SET(M) Version 04/2015 Application *or Indefnite Leave to Remain in the UK as the Partner of a Person Present and Settled in the UK and a Biometric Immigration Document In accordance with paragraph 34 o* the Immigration Rules, this *orm is a specifed *orm *or the purpose o* the Immigration Rules as o* 6 April 2015 and must be used *or all applications made on or a*ter that date *or the purposes stated on this page and listed in section 4. I* your last grant o* leave was not issued under Paragraph 281, 284, 295A or 295D under Part 8 o* the Immigration Rules you MUST NOT apply using this *orm. I* you have not had leave under one o* these categories and apply using this *orm you will be re*used indefnite leave to remain under the Immigration Rules. You also need the separate guidance documents listed below, which you should read be*ore making your application: - SET(M) guidance notes - UK Visas & Immigration photograph guidance Spouse or civil partner of a person present and settled in the UK Unmarried or samesex partner o* a person present and settled in the UK Biometric immigration document (Biometric Residence Permit (BRP)) I* you do not already have these documents, you can get them *rom our website at www.gov.uk/government/organisations/uk-visas-and-immigration Our application *orms change periodically. I* you obtained this *orm some time be*ore applying, please check that it is still the version which must be used when you are ready to apply. Applications on this *orm may be made by post or in person at one o* our Premium Service Centres. To apply in person, you must make an appointment. Alternatively, you may wish to use the Settlement Checking Service operated by a number o* local authorities which is generally a *aster service than the normal postal application process. Please see the Home O*fce’s website to see i* you can use this service when applying on this *orm. DUTY TO STATE ALL REASONS TO REMAIN IN THE UNITED KINGDOM All your reasons or grounds *or wishing to stay in the United Kingdom must be stated in this application. This requirement is being given under section 120 o* the Nationality, Immigration and Asylum Act 2002. I* you do not tell us now o* any reasons or grounds *or remaining in the United Kingdom and you tell us later without good reason, you will lose any right o* appeal you may have otherwise qualifed *or i* we re*use your claim. You can use the box at section 8B. I* you apply by post, you must send your application to the address at the end o* this *orm. WORKING TOGETHER TO PROTECT THE PUBLIC This *orm is valid only *or applications made on or a*ter 6 April 2015 PAYMENT GUIDANCE The fee I* you are a single applicant on *orm SET(M) and no dependants are applying with you, there is a *ee o* £1500 *or standard applications made by post. Applications can be made in person at a Premium Service Centre *or a same day consideration o* your application. There is an additional *ee *or this service and all *ees will be taken when you book an appointment. For more details and to book an appointment please visit www.gov.uk/ukvi-premiumservice-centres Number o* applicants Standard Yoursel* and 1 dependant £3000 Yoursel* and 2 dependants £4500 Yoursel* and 3 dependants £6000 Fee *or each additional dependant £1500 Applicants on some immigration routes are exempt *rom paying an enrolment *ee at the Post O**ice Ltd. I* you are in one o* these categories you will be in*ormed o* this when we send you a biometric noti*ication letter. Your application may be rejected as invalid i* you do not enrol your biometrics when requested. For more in*ormation about enrolling biometrics and the current *ee, please visit the *ollowing section o* our website: https://www.gov.uk/ukvi-premiumservice-centres How can you pay? You must pay by one o* the methods speci*ied below. • Cheque • Postal Order • Credit card1 - Visa (including Electron), MasterCard or American Express (Amex) • Debit card - Delta, Maestro* (including Solo) I* one or more dependants are applying with you, the *ee increases by £1500 *or standard applications made by post. The *ee charged is *or the processing and consideration o* the application. This *ee will be payable once the application *orm is received by the Home O**ice or its payment processing agent, regardless o* the outcome o* the application. We cannot begin the consideration process until the payment has cleared. We allow 5 working days *or payments made by cheque to clear, credit/debit cards and postal orders will clear immediately. Who may apply with you? You may include children under the age o* 18 i* they are applying as your dependants. But they must pay the speci*ied *ee i* they apply separately. Children aged 18 or over may not be included. They must apply individually and pay the speci*ied *ee in each case. • Banker’s dra*t (payable to the Home O**ice) * Maestro - we will accept any Maestro card i* you are applying in person at a Premium Service Centre but only Maestro cards issued in the UK i* you are applying by post. Cheques and postal orders You must make the cheque or postal order payable to Home O**ice Leave to Remain and cross the cheque or postal order(s) A/C Payee only. Write the *ull name, nationality and date o* birth o* the main applicant on the back o* each cheque and/or each postal order and keep the postal order stub(s). Make sure that the date and the amount (words and *igures) are correct and that the cheque is signed properly. I* applying by post, attach your cheque or postal order(s) to the *ront o* the application *orm. Biometric enrolment fee As part o* your application you are required to enrol your biometric in*ormation. You will be charged an additional handling *ee *or this service, payable to the Post O**ice Ltd. You must pay the *ee by cash or debit card when you attend Post O**ice Ltd to enrol your biometrics. Each dependant included on your application must also pay this *ee when they enrol their biometric in*ormation. Do not send the biometric enrolment *ee with your application *ee. . Please note that when making large or multiple payments using your credit card, the anti-*raud measures that banks operate sometimes stop the *ull payment being taken. This can happen *or a number o* reasons. To prevent this you may in*orm your bank o* your intention to make large or multiple payments in advance so that your bank allows the *ull payment to be taken when you submit your application. Please be aware that not all banks o**er this service. SET(M) Application *orm (Version 04/2015) - page 2 o* 45 Completing the payment details page To ensure that your payment is processed without any delay, please note the points below when completing the payment details. 1-2 The address at 1 should be the contact address in the UK *or any correspondence. I* it is not your home address (eg a solicitor or other authorised immigration adviser may be submitting the application), give the contact name at 2. 3 This should be the *ull name o* the main applicant as given in his or her passport or trave l document. 4 Date o* birth - *or example, 3 January 1980 should be written 03 01 1980 in the spaces provided. 5 I* you do not select a *ee then we cannot take a payment and your application will be rejected as invalid. 8-12 Complete only i* paying by card.I* you do not provide the CVV number, we cannot take the payment and your application will be rejected as invalid. AUTHORISED SIGNATURE 4567 123 123 CVV 6ICPEA6M CSNPCRR CVV .123 123 12345 1234 1234 12 It is the cardholder as named on the credit or debit card who must sign and date. SET(M) Application *orm (Version 04/2015) - page 3 o* 45 PAYMENT DETAILS:SET(M) Please complete this page in block capitals and black ink a*ter *irst reading the payment guidance. 