Application for a certificate of entitlement to the right ...

īģŋForm ROA

Application for a certificate of entitlement to

the right of abode

(To be completed only by people currently

in the UK)

Important: please read the guide supplied with this form before you fill it in.

Please write in BLOCK CAPITALS using black ink.

Before making your application, you may wish to check whether you are eligible to apply under

the Windrush Scheme. If you are covered by the scheme you should not apply for a Certificate

of Entitlement to the Right of Abode on this form. For more information, and to access the

Windrush Scheme application form, see .uk/government/publications/undocumentedcommonwealth-citizens-resident-in-the-uk

Warning: It is an offence under section 26(1)(c) of the Immigration Act 1971 to give information

which you know to be false or do not believe to be true. The offence is punishable with

imprisonment or a fine or both.

The Home Office will use the personal information you provide to consider your application.

We may also share your information with other public and private sector organisations in the

UK and overseas. For more detail please see the Privacy Notice for the Border, Immigration

and Citizenship system at .uk/government/publications/personal-information-use-inborders-immigration-and-citizenship. This also sets out your rights under the Data Protection

Act 2018 and explains how you can access your personal information and complain if you have

concerns about how we are using it.

June 2020

? Crown Copyright Published by LexisNexis 2020 under the Open Government Licence

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Section 1 - Personal information

1.1

Please give previous Home Office reference numbers:

1.2 If you have had a certificate of entitlement to right of abode before, please give the

passport number(s), date and place of issue:

1.3

On what grounds do you have a claim to right of abode? (see section 3 of the guide):

British citizen

1.4

or a Commonwealth citizen

Title - please select:

Mr

Mrs

Miss

Ms

Other (please state)

1.5 Surname/family name (note: the name you give here will be the name shown on your

certificate so please ensure it is spelt correctly and you have written it in the correct order):

Other names:

1.6

Name at birth if different from above:

1.7 Please state any other names by which you have been known, and state the dates when

these names were used:

Please provide official documents to confirm any name changes, for example, marriage

certificate, change of name deed.

1.8

Your present nationality:

ROA application form (version 06/20)

Page 2 of 9

1.9

Date of birth:

1.10

Village or town or city of birth:

1.11

Country of birth:

1.12 Present address (you must give us any change of address in writing while we are

considering this application):

Postcode:

Daytime/Mobile telephone number:

Evening telephone number:

Email address:

For validation purposes, please write your email address again in the box below:

If someone is representing you, for example an agent or solicitor, or you are making an

application through a consulate, please tell us their:

1.13

Name:

1.14

Address:

Postcode:

1.15

Telephone number:

Email address:

ROA application form (version 06/20)

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Details of your parents

1.16

Your fatherĄ¯s name:

1.17

Your fatherĄ¯s town and country of birth:

1.18

Your fatherĄ¯s nationality when you were born or adopted:

1.19

Your fatherĄ¯s date of birth:

1.20

If deceased, date of death:

1.21

Your motherĄ¯s name:

1.22

Your motherĄ¯s town and country of birth:

1.23

Your motherĄ¯s nationality when you were born or adopted:

1.24

Your motherĄ¯s date of birth:

1.25

If deceased, date of death:

1.26

Date of your parentsĄ¯ marriage:

1.27

Please provide a current address and telephone number for your parents:

Father:

Telephone number:

ROA application form (version 06/20)

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Mother:

Telephone number

If you are claiming right of abode through your husband or former husband, please give

details here.

1.28

HusbandĄ¯s full name:

1.29

Any other names by which he is or has previously been known:

1.30

HusbandĄ¯s date of birth:

1.31

HusbandĄ¯s town and country of birth:

1.32

HusbandĄ¯s address:

1.33

Contact telephone:

1.34

Date of marriage:

Place of marriage:

1.35

If he holds a British passport, please give the number, date and place of issue:

ROA application form (version 06/20)

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