Cabinet Office

Application to extend leave in the Isle of Man as the Dependant of

an Isle of Man Worker Migrant, Isle of Man Worker ICT Migrant

or Points Based System Migrant

Please complete in BLOCK CAPITALS and in black ink. In accordance with paragraph 34 of the Immigration Rules, this form is a specified form for the purpose of the Immigration Rules and must be used for all applications made on or after the date shown on this page for the purposes stated on this page. The relevant fee for applications made on this form are specified in the table below. Tick the appropriate box below: Disclaimer

Missing documentation could result in your application being delayed or refused.

Your passport will be returned to you once a decision has been made on your application.

The Isle of Man Immigration Service aims to have all applications processed within 28 business days once in possession of the application and supporting documents. Your passport will be held by the Isle of Man Immigration Service until a decision has been made on your application. You should not book any travel until you have received a decision on your visa application and have had your passport returned to you. The Isle of Man Immigration Service does not accept any responsibility for travel that is booked by you.

Where a person whose application or claim for leave to remain is being considered requests the return of their passport for the purpose of travel outside the Common Travel Area, the application for leave shall, provided it has not already been determined, be treated as withdrawn on the date that request is received by the Isle of Man Immigration Service —Paragraph 34J of the Immigration Rules. The Isle of Man Immigration Service is an office within the Cabinet Office of the Isle of Man Government. The Cabinet Office is a Department of Government.

FLR (DEP)

Dependant of a person who has leave to remain in the Isle of Man under the Points Based System, or as a Worker Migrant or Worker (ICT) Migrant. Form valid for use from 14 February 2020

Page 1

Route under which the main applicant is applying, or has previously been granted leave

Tick Fee for each eligible dependant

Tier 1

Tier 1 (Investor) Same as the main applicant

Tier 1 ( Entrepreneur) Same as the main applicant

Tier 1 (Post-Study Work) £570

Tier 1 (Exceptional Talent) £608

Tier 4 Same as the main applicant

Tier 5 (Temporary Worker) Same as the main applicant

Worker Migrant Same as the main applicant

Worker (ICT) Migrant Same as the main applicant

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Fees notes Payment methods You must pay by one of the following methods:

Cheque - made payable to ‘Isle of Man Government’

Postal Order - made payable to ‘Isle of Man Government’

Debit Card - (only ‘in person’ applications at the Immigration Service)

Cash - (only ‘in person’ applications at the Immigration Service) 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 w ill be payable once the application is received by the Isle of Man Immigration Service, regardless of the outcome of the application. The consideration process will not begin until the payment has cleared. Payments made by cheque may take 5 business days to clear. Payments made by debit cards or postal orders will clear immediately. Should the application be withdrawn at any time during the consideration process the fee will not be refunded.

FLR (DEP)

This form should be completed fully and returned, together with the relevant supporting documentation* to:

The Immigration Service Government Office Bucks Road Douglas Isle of Man IM1 3PN

*Please read the form carefully. You must supply original documentation where possible. Submission of documents that are fraudulent or not genuine or do not properly relate to you will lead to refusal of the application.

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Application for extension to stay as the Dependant of a person who has leave to remain

in the Isle of Man under the Points Based System or as a Worker Migrant

Section 1 Dependant’s details

D D / M M / Y Y Y Y Date of birth

Gender (please tick) Male Female

Email address

Current address in the Isle of Man

Postcode

Home Telephone number Mobile

FLR (DEP)

If the dependant is known or has been known by any other name to those give above please give details below and provide evidence showing the name change.

Name known by Date from/to Evidence provided

Please use another sheet of paper if more space is needed.

Place of birth:

City/Town/Province/State

Country

D D / M M / Y Y Y Y Date dependant started living at this address

If the dependant was born on the Isle of Man to a Worker Migrant or Relevant Points Based System Migrant and their partner, then the applicant must also provide a full Isle of Man birth certificate showing the names of both parents.

If required please tick to confirm that a birth certificate is enclosed

1.1

Title (Mr, Mrs, Ms, Miss, Other)

First name(s)

Family name

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Application for extension to stay as the Dependant of a person who has leave to remain

in the Isle of Man under the Points Based System or as a Worker Migrant

Section 1 Dependant’s details (continued)

FLR (DEP)

Is the applicant a child dependant over the age of 16 at the making of this application? If Yes please complete 1.2 If No proceed to Section 2A

1.2c If the child applicant over the age of 16 pays rent or board then the amount paid per month must be disclosed here: £

1.2d Is the child applicant over the age of 16 is residing apart from the main applicant? If Yes then please explain the reason for this below.