1 Contact address in the UK for correspondence Postcode 2 Contact name in the UK i* di**erent *rom that o* the applicant 3 Applicant’s *ull name Day 4 Month Year Date o* birth PAYMENT DETAILS 5 Amount - please tick the amount you are paying. I* no *ee is ticked we cannot take a payment and your application will be rejected as invalid. Single applicant no dependants £1500 Main applicant and one dependant £3000 Main applicant and two dependants Main applicant and three dependants £4500 £6000 I* more than 3 dependants are applying with you, please state the number in the space below and enter the correct amount speci*ied in the payment guidance in the appropriate box. Main applicant and .............. dependants £ Postal order 6 How are you paying? Pease tick a box. 7 Paying by cheque - please give cheque details below Cheque number - postal Debit or credit card Cheque Banker’s draft Sort code Account number Paying by card - please complete 8-12 below 8 9 Which card are you using *or payment? Please tick a box. Visa / Electron MasterCard / Amex Delta Maestro / Solo Name on card 10 Card number 11 Card details 12 Cardholder’s signature Valid *rom Expiry date Card security number - CVV (3 digit number Issue No. (where available) or 4 digit number *or Amex) Date SET(M) Application *orm (Version 04/2015) - page 4 o* 45 I* you are producing a double-sided copy o* this application *orm, please include this page and make sure it *alls on the reverse o* the payment details page in the two-sided copy. For administrative reasons, it’s important that the rest o* the *orm begins with Section 1 Applicant’s Details *acing upwards. SET(M) Application *orm (Version 04/2015) - page 5 o* 45 For o**icial use only - unique re*erence number SET(M) Version 04/2015 SECTION 1 - APPLICANT’S DETAILS 1.1 Your title - please tick I* other, what is your title? Mr Mrs Miss Ms Other 1.2 Your gender - please tick 1.3 Your date o* birth Day Male Female Year Month Photographs You must provide two identical photographs o* yoursel* with your *ull name on the back o* each one. Please place the photographs, together with those o* any dependants included in section 2, in a small sealed envelope and attach it across this space with a staple or paper clip at the right-hand side o* the page/envelope. Please make sure that the staple or paper clip does not damage or mark the photographs. All photographs must be as speci*ied in the separate photograph guidance. 1.4 Your *ull name as in your passport or travel document 1.5 Surname or *amily name 1.6 Any other name(s) by which you are or have been known 1.7 Nationality 1.8 Place o* birth - town or city and country 1.9 Passport or travel document number 1.11 National Insurance number i* you have one 1.10 Home O**ice re*erence i* you have one 1.12 BRP Re*erence Number 1.13 Your UK address - please in*orm us immediately i* this changes Postcode 1.14 Your daytime telephone number Your mobile telephone number i* you have one 1.15 Your email address i* you have one. We may use your email address to communicate with you about the status o* your application. Please write your email address clearly in block capitals and note that we can only send updates to the email address you provide 1.16 Please re-enter your email address in block capitals in the box below SET(M) Application *orm (Version 04/2015) - page 6 o* 45 1.17 Name and address in the UK *or all correspondence about your application i* di**erent *rom 1.13 Postcode 1.18 I* you have completed 1.17 and the address is that o* your immigration adviser, please state their O**ice o* the Immigration Services Commissioner (OISC) number SET(M) Application *orm (Version 04/2015) - page 7 o* 45 SECTION 2A - YOUR PARTNER’S DETAILS Your partner’s *ull name. Name at birth i* di**erent and/or any other names by which he/she is or has been known. Nationality. Please indicate and provide details i* your partner holds, or has ever held, any other nationality or nationalities. Day Month Year Date o* birth Photograph You must provide one photograph o* your partnerWrite your partner’s *ull name on the back o* the photograph and encloseit in an envelope attached to section 1 as instructed there. Gender Relationship to you - please tick Spouse Civil partner Male Unmarried partner Female Same-sex partner How long has your partner lived in the UK? Your partner’s UK address Postcode How long has your partner lived at this address? Is this your partner’s main residence? Yes No I* your partner’s main residence is not in the UK please provide details o* their permanent address Postcode Your partner’s National Insurance number SET(M) Application *orm (Version 04/2015) - page 8 o* 45 I* your partner was not British *rom birth, when did they obtain settlement in the UK? Day Month Year On what basis did your partner obtain settlement in the UK? Has your partner previously been sponsored as a partner o* a settled person? Yes No Your partner’s Home O**ice re*erence (i* they have one) SECTION 2B - YOUR RELATIONSHIP TO YOUR PARTNER Details of relationship 2.1 When did you *irst meet your partner? 2.2 Where did you *irst meet? 2.3 When did your relationship begin? Contact with your partner 2.4 Do you and your partner currently live together? Yes No I* No, proceed to question 2.7I* Yes, proceed to question 2.5 2.5 How long have you been living in a relationship? 2.6 When did you begin living together? Please provide all addresses you have lived at with your partner in the last 2 years. From To From To I* you answered ‘Yes’ to question 2.4 and have completed question 2.5 and 2.6, proceed to question 2.10 SET(M) Application *orm (Version 04/2015) - page 9 o* 45 2.7 Why do you not live with your partner? 2.8 Have you ever lived with your partner within or outside o* the UK? 2.9 Could you and your partner live together outside the UK i* necessary? No Yes No Yes I* Yes, please provide details o* when and where you previously lived with your partner. I* No, please provide details. 2.10 How o*ten do you see (meet) your partner? 2.11 When did you last see your partner? 2.12 Are you and your partner related outside o* your relationship? I* Yes, provide exact details o* this relationship. No Yes Living arrangements 2.13 Have you lived with your partner permanently in the UK since being granted temporary leave as a partner? Yes No I* No, why? Marriage and civil partnerships Yes No 2.15 Were you married or in a civil partnership when you were Yes last granted leave in this category? Applicants who answered No to question 2.14 go to question 2.21 No 2.14 Are you and your partner married/in a civil partnership? 2.16 When and where did you marry/enter a civil partnership? 2.17 What type o* ceremony was your wedding/civil partnership? SET(M) Application *orm (Version 04/2015) - page 10 o* 45 2.18 What age were you when you entered into marriage/civil partnership with your partner? 2.19 What age was your partner at the time o* the marriage/civil partnership? 2.20 Is/was this an arranged marriage? Yes No 2.21 Are either you or your partner currently married or in a civil partnership with another person? Yes No 2.22 Have you or your partner previously been married or in a civil partnership? Yes No 2.23 I* you have answered ‘Yes’ to question 2.21 or 2.22, please provide details. You (i* applicable) A B C D E Your Partner (i* applicable) Name o* other/ *ormer partner Nationality o* other/ *ormer partner Date o* marriage/ civil partnership Place o* marriage/ civil partnership Date o* divorce (i* applicable) You must provide original copies of divorce or dissolution of civil partnership. Additional Questions 2.24 What language(s) do you speak well? 2.25 What language(s) does your partner speak well? SET(M) Application *orm (Version 04/2015) - page 11 o* 45 2.26 What language(s) do you and your partner use to communicate? 2.27 Do you or your partner have any shared *inancial responsibilities? Yes No I* Yes, provide details below 2.28 Do you or your partner have any physical or mental condition(s) which currently require personal care or medical assistance at home or have any learning di**iculties? Yes No I* Yes, provide details below SECTION 3 - CHILDREN UNDER 18 You are required to provide details o* any children under 18 who are living with you in the UK, and who are applying *or inde*inite leave to remain as your dependants. I* more than 2 children are applying, please give their details on a photocopy o* this page, enclose it with this *orm, and place the photographs in a sealed envelope attached to section 1 as instructed there. Children aged 18 or over must apply separately. 3.1 Do you and your partner have any children together? Yes No 3.2 Do you have any children whose parent is not your partner? Yes No 3.3 Does your partner have any children living in the UK *rom a previous relationship? Yes No 3.4 I* you have answered ‘Yes’ to question 3.3 are any o* these children subject to immigration control? Yes No 3.5 I* you have answered ‘Yes’ to question 3.4 provide details o* these children below - include name, nationality, main address, date o* birth and contact with your partner and whether your partner is *inancially responsible *or any o* these children. If you answered no to questions 3.1, 3.2 and 3.3 please proceed to section 4. SET(M) Application *orm (Version 04/2015) - page 12 o* 45 3.6 Do you and/or your partner have any children? Child 1 A B Name Date o* birth C D E Place o* birth Gender Nationality (including dual nationality, i* applicable) Passport or travel document number Place o* issue o* passport or travel document Issuing authority Date o* issue Date o* expiry Language(s) that your child speaks How long has this child resided in the UK? Does this child live with you at the address provided in question 1.13 Who is fnancially responsible *or this child? I* your sponsor is not the other parent o* this child, provide details o* the other parent. Include where they live, their nationality and their level of contact or parental responsibility. F G H I J K L M N O 3.7 3.8 Child 2 I* you have answered ‘Yes’ to question 3.3 provide details o* where