.gov.uk/


9. DOCUMENTS

Documents provided with the application must be

originals. All supporting evidence must be in the

form of original documents. In addition you should

provide photocopies of each of these documents

including any pages of your passport(s) that contain

personal details, visas or immigration stamps

(foreign or UK). These do not have to be notarised

by a solicitor or legal representative. If you are

unable to provide the original document, we may

accept a copy certified by the body or authority

which issued the original (for example, a copy of a

savings book certified by the building society or

bank), or by a notary. The reasons for not being

able to provide the original document must be

explained in a covering letter. We are unlikely to

grant your application without the original

document. Any documents which are not in English

must be accompanied by a reliable English

translation. Make sure passports or travel

documents are signed.

10. APPLYING BY POST - THE

ADDRESS

The address to which you must send application

form FLR(LR) is as given on the front of that form.

Posting it to any other address will not only delay

your application but could make it invalid. This

address is only to be used when sending your

application. Please use the address given in part 15

for any other correspondence about your

application.

If you use Recorded or Special Delivery, this will

help us to record the receipt of your application.

Make sure that you keep the Recorded or Special

Delivery number.

We will return your passport(s) and other

documents by Recorded Delivery. If you would like

them to be returned by Special Delivery, you must

provide a prepaid Special Delivery envelope

which is large enough.

You will receive a letter of acknowledgement within

a few days of your application being received,

unless there is a problem concerning the payment

of the fee. The validity of your application will then

be checked and we shall contact you in writing if

your application is invalid.

11. DECISION TIMES

For the latest information on our service

standards for deciding charged applications

please go to our website.

Applications which are not straightforward, or

which need further enquiries, take longer to

decide. These include applications by people who

have remained here unlawfully after the expiry of

their permitted stay.

As we cannot tell in advance how long it will

take to decide particular cases, our general

advice is not to make any travel arrangements

until your passport(s), national identity card(s)

or travel document(s) are returned.

12. YOUR STATUS WHILE YOUR

APPLICATION IS BEING CONSIDERED

If you apply before the end of your permitted

stay in the UK, your existing immigration status,

including any permission to work, will continue

until your application is decided.

13. CONTACTING US AFTER YOU

HAVE APPLIED

If you need to contact us after you have

applied, please do so as follows.

To send us more information about your

application, write to the following address (not

the one to which you posted your application):

Home Office

Initial Consideration Unit -

FLR(LR) Lunar House

40 Wellesley Road

Croydon

CR9 2BY

and give the following details in your letter:

• the applicant’s full name, date of birth and nationality.

• any Recorded or Special Delivery number.

• the date on which the application was posted or made in person.

• the Home Office reference number if you have one.


If you need your passport because you have to

travel urgently and unexpectedly, use the return of

documents request form at: www.gov.uk/visa-

documents-returned.

Your application will be treated as withdrawn if your

passport is returned for travel abroad before we are

able to decide the application.

14. OBTAINING APPLICATION FORMS

You can obtain application forms, the accompanying

guidance notes and the UKVI photograph guidance

from our website at www.gov.uk/government/

organisations/uk-visas-and-immigration

15. OTHER ENQUIRIES

For enquiries other than obtaining an application

form, consult our website www.gov.uk/government/

organisations/uk-visas-and-immigration

We also have the following freephone textphone

number: 0800 38 98 28 9.

16. CHOOSING AN IMMIGRATION

ADVISER

Immigration advisers are regulated by the Office of

the Immigration Services Commissioner (OISC).

Their website at www.oisc.gov.uk contains a list of

authorised advisers. It also has links to websites for

solicitors, barristers and legal executives.

If you have a complaint about an immigration

adviser or need other information, the OISC contact

details are available on their website;

www.oisc.gov.uk

Alternatively the Solicitors Regulation Authority,

which regulates solicitors in England and Wales,

can help you find a solicitor if you contact them on

0870 606 2555 or visit their website at www.sra.

org.uk

The address and telephone number for any com-

plaints about a solicitor are:

Legal Ombudsman

PO Box 6806,

Wolverhampton,

WV1 9WJ

Telephone: 0300 555 0333

17. COMPLAINTS ABOUT OUR

SERVICE

If you wish to make a complaint about our

service, please refer to the complaints page on

our website for detailed information on how to do

so.

18. DATA PROTECTION NOTICE

We will treat all information provided by you in

confidence but may disclose it to other

government departments, agencies, local

authorities, the police, foreign governments and

other bodies for immigration purposes or to

enable them to perform their functions.

We may also use the information provided by

you for training purposes.

The information in the payment details page will

be known to the private contractor engaged by the Home Office to process application payments.

19. BIOMETRIC RESIDENCE PERMITS

A leaflet explaining the Biometric Residence Permit including the application process is available to download at the following location:

www.gov.uk/biometric-residence-permits

http://www.gov.uk/visa-docu

http://www.gov.uk/visa-docu

http://www.gov.uk/government/



http://www.oisc.gov.uk/

http://www.oisc.gov.uk/

http://www.gov.uk/biometric-residence-permits