If this is due to academic endeavours: 1. The applicant must provide confirmation of their enrolment and attendance on the specific course, on official headed paper, bearing the official stamp of that organisation and is issued by an authorised official of that organisation. 2. The applicant must provide evidence that they are being supported financially by the parent(s) whilst residing away from the family home. This must be in the form of the applicant’s bank statements covering the three months before the date of the applica-tion, showing the origin of the deposits. In addition to this, the bank statements of the parent(s) that corroborate these payments. Please tick the box to confirm that this evidence is enclosed

Yes No

1.2

1.2b Is the dependant married or in a civil partnership? Yes No

1.2a Please submit two additional documents from the list below which confirm the applicant’s residential address. Please tick two of the below boxes to confirm which additional documents are being provided

Letter from their school, college or university, on official headed paper, bearing the official stamp of that organisation, and issued by an authorised official of that organisation.

NHS Registration document

Driving licence

Credit card bill

Bank Statement

Yes No

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Application for extension to stay as the Dependant of a person who has leave to remain

in the Isle of Man under the Points Based System or as a Worker Migrant

Section 2A Child dependants over the age of 18

FLR (DEP)

2a.1 Was their last grant of leave as a child of a Relevant Worker M igrant or Relevant Points Based System Migrant? Yes No

2a.2 Is the dependant married or in a civil partnership? Yes No

If the applicant is a child dependant who is aged 18 or over at the time of this application? If Yes please complete Section 2A If No proceed to Section 2B

2a.3 Do they l ive away from the family home? Yes No

2a.5 Do they currently hold any employment? Yes No

2a.6 I f Yes please state give details of this, including the date they began this

2a.4 I f Yes please give the current address of the dependant below .

Yes No

Section 2B Relationship to your partner

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FLR (DEP)

If you are applying as the partner of the PBS Migrant or Worker Migrant, then please complete Section 2B. Otherwise proceed to Section 3.

Details of relationship

2B.2 Do you and your partner currently live together? Yes No

If No proceed to question 2B.3, if Yes proceed to question 2B.4

2B.1 How long have you been in a relationship?

D D / M M / Y Y Y Y 2B.4 When did you begin living together?

2B.3. Why do you not live with your partner?

2B.5 Have you ever lived with your partner within or outside of the Isle of Man? Yes No

If Yes, please provide details of when and where you previously lived with your partner.

From D D / M M / Y Y Y Y to D D / M M / Y Y Y Y

From D D / M M / Y Y Y Y to D D / M M / Y Y Y Y

Please provide all addresses you have lived at with your partner in the last 2 years.

2B.6 Are you and your sponsor related outside of your relationship? Yes No

If Yes, please provide exact details of this relationship.

2B.7 Have you or your sponsor previously been married/ in a civil partnership? Yes No

If Yes please give details below, and provide evidence that the previous marriage /partnership is no longer subsisting as part of your application.

You (if applicable) Your Sponsor (if applicable)

a Name of other/former partner

b Nationality of other/former partner

c Date of marriage/civil partnership

d Place of marriage/civil partnership

e Date of divorce (if applicable)

Section 3 Previous addresses

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FLR (DEP)

If the dependant has lived at the previously stated address for less than 2 years, then please provide all previous address details and the dates you lived over the last 2 years.

If the dependant has lived at more addresses in the last 2 years, please use another sheet of paper.

Previous address 1

Postcode

D D / M M / Y Y Y Y From

D D / M M / Y Y Y Y Until

Previous address 2

Postcode

D D / M M / Y Y Y Y From

D D / M M / Y Y Y Y Until

Previous address 3

Postcode

D D / M M / Y Y Y Y From

D D / M M / Y Y Y Y Until

Previous address 4

Postcode

D D / M M / Y Y Y Y From

D D / M M / Y Y Y Y Until

Previous address 5

Postcode

D D / M M / Y Y Y Y From

D D / M M / Y Y Y Y Until

Section 4 Personal history

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FLR (DEP)

It is mandatory to complete this section. If it is not completed, the application will be invalid and returned to you. Information given may be checked with other agencies.

Under the Rehabilitation of Offenders Act 2001 (Exceptions)(Immigration and Nationality) Order 2016, Sections 4 and 5(1) of the Rehabilitation of Offenders Act 2001 Act do not apply, therefore for the purposes of this application you are required to declare ALL convictions including those deemed as spent under the Rehabilitation of Offenders Act 2001.

It is an offence under section 26(1)(c) of the Immigration Act 1971 to make a statement or representation which you know to be false or do not believe to be true. Information given will be checked with other agencies.