the child lives, who they live with and their relationship with that person. Include the reason why they do not live with your partner. Is your partner *inancially responsible *or supporting anyone else, not listed in section 3? Yes No I* ‘Yes’ please provide details. SET(M) Application *orm (Version 04/2015) - page 13 o* 45 3.9 Please include any *urther in*ormation that you think may be relevant to the consideration o* this application. You may wish to include details o* any children under the age o* 18 who are living with you in the UK, and are British citizens, or have lived here *or the last 7 years. Continue on a separate page i* necessary. SECTION 4 - WHICH CATEGORY? Please tick a box to show us the category in which you are applying *or inde*inite leave to remain and to con*irm that you are also applying *or a biometric immigration document. Spouse o* a person present and settled in the UK Civil partner o* a person present and settled in the UK Unmarried partner o* a person present and settled in the UK Same-sex partner o* a person present and settled in the UK SET(M) Application *orm (Version 04/2015) - page 14 o* 45 SECTION 5 - KNOWLEDGE OF LANGUAGE AND LIFE IN THE UK From 28 October 2013, to quali*y *or inde*inite leave to remain, all applicants aged 18-64 must meet a revised Knowledge o* Language and Li*e in the UK requirement. The separate guidance notes to this *orm provide details o* where to *ind *urther in*ormation about this requirement. Yes 5.1 Are you aged 18-64? No I* you have answered yes to 5.1, continue below. I* you have answered ‘No’, go to section 6. 5.2 Have you obtained the *ollowing to show that you have met the knowledge o* language and li*e in the UK requirement. Life in the UK test pass And either • A speaking and listening quali*ication at level B1 or above *rom the Secure English Language Test (SELT) list (Go to question 4.5 below); OR • An ESOL quali*ication at Entry Level 3, Level 1 or Level 2 , that includes speaking and listening which has been regulated by the O**ice o* Quali*ications and Examinations Regulation (O*qual). It must be listed as an ESOL quali*ication on the O*qual Register and taken in England, Wales or Northern Ireland; OR • A National Quali*ication in ESOL at Scottish Quali*ications Framework (SCFQ) levels 4, 5 or 6, awarded by the Scottish Quali*ications Authority (SQA); OR • An academic quali*ication deemed by UK NARIC to meet the recognised standard o* a Bachelor’s or Master’s degree or PhD in the United Kingdom and: ˗ UK NARIC has con*irmed that the quali*ication was taught or researched in English; or ˗ the quali*ication was taught or researched in the UK or a majority English speaking country ˗ (other than Canada); OR • You are a national o* a majority English speaking country (as in the list at https://www.gov. uk/english-language) 5.3 I* you have not obtained one o* the relevant quali*ications, are you claiming exemption *rom this requirement because a physical or other condition prevents you *rom taking the Li*e in the UK test or doing a speaking and listening quali*ication in English? Yes No I* you are claiming exemption, you must provide a doctor’s letter or similar evidence con*irming that you are unable to take the test or obtain a speaking and listening quali*ication. An exemption will only be agreed exceptionally. I* you have answered yes to this question go to Section 6. SET(M) Application *orm (Version 04/2015) - page 15 o* 45 5.4 I* you have a speaking and listening quali*ication in English at B1 CEFR or higher, or an equivalent level quali*ication, is it: A test that is on the Home O**ice list o* approved tests – go to question 5.5 A test that is on the O*qual register or awarded by the Scottish Quali*ications Authority – go to section 6 5.5 When did you sit your English language test? On or a*ter 6 April 2015 – go to question 5.6. Be*ore 6 April 2015 – go to question 5.7 5.6 Please provide details o* your English language test (sat on or a*ter 6 April 2015): Tick to con*irm which body awarded your test: IELTS SELT Consortium Trinity College London Provide the SELT unique electronic re*erence number provided by the awarding body: Go to section 6 5.7 Please provide details o* your English language test (sat be*ore 6 April 2015): Awarding body Cambridge English City & Guilds Pearson Trinity College London SET(M) Application *orm (Version 04/2015) - page 16 o* 45 Title o* quali*ication Level o* quali*ication Date o* award D D M M Y Y Y Y Award re*erence number SET(M) Application *orm (Version 04/2015) - page 17 o* 45 SECTION 6 - BIOMETRIC RESIDENCE PERMITS It is mandatory to complete this section. I* it is not complete, the application will be invalid and will be returned to you. In accordance with regulation 3 o* the Immigration (Biometric Registration) (Amendment) Regulations 2012 anyone applying *or leave to remain in the UK in the categories *or which this application *orm is specifed must also apply *or a biometric immigration document, otherwise known as a biometric residence permit. This also applies to applications made at the same time by any dependants o* the main applicant. For in*ormation about biometric residence permits, please see the separate SET (M) guidance notes, which you must read be*ore completing this *orm. I* you have a current grant o* leave on a Biometric Residence Permit you must provide your Biometric Residence Permit *or the application to be valid and complete. 1. Have you been issued with a Biometric Residence Permit with a previous application *or leave? Yes - go to question 2 No - go to question 7 2. Please give details o* your Biometric Residence Permit. Please note *or the application to be valid and complete your current Biometric Residence Permit must be provided, unless it is not available *or one o* the reasons specifed on the application *orm Biometric Residence Permit 2.1 Biometric Residence Permit Number 2.2 Nationality 2.3 Issue date D D M M Y Y Y Y M Y Y Y Y 2.4 Expiry date D D M 2.5 Place o* issue Biometric Residence Permit enclosed? Yes No I* not enclosed then please state the location o* Biometric Residence Permit Returned to Home O*fce - go to question 3 Lost - go to question 4 Stolen - go to question 5 Other - go to question 6 SET(M) Application *orm (Version 04/2015) - page 18 o* 45 3. I* the required Biometric Residence Permit has been returned to the Home O*fce, please give details o* the reason and the date that it was sent to us D D M M Y Y Y Y 4. I* the BRP was lost, please give the date this was reported to the Home O*fce Card Management Service D D M M Y Y Y Y 5. I* the the BRP was stolen, please give the police report number, crime re*erence number, the police station and the date reported to the police Police report number Crime re*erence number Police station Date reported to the Police D D M M Y Y Y Y 6. I* the required BRP is not enclosed then please give details why you are unable to provide it 7. Have you had your fngerprints taken as part o* a previous United Kingdom immigration application made in the United Kingdom or abroad? Yes - go to question 8 No - go to question 11 8. Give details when your fngerprints were taken SET(M) Application *orm (Version 04/2015) - page 19 o* 45 9. Give details where your fngerprints were taken, including the town or city and country 10. Give details o* the British diplomatic post(s) involved i* the application(s) was/were made abroad 11. Do you have a medical or physical condition which may require special arrangements *or your biometric *eatures to be recorded? Yes - go to question 12 No - go to question 13 12. Please provide us with the *ollowing documents: A letter *rom a treating clinician registered with the General Medical Council (GMC) giving details o* the condition and/or special needs and explaining any arrangements that may be necessary. Dependants and applicants under the age of 16 I* the applicant or any dependant included on this application is under the age o* 16 please complete questions 13, 14, 15 and 16. I* not please go to question 17. 13. Is the applicant/dependant 16 years old or more - go to question 17 Less than 16 years old - go to question 14 14. Give details o* the person who will be accompanying the applicant/dependant when he/she attends their Biometric Residence Permit appointment. 14.1 Name o* responsible adult 14.2 Date o* birth D D M M Y Y Y Y SET(M) Application *orm (Version 04/2015) - page 20 o* 45 14.3 Place o* birth 14.4 Relationship to child 15. Is this person the applicant/dependant’s parent/legal guardian Yes - go to question 17 No - go to question 16 16. Please explain why a person other than the applicant/dependant’s parent/legal guardian will be accompanying the applicant/dependant 17. DECLARATION As required by the Immigration (Biometric Registration) Regulations 2008 (as amended) I confrm that I also apply *or a biometric immigration document *or mysel* and any dependants applying with me. I* I am a sole applicant under the age o* 16, or i* any dependant child under the age o* 16 is applying with me, I understand that the Home O*fce may make enquiries about any responsible adult nominated to be present when my/their fngerprints and/or a photograph are taken. Signature Date D D M M Y Y Y Y SET(M) Application *orm (Version 04/2015) - page 21 o* 45 SECTION 7 - PREVIOUS ADDRESSES I* you or your partner have lived at any address(es) other than that given at section 1.13 during the past 2 years, you must complete this section by listing the address(es) and dates below. I* more than 5 addresses, give details on a photocopy o* this page and enclose it with this *orm. Address Postcode From Until Address Postcode From Until Address Postcode From Until Address Postcode From Until Address Postcode From Until SET(M) Application *orm (Version 04/2015) - page 22 o* 45 SECTION 8 - YOUR HOME AND FINANCES You must provide evidence that your partner is able to adequately maintain you a n d a n y dependants in the United Kingdom without recourse to public *unds. 8.1 Is your home in the UK: 8.2 Do you or your partner, or both, pay any rent or mortgage *or your home? Yes No I* so, how much do you pay each month? £ 8.3 Are you working in the UK? Yes No I* so, what is your pay each month a*ter income tax and other deductions? £ 8.4 Is your partner working in the UK? Yes No I* so, what is his/her pay each month a*ter income tax and other deductions? £ 8.5 Does a relative or *riend o* you or your partner, or both o* you, regularly give you money? Yes No I* so, how much do you receive each month? £ 8.6 Are you or your partner receiving any public *unds? Yes No a) owned by you, your partner or both? b) rented *rom a local authority or housing association by you, your partner or both? c) privately rented by you, your partner or both? d) owned or rented by a relative or *riend? e) other? Give details below. The public *unds which are relevant *or the purposes o* the Immigration Rules are listed below. I* you have answered yes to question 8.6, you must indicate which public *unds and the amounts you or your partner receive in the relevant box(s). Your partner You You ! ! ! Income Support ! ! Personal Independence Payment ! ! Severe Disablement Allowance ! ! Social Fund Payment ! ! ! ! ! ! ! ! Attendance Allowance ! ! Income-based Jobseeker’s Allowance Carer’s Allowance ! ! Income Related Employment and Support Allowance Child Benefit ! ! Child Tax Credit ! ! Council Tax Bene*it ! ! Council Tax Reduction ! ! ! ! ! ! ! ! Disability Living Allowance Housing Bene*it Housing or Homelessness assistance Your partner ! State Pension Credit Universal Credit Working Tax Credit SET(M) Application *orm (Version 04/2015) - page 23 o* 45 SECTION 8 - YOUR HOME AND FINANCES Complete the *ollowing table indicating the sources and levels o* income as indicated in 8.2.- 8.6 that you and your partner are relying on to adequately maintain you and any dependants. Income Source Interval received (weekly/monthly) Amount Total I* you have been unable to *it all o* the relevant details in the table above please continue on a separate sheet o* paper to provide extra details. SET(M) Application *orm (Version 04/2015) - page 24 o* 45 SECTION 8B - OTHER INFORMATION I* you have any reasons or grounds *or 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. SET(M) Application *orm (Version 04/2015) - page 25 o* 45 SECTION 9 - PERSONAL HISTORY Personal History (criminal convictions, war crimes, etc.) It is mandatory to complete section 9. If it is not complete the application will be invalid and will be returned to the applicant. This section asks about any criminal convictions, any civil judgements or civil penalties made against you or any dependants who are applying with you and details of any involvement you or any dependants who are applying with 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. 9.1. Have you or any dependants who are applying with you been convicted of any criminal offence in the UK or any other country? Yes - go to question 9.2 No - go to question 9.3 9.2. Please give details below for each criminal conviction, starting with the most recent one. If you or any dependants who are applying with you have received more than two convictions, please photocopy this page and enclose it with this form. Note: We will carry out criminal record checks on all applicants and dependants. You must give details o+ all unspent and spent criminal convictions. This includes road tra+fc o++ences but not fxed penalty notices (such as speeding or parking tickets) unless they were part o+ a sentence of the court. This includes all drink-driving offences. Criminal conviction 1 Country where convicted Nature o* the o**ence Sentence given Date sentenced D D M M Y Y Y I* you or any dependants who are applying with you were sentenced to a period o* imprisonment, what was the length o* the prison sentence imposed (in months)? Criminal conviction 2 Country where convicted SET(M) Application *orm (Version 04/2015) - page 26 o* 45 Y months SECTION 9 - PERSONAL HISTORY Nature o* the o**ence Sentence given Date sentenced D D M M Y Y Y Y I* you or any dependants who are applying with you were sentenced to a period o* imprisonment, what was the length o* the prison sentence imposed (in months)? 9.3. Do you or any dependants who are applying with you have any civil judgments against you or any civil penalty under the UK Immigration Acts? months Yes go to 9.4 No go to 9.5 9.4. Give details for each civil judgment or any civil penalty under UK the Immigration Acts, starting with the most recent one. If you or any dependants who are applying with you have received more than two civil judgments and/or civil penalties under the UK Immigration Acts, please photocopy this page and enclose it with this form. Details o* judgment or civil penalty 1 Date o* judgment or civil penalty D D M M Y Y Y Y D D M M Y Y Y Y Country where judgment made Details o* judgment or civil penalty 2 Date o* judgment or civil penalty Country where judgment made SET(M) Application *orm (Version 04/2015) - page 27 o* 45 You must answer questions 9.5 to 9.10 below even if you have answered no to question 9.1. For help in answering these questions, please see the defnitions at the end o+ this section. 9.5. Have you or any dependants who are applying with you ever been charged in any country with a criminal offence for which you have not yet been tried in court? Yes No 9.6. In times of either peace or war have you or any dependants who are applying with you ever been involved, or suspected of involvement, in war crimes, crimes against humanity or genocide? Yes No 9.7. Have you or any dependants who are applying with you ever been involved in, supported or encouraged terrorist activities in any country? Yes No 9.8. Have you or any dependants who are applying with you ever been a member of, or given support to, an organisation which has been concerned in terrorism? Yes No 9.9. Have you or any dependants who are applying with you ever, by any means or medium, expressed views that justi+y or glori+y terrorist violence or that may encourage others to terrorist acts or other serious criminal acts? Yes No 9.10. Have you or any dependants who are applying with you ever engaged in any other activities which might indicate that you may not be considered to be persons of good character? Yes No 9.11. How long have you lived in the UK? Years Months Please provide details of any periods of absence of more than 6 months during that time. Date you left the UK Date you returned to the UK Reason for absence SET(M) Application *orm (Version 04/2015) - page 28 o* 45 9.12. Please state what ties you have with; • The country where you were born • Any other country whose nationality you hold • Any country where you have lived *or more than 5 years You should tell us about any *amily, *riends, or other connections with that country. Country Social cultural or *amily ties 9.13. If you have answered yes to question 9.5, 9.6, 9.7, 9.8, 9.9 or 9.10, you must give further details in the space provided below. If you need more space, continue on a separate sheet and enclose it with this form. SET(M) Application *orm (Version 04/2015) - page 29 o* 45 DEFINITIONS For the purposes o* answering questions 9.5 to 9.10, the *ollowing in*ormation provides guidance on actions which may constitute war crimes, crimes against humanity, genocide, or terrorist activities. This guidance is not exhaustive. The *ull de*initions o* war crimes, crimes against humanity and genocide can be *ound in Schedule 8 o* the International Criminal Court Act 2001 at www.opsi.gov.uk/ acts/acts2001/20010017 or purchased *rom The Stationery O**ice (telephone 0870 600 5522). It is your responsibility to satis*y yoursel* that you are *amiliar with the de*initions and can answer the questions accurately on behal* o* yoursel* and any dependants