4.1 Do you have any Criminal Convictions in the Isle of Man, UK or other country (including traffic offences) or any civil judgements made against you?

Yes No

If Yes, you must give details below. Continue on another sheet if necessary. (see note below)

D D / M M / Y Y Y Y Date sentenced

First sentence

Sentence given

Country where sentenced

Nature of offence

D D / M M / Y Y Y Y Date sentenced

Second sentence

Sentence given

Country where sentenced

Nature of offence

D D / M M / Y Y Y Y Date sentenced

Third sentence

Sentence given

Country where sentenced

Nature of offence

Section 5 Main applicant’s details

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FLR (DEP)

It is mandatory to complete this section. If it is not completed the application will be invalid and will be returned to the dependant.

Title (Mr, Mrs, Ms, Miss, other)

First name(s) (as shown on passport)

Last or family name(s) (as shown on passport)

D D / M M / Y Y Y Y Date of birth

Home Office or Isle of Man Immigration reference number (if known)

Nationality

Signature D D / M M / Y Y Y Y Date

The main applicant should sign here to indicate that they give their consent to dependant being included on their application/existing leave.

Dependant’s relationship to main applicant.

5.1 What is the dependant’s relationship to the main applicant?

Spouse

Child under 18

Unmarried partner Civil partner

Other (please state)

Section 5 Further details

5.2 Is the dependant submitting their application with the main applicant’s application?

Yes No

5.3 Has the main applicant received notification that their application for leave to remain has been successful?

Yes No

Note The main applicant that this section refers to is the sponsor of the dependant i.e. the person that you are the dependant of.

Section 6 Maintenance

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FLR (DEP)

The dependant must have a minimum level of funds to support themselves. If they do not have the required level of funds the application will be refused. If applying at the same time as the main applicant, then each dependant must have the total requisite funds that are applicable. If each applicant does not individually meet the minimum fund requirements then all applications will be refused.

Main applicant has been in the UK or Isle of Man for more than 12 months:

6.2 Dependants of a Tier 2, Worker Migrant, Worker (Intra Company Transfer) Migrant or Tier 5 (Temporary Worker) main applicant

Please provide evidence of at least £630 in available funds - go to question 6.4

Maintenance certified by Main Applicant’s employer (for dependants of new applicants under Worker Migrant route only) - go to question 6.5

6.3 Dependants of a Tier 4 main applicant

Please provide evidence of at least £460 in available funds for which the main applicant Would, if successful, be granted leave. Up to a maximum of £4,140 (9 months).

6.1 Dependants of a Tier 1 main applicant

The level of funds the dependant must have access to depends on the length of time the main applicant has been in the Isle of Man. Please indicate whether the main applicant has been in the Isle of Man for:

Main applicant has been in the UK or Isle of Man for less than 12 months: Is a Tier 1 (Graduate Entrepreneur) Migrant Please provide evidence of at least £1260.00 in available funds. All other Tier 1 Migrants Please provide evidence of at least £1890.00 in available funds.

All Tier 1 Migrants (excluding Tier 1 Investors Please provide evidence of at least £630.00 in available and Tier 1 Exceptional Talent) funds.

Section 6 Maintenance (continued)

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FLR (DEP)

6.5 Maintenance certified by the employer

Tick where applicable:

The employer has confirmed on a Confirmation of Employment that where necessary

they will maintain and accommodate the family member for a month.

The dependant has provided a written undertaking from the main applicant’s employer sponsor that where necessary they will maintain and accommodate the family member for a month.

NOTE: Evidence should be produced to show that the employer will provide maintenance and accommodation in the form of a written undertaking from the sponsor; or be recorded on a Confirmation of Employment.

6.4 Please provide evidence that the dependant has access to available funds in order to support themselves. Funds may be in the name of the dependant or the main applicant. Please tick the relevant box(es) to indicate the evidence supplied.

Personal bank or building society statements covering a consecutive 90 day period (or 28 day period, only applicable to Tier 4 Migrants) and ending no more than 31 days before the date of application.

Letter from a financial institution regulated by either the Financial Services Authority or, in the case of overseas accounts, the home regulator (official regulatory body for the country in which the institution operates and the funds are located) confirming funds and covering a consecutive 90 day period ending no more than 31 days before the date of application.

Letter from bank or building society confirming funds and that they have been banked for at least a consecutive 90 day period ending no more than 31 days before the date of application.

Building society pass book Personal bank or building society statements covering a consecutive 90 day period (or 28 day period, only applicable to Tier 4 Migrants) and ending no more than 31 days before the date of application.