who are applying with you. War crimes Grave breaches o* the Geneva Conventions committed during an armed con*lict. This includes an internal armed con*lict and an international armed con*lict. The types o* acts that may constitute a war crime include wil*ul killing, torture, extensive destruction o* property not justi*ied by military necessity, unlaw*ul deportation, the intentional targeting o* civilians and the taking o* hostages. Crimes against humanity Acts committed at any time (not just during armed con*lict) as part o* a widespread or systematic attack, directed against any civilian population with knowledge o* the attack. This would include o**ences such as murder, torture, rape, severe deprivation o* liberty in violation o* *undamental rules o* international law and en*orced disappearance o* persons. Genocide Acts committed with intent to destroy, in whole or in part, a national, ethnical, racial or religious group. Terrorist activities Any act committed, or the threat o* action, designed to in*luence a government or intimidate the public and made *or the purposes o* advancing a political, religious or ideological cause and that involves serious violence against a person; that may endanger another person’s li*e; creates a serious risk to the health or sa*ety o* the public; involves serious damage to property; is designed to seriously disrupt or inter*ere with an electronic system. Organisations concerned in terrorism An organisation is concerned in terrorism i* it commits or participates in acts o* terrorism; prepares *or terrorism; promotes or encourages terrorism (including the unlaw*ul glori*ication o* terrorism); or is otherwise concerned in terrorism. SET(M) Application *orm (Version 04/2015) - page 30 o* 45 SECTION 10 - PHOTOGRAPHS It is mandatory to provide the relevant photographs speci*ied below. Please note that this application will be invalid i* you do not provide them. The photographs must be in the *ormat speci*ied in the separate UK Visas and Immigration photograph guidance provided with this *orm. I* they are not, they may be rejected as unacceptable and you will have to provide others which are acceptable. This will delay consideration o* your application. Tick the relevant box(es) to con*irm the photographs you are providing and enclose them in a small sealed envelope attached to section 1 as instructed there. Two recent identical passport-size photographs o* yoursel* with your *ull name written on the back o* each photograph. Please see the separate photograph guidance on the approved *ormat. A recent passport-size photograph o* your partner with their *ull name written on the back o* the photograph. Two recent identical passport-size photographs o* each child under 18 included in section 3 and applying *or inde*inite leave to remain in the UK with you, with their *ull name written on the back o* each photograph. SET(M) Application *orm (Version 04/2015) - page 31 o* 45 SECTION 11 - PASSPORT, TRAVEL OR NATIONAL IDENTITY CARD It is mandatory to complete this section. Please note this application will be invalid if you do not. In accordance with paragraph 34 o* the Immigration Rules, you must provide your original, valid passport, travel document or national identity card as evidence o* your identity and nationality, unless it is not available *or reasons beyond your control. I* your document is lost or stolen, you should replace it be*ore making your application unless there are reasons beyond your control why you cannot (See note 1 below). You should provide all previous passports, travel documents or national identity cards that you have used to travel to or remain in the UK. 11.1 Is your current Passport, travel document of national identity card enclosed? 11.1.1 Which document are you providing? (please tick at least one box) Passport Travel document National identity card None 11.2 Current passport, travel document or national identity card 11.2.1 Passport/Travel document/National identity card number: D D M M Y Y Y Y M Y Y Y Y 11.2.3 Expiry date: D D M 11.2.4 Country o* issue and issuing authority: SET(M) Application *orm (Version 04/2015) - page 32 o* 45 11.3 Answer this question if you have not provided a current, valid passport, travel document or national identity card 11.3.1 My passport, travel document or national identity card is: Elsewhere in the Home O*fce Not available *or reasons beyond my control Please provide reasons why you cannot provide your passport, travel document or national identity card. I* lost or stolen you must provide your crime re*erence number and reasons why your have not been able to provide a replacement document. Note 1. Reasons beyond your control may include where you do not have a national authority to provide a document, or where you have applied *or a document and your national authority cannot provide one in time *or you to make your application. I can not enclose a travel document or national identity card because: 11.4 If you have not enclosed a current, valid passport, travel document or national identity card, what alternative satisfactory evidence of your identity and nationality is enclosed? Alternative evidence must include your full name, date of birth and nationality. SET(M) Application *orm (Version 04/2015) - page 33 o* 45 11.5 Have you enclosed the current Passport, travel document of national identity card for a dependant? 11.5.1 Which document are you providing? (please tick at least one box) Passport Travel document National identity card None 11.5.2 Current passport, travel document or national identity card 11.5.2.1 Passport/Travel document/National identity card number: 11.5.2.2 Issue Date: D D M M Y Y Y Y 11.5.2.3 Expiry Date: D D M M Y Y Y Y 11.5.2.4 Country o* issue and issuing authority: 11.5.3 Answer this question if you have not provided a current, valid passport, travel document or national identity card 11.5.3.1 My passport, travel document or national identity card is: Elsewhere in the Home O*fce Not available *or reasons beyond my control Please provide reasons why you cannot provide your passport, travel document or national identity card. I* lost or stolen you must provide your crime re*erence number and reasons why your have not been able to provide a replacement document. Note 1. Reasons beyond your control may include where you do not have a national authority to provide a document, or where you have applied *or a document and your national authority cannot provide one in time *or you to make your application. SET(O) Version 04/15 Page 34 I can not enclose a travel document or national identity card *or a dependant because: 11.5.4 If you have not enclosed a current, valid passport, travel document or national identity card for a dependant, what alternative satisfactory evidence of their identity and nationality is enclosed? Alternative evidence must include their full name, date of birth and nationality. I* you have more than one dependant, please photocopy this section and enclose the photocopy with your application *orm. SET(O) Version 04/15 Page 35 SECTION 12 - DOCUMENTS You must provide the documents speci*ied below which are relevant to your application. I* you do not, we reserve the right to decide your application on the basis o* the in*ormation and documents provided. Tick the relevant boxes to show the documents you are providing. Unless stated, they must be originals. You should photocopy each o* these documents and provide the copies in addition to the originals. You should also provide passport/s along with photocopies o* any pages that contain personal details, visas or immigration stamps (*oreign or UK). All applicants must provide the relevant documents speci*ied in 12A. I* you are applying as a married or civil partner, you must also provide the relevant documents speci*ied in 12B on the next page. Please note that in some cases, we may have to ask *or other documents in addition to those speci*ied in this *orm. 12A All applicants Passports and immigration documents Your current passport or travel document. I* you last entered the UK on a previous passport or travel document, please also provide this document i* you have it. The current passport(s) or travel document(s) *or each child under 18 included in section 3 and applying *or inde*inite leave to remain in the UK with you . I* they last entered the UK on previous passport(s) or travel document(s), please also provide these documents i* you have them. Your Biometrics Residence Permit i* you have been issued with one since entering the UK. See Note 5. The Biometrics Residence Permit *or each child under 18 included in section 3 and applying *or an inde*inite leave to remain in the UK with you i* they have been issued with them since entering the UK. See Note 5. Note 5 Residence Permits have been issued to certain *oreign 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 *or *urther permission to remain in the UK. Child’s