Section 7 Public funds

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FLR (DEP)

7.1 Is the dependant receiving any public funds? Yes No

If you have answered Yes you must tick the boxes to show which public funds are being received. Please note that, under Immigration Rules, public funds include:

Housing & Homelessness Assistance

Severe Disablement Allowance

Disability Living Allowance

Working Tax Credit

Council Tax Benefit

Income Based Job Seekers

State Pension Credit

Attendance Allowance

Carers Allowance

Income Support

Social Fund Payment

Child Benefit

Housing Benefit

Child Tax Credit

It is mandatory to complete this section. If it is not completed the application will be invalid and will be returned to the applicant.

Now go to Section 8.

Section 8 Declarations

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FLR (DEP)

Dependant Declaration It is mandatory to complete this section. If it is not completed the application will be invalid and will be returned to the dependant. The dependant must sign below to show that they have read and understood the following declaration. It must be authorised by the dependant and not by a representative or other person acting on their behalf. If the dependant is under 18, their parent or guardian may sign. The information I have given in this application is complete and is true to the best of my knowledge. If there is a material change in my circumstances or any new information relevant to my application becomes available before it is decided, I will inform the Isle of Man Immigration Service immediately. 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 Isle of Man. 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 of these Acts, a statement or representation which I know to be false or do not believe to be true, or to obtain or seek to obtain leave to remain in the Isle of Man by means which include deception. I understand that all information given by me will be treated in confidence and will be processed by the Cabinet Office for the purpose of determining my visa application. Data will be processed in accordance with the Data Protection Act 2018 and the GDPR and LED Implementing Regulations 2018. Privacy Notices can be found at www.gov.im/immigration (Data Protection Officer: DPO-CabOff@gov.im Tel: 01624 686779)

Signature D D / M M / Y Y Y Y Date

Name (please print)

Section 9 Summary sheet

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FLR (DEP)

Fill in this part of the form to help us make sure that we have received the dependant’s 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 the dependant has provided 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?

Passports, Identity Card for Foreign Nationals and/or travel documents. (Passports should have two clear pages back to back.)

Police registration certificate.

Marriage or civil partnership certificate

Divorce certificates, annulling any previous marriages

Birth certificate.

Driving licence.

Dependants must provide the required evidence as specified in this application form and the Points Based System - Please refer to Dependants Policy Guidance. Failure to submit required evidence is likely to lead to refusal of the application.

Finally, please ensure your application is submitted/addressed correctly as follows: The Immigration Service Government Office Bucks Road Douglas Isle of Man IM1 3PN

Page 15

FLR (DEP)

Introduction This document provides information to help dependants to complete the PBS and Worker Migrant dependant application form. For further information on the dependant policy, please see section 6A of the Immigration Rules and the PBS Dependant Policy Guidance. Who should apply using this form? This application form should only be completed by individuals who are already in the Isle of Man. Dependants should use the application form if they are:

Currently in the Isle of Man as the dependant spouse, civil partner, or unmarried partner or child of a person in another immigration category who has, or is at the same time applying for leave to remain as a PBS or Worker migrant;

Currently in the Isle of Man as the dependant spouse, civil partner, or unmarried partner or child of a PBS or Worker migrant and seeking to extend their leave for a further period within their existing category.

This application form should not be used by main applicants. Submitting a valid application The applicant will only be considered to have submitted a ‘valid’ application if the following has been complied with:

the correct application form must be completed and submitted;

the correct application fee must be paid;

the applicant’s current passport, Identity Card for Foreign Nationals (ICFN), if applicable, or travel document must be provided, unless it is not available for one of the reasons specified on the application form;

the mandatory sections in the application form must be completed.

Dependants who are of a nationality that is required to register with the Police must also include their Police Registration Certificate with their application. Supporting evidence Applicants must ensure that all of the necessary supporting documentation needed to verify compliance with the Immigration Rules is provided at the time the application is submitted. Only those documents specified in the application form and set out in detail in the Immigration Rules relevant to this application need to be provided. It is only necessary to submit evidence that is directly appropriate to the application as requested, as unrelated evidence cannot be considered for points scoring. The applicant must be selective in submitting evidence, as sending large amounts of irrelevant or poor quality documentation may delay the consideration of the application. Any documentary evidence that the applicant provides should be original (unless otherwise stated).

Where a document is not in English, the original must be accompanied by a fully certified translation by a professional translator. This translation must include details of the translator’s credentials and confirmation that it is an accurate translation of the original document. It must also be dated and include the original signature of the translator. Data processing The data submitted will be processed by the Cabinet Office for the purpose of determining the applicant’s visa application.

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