birth certi*icate A *ull birth certi*icate (i.e. one which shows the parents’ names) *or each child under 18 o* your present marriage or civil partnership or relationship who is applying *or inde*inite leave to remain in the UK with you. SET(M) Application *orm (Version 04/2015) - page 36 o* 45 SECTION 12 - DOCUMENTS Your partner’s immigration status Your partner’s current passport or travel document showing that he/she is present and settled in the UK. I* you are making your application by post you can send a complete and *ull copy o* your partner’s current passport or travel document. Every page o* the passport must be copied including any blank pages. I* you are unable to provide your partner’s passport or travel document, see Note 6 about other suitable documents which must be originals. List any such documents below. Note 6 I* your partner is a British citizen without a passport, you must provide his/her *ull birth certi*icate (showing the parents’ names), accompanied by at least one other *ormal document as evidence o* ordinary residence in the UK *or the last three years. Anyone born in the UK on or a*ter 1 January 1983 will only be a British citizen by birth i* a parent is a British citizen or settled in the UK at the time o* birth. In that case, we will need evidence o* the nationality or immigration status o* your partner’s parents at the time o* birth *or us to be satis*ied that he or she is a British citizen. I* your partner is a non-British citizen without a passport, you must provide a Home O**ice letter or other document showing that he/she has been granted inde*inite leave to enter or remain in the UK, accompanied by at least one other *ormal document as evidence o* ordinary residence in the UK *or the last three years. The *ollowing are examples o* *ormal documents that may be provided as evidence o* ordinary residence *or the last three years: notice o* income tax coding, driving licence, building society savings book(s) /bank statements, National Insurance or National Health Service registration issued by the Department *or Work and Pensions or a local health authority. Your *inances Please tick the relevant section to indicate the source o* the *inances you and your partner are relying on to adequately maintain yourselves and any dependants without recourse to public *unds (see Note 7 also). You must provide su**icient and recent evidence *or each source you are relying on *or a *ull consideration to be made. Recent bank account/building society statements and pay slips evidencing employment *or you and/ or your partner O**icial documentation con*irming receipt o* public *unds (including the amounts paid) and corresponding bank account/building society statements showing receipt o* public *unds Bank account/building society statements evidencing any savings o* you and/or your partner Any other evidence o* maintenance Note 7 We do not accept internet or cashpoint statements as evidence o* *inances. I* you claim that a relative or *riend is providing you with *inancial support (see question 8.5), in addition to evidence o* your own *inances, you must provide bank statements or other documents o* the kind described above as evidence o* their *inancial resources. The documents showing the *inances available to you and to any person supporting you should cover at least the last 3 months. Knowledge o* language and li*e in the UK I* you are aged 18-64, you must provide the *ollowing: A Li*e in the UK test pass noti*ication letter; and A relevant speaking and listening quali*ication, as described in the guidance on our website. http://www. ukba.homeo**ice.gov.uk/sitecontent/documents/policyandlaw/modernised/cross-cut/knowledge-o*-li*e/kol. pd*?view=Binary Evidence o* cohabitation 6 letters and/or other documents addressed to you and your partner at the same address as evidence that you have been living together during the past 2 years (see Note 8). SET(M) Application *orm (Version 04/2015) - page 37 o* 45 SECTION 12 - DOCUMENTS Note 8 We need 6 letters or other documents addressed to you jointly or in both your names. I* you do not have enough items in your joint names, you may also provide items addressed to each o* you individually i* they show the same address *or both o* you. For example – 4 items o* correspondence in joint names to the same address and 2 items addressed to each partner at the address. In total 8 items will need to be submitted. I* you and your partner have no bills or correspondence in joint names you will need to submit 12 items (6 each) o* correspondence, evidencing that you reside together at the same address. Examples o* acceptable letters and documents are listed below. They must be originals. The dates o* the letters or documents should spread over the whole 2 years. They should be *rom at least 3 di**erent sources. Please give an explanation on a separate sheet i* you cannot provide 6 items; i* the documents are not addressed to both o* you; or i* they do not cover the 2-year period. I* you and your partner lived with relatives or *riends *or some or all o* the 2-year period, please provide a letter *rom the relative(s) and/or *riend(s) con*irming this. Examples o* acceptable types o* letters and documents I* you did not live together *or any part o* the 2-year period, tell us the reasons *or this and whether you stayed in contact with each other during this time, and provide any relevant supporting evidence. letters or other documents *rom your GP, a hospital or other local health service about medical treatments, appointments, home visits or other medical matters letters or other documents *rom government departments or agencies, *or example HM Revenue and Customs, Dept *or Work and Pensions, DVLA and TV Licensing bank statements/letters water rates bills or statements building society savings books/letters mortgage statements/agreement council tax bills or statements tenancy agreement(s) electricity and/or gas bills or statements telephone bills or statements 12B Spouses and Civil partners I* you were last granted leave to enter or remain in the United Kingdom as an unmarried or same-sex partner and subsequently during your probationary period you have married or entered a civil partnership with your partner, in addition to the relevant documents in 12A you must provide the *ollowing documents. Tick the relevant boxes to show what documents you are providing. They must be originals. You should photocopy each o* these documents and provide copies in addition to the originals.’ Your Marriage or Civil partnership certi*icate I* you have been married or in a civil partnership be*ore, document(s) showing that you were *ree to *orm a marriage or civil partnership with your present partner (see Note 9). List any such documents below. I* your partner has been married or in a civil partnership be*ore, documents showing that they were *ree to *orm a marriage or civil partnership with you (see Note 9). List any such document(s) below. Note 9 The document(s) must be *ormal documents such as a decree absolute or *inal dissolution (or other con*irmation o* the legal dissolution o* the relationship) or a death certi*icate. SET(M) Application *orm (Version 04/2015) - page 38 o* 45 SECTION 13 - Consent +or the Home O+fce to Request Verifcation Checks From the applicant : I understand that you will check whether the in*ormation and supporting documentation that I have supplied to the Home O**ice *rom a bank or utility company is correct. ‘Correct’ means that documents are unaltered originals issued by the bank or utility company and that the in*ormation 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 *urther consent *rom me, telling you whether the in*ormation or documentation I have supplied is correct or in what way (i* any) it is not correct. I agree to the bank’s or utility company’s disclosure to The Home O**ice o* any relevant personal data they hold on me *or the above purposes. I* I have not supplied correct in*ormation or supporting documentation to The Home O**ice the bank or utility company may disclose my relevant correct personal data. I* the in*ormation or supporting documentation also contains personal data relating to a joint customer or customers o* mine on the bank or utility company account, or relates to another person who is to provide *inancial support, I con*irm that I have obtained the consent o* those persons to the disclosure o* their personal data to the extent reasonably necessary *or the above purposes. I understand that the in*ormation obtained may be used as part o* the decision making process about my application and may, i* necessary, be disclosed to a court. [I understand that providing in*ormation or documentation that is not correct will normally result in my application being re*used and may lead to my prosecution *or a criminal o**ence.] 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 O**ice documentation about his or her accounts with banks or utility companies (a ‘company’) so that The Home O**ice can check that is correct. I am a joint customer with the applicant on some or all o* those accounts. In*ormation about the applicant may thus also reveal in*ormation about me. I agree to the company giving The Home O**ice 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 con*irm that the documentation the applicant has supplied is correct. I* that documentation is not correct, the company may give The Home O**ice details o* any inaccuracies / discrepancies in the in*ormation that the applicant has provided, and may also disclose to The Home O**ice the correct in*ormation that they have on record about the account. I agree that this in*ormation may be used as part o* the decision making process about the application and may, i* necessary, be disclosed to a court. Name and address o* joint customer Postcode Signature Date SET(M) Application *orm (Version 04/2015) - page 39 o* 45 SECTION 13 - Consent +or the Home O+fce to Request Verifcation Checks If the account with the bank or utility company relates to another person who is to provide the applicant with financial support, that person* should sign the following declaration : I am a *riend or relative whom the above-named person (‘the applicant’) has stated will provide *inancial support. The Home O**ice is veri*ying this by checking the documentation which the applicant has supplied about my accounts with banks or utility companies (a ‘company’). The company may thus reveal in*ormation about me to The Home O**ice or to the applicant. I agree to the company giving The Home O**ice relevant personal data it holds about me in relation to my account. This is limited to what is necessary to con*irm that the documentation the applicant has supplied is correct. I* that documentation is not correct, the company may give The Home O**ice details o* any inaccuracies / discrepancies in the in*ormation that the applicant has provided, and may also disclose to The Home O**ice the correct in*ormation that they have on record about the account. I understand that this may involve the applicant obtaining *urther details about the account. I agree that this in*ormation may be used as part o* the decision making process about the application and may, i* necessary, be disclosed to a court. Name and address of third party Postcode Date Signature 4e sgd Iaantms hr I inhms Iaantms* Ijj atrsnldor rgntjc rhfm, SET(M) Application *orm (Version 04/2015) - page 40 o* 45 SECTION 14 - DECLARATIONS (SPOUSE OR CIVIL PARTNER) You and your partner must now read the declarations below and sign them. They must be signed by you (the applicant) and your spouse or civil partner and not by a representative or other person acting on your behal*. It is mandatory *or the declarations to be signed. Please note that this application will be invalid i* these declarations are not signed as speci*ied above. By the applicant I hereby apply *or inde*inite leave to remain in the UK *or mysel* and any children under 18 listed in this *orm on the basis o* my marriage to, or civil partnership with, the person who has signed the declaration below. I understand that, i* I do not meet the requirements *or inde*inite leave to remain, my application may be treated as an application *or limited leave to remain and that the Secretary o* State may re*use this application *or limited leave to remain or reject it as invalid, where any requirement to pay an immigration health surcharge under the Immigration (Health Charge) Order 2015 is not met. I declare that we are still married, that we are living together as husband and wi*e and intend to do so permanently, or that we are still registered in a civil partnership, that we are living together as civil partners and intend to do so permanently. The in*ormation I have given in this *orm is complete and is true to the best o* my knowledge. I con*irm that the photographs submitted with this *orm are a true likeness o* mysel*, my spouse or civil partner and any children under 18 who are applying with me, as named on the back o* each photograph and that I have had the opportunity to see the UK Visas and Immigration photograph guidance. Where I have provided a photocopy o* my partner’s passport or travel document, I con*irm that, to the best o* my knowledge and belie*, it is a complete and *ull copy o* that original document. I con*irm that i*, be*ore this application is decided, there is a material change in my circumstances or new in*ormation relevant to this application becomes available, I will in*orm The Home O**ice. I understand that all in*ormation provided by me to The Home O**ice will be treated in con*idence; that it may be disclosed to other government departments, agencies, local authorities, the police, *oreign governments and other bodies *or immigration purposes or to enable them to per*orm their *unctions; and that, i* such bodies provide The Home O**ice with any in*ormation about me which may be relevant *or immigration purposes, it may be used in reaching a decision on my application. I understand that my details may in certain circumstances be passed to other people, including *raud prevention agencies, to prevent and detect *raud, money laundering and other crimes. I also understand that the Home O**ice may receive in*ormation about me. Further details explaining when in*ormation may be passed to or *rom other people, including *raud prevention agencies, and how that in*ormation may be used can be obtained *rom the Home O**ice website. I understand that documents provided in support o* this application will be checked *or authenticity; and that *alse documents will be retained and may result in my application being re*used and in my prosecution and subsequent removal *rom the United Kingdom. I understand that The Home O**ice may also use the in*ormation provided by me *or training purposes. I am aware that it is an o**ence 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 o* any o* those Acts a statement or representation which I know to be *alse 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 i* I am in*orming the Home O**ice that I have changed my gender, these details may in certain circumstances be shared with other Home O**ice colleagues. I consent to this, where necessary and understand that this in*ormation will only be shared in limited circumstances relating to identity and security in line with Section 22 o* the Gender Recognition Act. I am aware they will otherwise be treated in con*idence and that my rights under the Equality Act 2010, Data Protection Act 1998 and Article 8 o* the European Convention on Human Rights will be una**ected. Signature Date SET(M) Application *orm (Version 04/2015) - page 41 o* 45 SECTION 14 - DECLARATIONS (SPOUSE OR CIVIL PARTNER)(continued) By the applicant’s spouse or civil partner I con*irm that I am a British citizen or settled in the UK. I am the spouse or civil partner o* the applicant. I declare that we are still married and that we are living together as husband and wi*e and intend to do so permanently, or that we are still the civil partners o* one another and that we are living together as civil partners and that we intend to do so permanently. I understand that I can supply a photocopy o* my entire current passport or travel document i* this application is being sent by post only. Where I have provided a copy o* my passport or travel document, I con*irm that it is a complete and true copy o* the entire original document, including blank pages, and I will be physically present in the UK at the time this application is submitted. I understand that checks to con*irm my status will be made. I understand that I may be asked to submit my original passport or travel document and or other evidence o* my status at any time. I con*irm that the in*ormation which has been provided about me in this application is accurate. I understand that in*ormation provided about me, including any documentary evidence will be processed in accordance with the Data Protection Act 1998 by the Home O**ice, which is the data controller in relation to the in*ormation provided. I understand that this in*ormation will be used to make a decision about the application and to prevent and detect *raud. The in*ormation may be shared with other government departments or agencies, local and public authorities, *oreign governments, companies (including *inancial and utility companies), employers or other bodies in order to make reasonable checks to veri*y the in*ormation provided in the application. Any in*ormation which the Home O**ice receive about me may be used in reaching a decision on the application. I am aware that *urther in*ormation about the way the in*ormation will be handled is available at www.gov.uk/government/organisations/uk-visas- and-immigration I am aware that it is an o**ence 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 o* any o* those Acts a statement or representation which I know to be *alse 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 am also aware that it is an o**ence under that Act (as amended) to do an act which *acilitates the commission o* a breach o* immigration law by an individual who is not a citizen o* the European Union, knowing or having reasonable cause to believe that the act has this e**ect. Signature Date SET(M) Application *orm (Version 04/2015) - page 42 o* 45 SECTION 14 - DECLARATIONS (UNMARRIED OR SAME-SEX PARTNER) You and your partner must now read the declarations below and sign them. They must be signed by you (the applicant) and your unmarried or same-sex partner and not by a representative or other person acting on your behal*. It is mandatory *or the declarations to be signed. Please note that this application will be invalid i* these declarations are not signed as speci*ied above. By the applicant I hereby apply *or inde*inite leave to remain in the UK *or mysel* and any children under 18 listed in this *orm on the basis o* my relationship with the person who has signed the declaration below. I understand that, i* I do not meet the requirements *or inde*inite leave to remain, my application may be treated as an application *or limited leave to remain and that the Secretary o* State may re*use this application *or limited leave to remain or reject it as invalid, where any requirement to pay an immigration health surcharge under the Immigration (Health Charge) Order 2015 is not met. I declare that we are still living together in a relationship akin to marriage, or a same-sex relationship, and that we intend to do so permanently. The in*ormation I have given in this *orm is complete and is true to the best o* my knowledge. I con*irm that the photographs submitted with this *orm are a true likeness o* mysel*, my unmarried or same-sex partner and any children under 18 who are applying with me, as named on the back o* each photograph and that I have had the opportunity to see the UK Visas and Immigration photograph guidance. Where I have provided a photocopy o* my partner’s passport or travel document, I con*irm that, to the best o* my knowledge and belie*, it is a complete and *ull copy o* that original document. I con*irm that i*, be*ore this application is decided, there is a material change in my circumstances or new in*ormation relevant to this application becomes available, I will in*orm The Home O**ice. I understand that all in*ormation provided by me to The Home O**ice will be treated in con*idence; that it may be disclosed to other government departments, agencies, local authorities, the police, *oreign governments and other bodies *or immigration purposes or to enable them to per*orm their *unctions; and that, i* such bodies provide The Home O**ice with any in*ormation about me which may be relevant *or immigration purposes, it may be used in reaching a decision on my application. I understand that my details may in certain circumstances be passed to *raud prevention agencies to prevent and detect *raud and money laundering. I also understand that such agencies may provide the Home O**ice with in*ormation about me. Further details explaining when in*ormation may be passed to or *rom *raud prevention agencies and how that in*ormation may be used can be obtained *rom the Home O**ice website. I understand that documents provided in support o* this application will be checked *or authenticity; and that *alse documents will be retained and may result in my application being re*used and in my prosecution and subsequent removal *rom the United Kingdom. I understand that The Home O**ice may also use the in*ormation provided by me *or training purposes. I am aware that it is an o**ence 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 o* any o* those Acts a statement or representation which I know to be *alse 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. Signature Date SET(M) Application *orm (Version 04/2015) - page 43 o* 45 SECTION 14 - DECLARATIONS (UNMARRIED OR SAME-SEX PARTNER) (continued) By the applicant’s unmarried or same-sex partner I con*irm that I am a British citizen or settled in the UK. I am the unmarried or same-sex partner o* the applicant. I declare that we are still living together in a relationship akin to marriage or a same-sex relationship, and that we intend to do so permanently. I understand that I can supply a photocopy o* my entire current passport or travel document i* this application is being sent by post only. Where I have provided a copy o* my passport or travel document, I con*irm that it is a complete and true copy o* the entire original document, including blank pages, and I will be physically present in the UK at the time this application is submitted. I understand that checks to con*irm my status will be made. I understand that I may be asked to submit my original passport or travel document and or other evidence o* my status at any time. I con*irm that the in*ormation which has been provided about me in this application is accurate. I understand that in*ormation provided about me, including any documentary evidence will be processed in accordance with the Data Protection Act 1998 by the Home O**ice, which is the data controller in relation to the in*ormation provided. I understand that this in*ormation will be used to make a decision about the application and to prevent and detect *raud. The in*ormation may be shared with other government departments or agencies, local and public authorities, *oreign governments, companies (including *inancial and utility companies), employers or other bodies in order to make reasonable checks to veri*y the in*ormation provided in the application. Any in*ormation which the Home O**ice receive about me may be used in reaching a decision on the application. I am aware that *urther in*ormation about the way the in*ormation will be handled is available at https://www.gov.uk/government/organisations/uk-visas-andimmigration I am aware that it is an o**ence 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 o* any o* those Acts a statement or representation which I know to be *alse 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 am also aware that it is an o**ence under that Act (as amended) to do an act which *acilitates the commission o* a breach o* immigration law by an individual who is not a citizen o* the European Union, knowing or having reasonable cause to believe that the act has this e**ect. Signature Date SET(M) Application *orm (Version 04/2015) - page 44 o* 45 PHOTOGRAPHS AND DOCUMENTS CHECKLIST Please complete this part o* the *orm to help us check that we have received your photographs and documents. At “A” tell us how many o* each o* the listed items you are providing with your application. At “B”, list any other documents provided by you and state how many in each case. Continue on a separate sheet i* necessary and enclose it with this *orm. All documents must be originals. You should photocopy each o* these documents and provide the copies in addition to the originals. How How A. many? Listed items B. Other documents many? Photographs o* yoursel* Photograph o* your partner Photographs o* any children applying Passports Travel documents Biometric Residence Permits Marriage or Civil partnership certi*icate Birth certificate Bank statements Building society savings books Pay slips Please note that in some cases, we may have to ask for other documents in addition to those specified in this form. Life in UK pass notification letter English language speaking and listening quali*ication Letters to you and your partner FINAL CHECKS To ensure that your application is complete, please make the *ollowing *inal checks. Tick each box that is relevant to your application. Is SET(M) the right *orm *or you and is it valid *or use? See date and notes on *ront page. Have you completed the payment details page and made the correct payment? Have you ticked a box in section 4 to show the category in which you are applying? Have you completed section 9 and the rest o* the *orm as required? Have you provided the photographs speci*ied in section 10 and are they in the approved *ormat? Have you provided your current passport(s) or travel document(s) and all other relevant documents speci*ied in section 12 and are they originals? (we also require photocopies o* the same). I* you are unable to send us any o* the documents speci*ied in section 12 which are relevant to your Have you and your partner signed and dated the application, or i* you are unable to send originals, relevant declarations in section 14? have you given an explanation and said when you will be able to send them? Finally, please make sure that the application is addressed exactly as shown below. Home Office SET (M) Inde*inite Leave to Remain PO Box 591 Durham DH1 9FS SET(M) Application *orm (Version 04/2015) - page 45 o* 45