APPLICATION FOR PERMANENT EEA3 · PERMANENT RESIDENCE IN THE UK. THIS IS A VOLUNTARY PROCESS FOR WHICH YOU SHOULD USE FORM EEA3 IF YOU WISH TO APPLY 1 FOR WHICH APPLICATIONS SHOULD

VVeerrssiioonn 0055//22000088

TThhiiss ffoorrmm iissttoo bbee uusseedd ffoorr aapppplliiccaattiioonnssmmaaddee oonn oorr aafftteerr2266 MMaayy 22000088

EEEEAA33 VVeerrssiioonn 0055//22000088 -- ppaaggee 11 ooff 1122

EEEEAA33PPEERRMMAANNEENNTTRREESSIIDDEENNCCEE

AAPPPPLL II CCAATT II OONN FFOORR PPEERRMMAANNEENNTT AAPPPPLL II CCAATT II OONN FFOORR PPEERRMMAANNEENNTT RREESS II DDEENNCCEE II NN TTHHEE UUKK RREESS II DDEENNCCEE II NN TTHHEE UUKK

BBYYBBYYEEUURROOPPEEAANN EECCOONNOOMMII CC AARREEAA (( EE EEAA ))EEUURROOPPEEAANN EECCOONNOOMM II CC AARREEAA (( EEEEAA ))

NNAATT II OONNAALLSS AANNDD TTHHEE II RR EEEEAA OORR NNAATT II OONNAALLSS AANNDD TTHHEE II RR EE EEAA OORR SSWWII SSSS NNAATT II OONNAALL FFAAMMII LLYY MMEEMMBBEERRSS SSWWII SSSS NNAATT II OONNAALL FFAAMM II LLYY MMEEMMBBEERRSS

RREESS II DD II NNGG II NN TTHHEE UUKKRREESS II DD II NNGG II NN TTHHEE UUKKOORR BBYYOORR BBYY

SSWWII SSSS NNAATT II OONNAALLSS AANNDD TTHHEE II RR SSWWII SSSS OORRSSWWII SSSS NNAATT II OONNAALLSS AANNDD TTHHEE II RR SSWWII SSSS OORREEEEAA NNAATT II OONNAALL FFAAMMII LLYY MMEEMMBBEERRSSEEEEAA NNAATT II OONNAALL FFAAMM II LLYY MMEEMMBBEERRSS

RREESS II DD II NNGG II NN TTHHEE UUKKRREESS II DD II NNGG II NN TTHHEE UUKK

WWOORRKKIINNGG TTOOGGEETTHHEERR TTOO PPRROOTTEECCTT TTHHEE PPUUBBLLIICC

PPlleeaassee rreeaadd tthhee gguuiiddaannccee nnootteess aatt tthhee ffrroonntt ooff tthhiiss ffoorrmm bbeeffoorree mmaakkiinnggyyoouurr aapppplliiccaattiioonn..

OOuurr aapppplliiccaattiioonn ffoorrmmss cchhaannggee ppeerriiooddiiccaallllyy.. IIff yyoouu oobbttaaiinn tthhiiss ffoorrmm ssoommeettiimmee bbeeffoorree aappppllyyiinngg,, pplleeaassee cchheecckk tthhaatt iitt iiss ssttiillll tthhee vveerrssiioonn wwhhiicchh mmuussttbbee uusseedd wwhheenn yyoouu aarree rreeaaddyy ttoo aappppllyy..

TThheerree iiss nnoo ffeeee ffoorr aann aapppplliiccaattiioonn oonn tthhiiss ffoorrmm..

FFoorr iinnffoorrmmaattiioonn aabboouutt ootthheerr EEEEAA ffoorrmmss,, sseeee ppaaggee 44..

IIff yyoouu nneeeedd hheellpp iinn ccoommpplleettiinngg tthhiiss ffoorrmm tteelleepphhoonnee 00884455 001100 55220000..

AApppplliiccaattiioonnss oonn tthhiiss ffoorrmm mmaayy oonnllyy bbee mmaaddee bbyy ppoosstt..

YYoouu mmuusstt sseenndd yyoouurr aapppplliiccaattiioonn ttoo tthhee ffoolllloowwiinngg aaddddrreessss::

UUKK BBoorrddeerr AAggeennccyyEEuurrooppeeaann AApppplliiccaattiioonnss EEEEAA33PPOO BBooxx 330066DDeepptt 4455LLiivveerrppoooollLL22 00QQNN

FFOORRMM EEEEAA33:: GGUUIIDDAANNCCEE NNOOTTEESSTTHHEERREE IISS NNOO LLEEGGAALL RREEQQUUIIRREEMMEENNTT FFOORR EEEEAA AANNDD SSWWIISSSS NNAATT IIOONNAALLSS TTOO OOBBTTAAIINN AA DDOOCCUUMMEENNTT CCEERRTTIIFFYYIINNGGPPEERRMMAANNEENNTT RREESSIIDDEENNCCEE IINN TTHHEE UUKK.. TTHHIISS IISS AA VVOOLLUUNNTTAARRYY PPRROOCCEESSSS FFOORR WWHHIICCHH YYOOUU SSHHOOUULLDD UUSSEE FFOORRMM

EEEEAA33 IIFF YYOOUU WWIISSHH TTOO AAPPPPLLYY

11 FFOORR WWHHIICCHH AAPPPPLLIICCAATTIIOONNSS SSHHOOUULLDD YYOOUU UUSSEE FFOORRMMEEEEAA33??

TToo aappppllyy ffoorr aa ddooccuummeenntt cceerrttiiffyyiinngg ppeerrmmaanneenntt rreessiiddeennccee iiffyyoouu aarree aann EEEEAA nnaattiioonnaall eexxeerrcciissiinngg TTrreeaattyy rriigghhttss iinn tthhee UUKK..See part 14 of these notes for information about Treatyrights.

You may include your family members in the application ifthey are EEA or Swiss nationals.

TToo aappppllyy ffoorr aa ddooccuummeenntt cceerrttiiffyyiinngg ppeerrmmaanneenntt rreessiiddeennccee iiffyyoouu aarree aa SSwwiissss nnaattiioonnaall rreessiiddiinngg iinn tthhee UUKK..

You may include your family members in the application ifthey are Swiss or EEA nationals.

Although Switzerland is not a Member State of the EEA theAgreement between the European Community, its MemberStates and the Swiss Confederation on the free movementof persons gives similar rights of residence to Swiss nation-als and their family members.

You and any family members included in the applicationmust be in the UK to apply.

22 RREELLEEVVAANNTT UUKK LLEEGGIISSLLAATTIIOONN

The relevant legislation for applications on this form is TheImmigration (European Economic Area) Regulations 2006.You can consult it on our website atwwwwww..uukkbbaa..hhoommeeooffffiiccee..ggoovv..uukk or obtain a copy from HMSO.

To acquire the right to reside permanently in the UK, youneed to have resided here in accordance with the relevantEEA regulations for a continuous period of 5 years.

33 WWHHOO CCAANN AAPPPPLLYY OONN TTHHIISS FFOORRMM??

Only EEA or Swiss nationals and their EEA or Swiss familymembers residing in the UK.

44 WWHHEENN TTOO AAPPPPLLYY

You may apply at any time after residing here continuouslyfor 5 years in accordance with EEA regulations.

55 MMAAKKIINNGG SSUURREE YYOOUURR AAPPPPLLIICCAATTIIOONN IISS CCOOMMPPLLEETTEE

Your application will be delayed if it is incomplete. To avoidthat, you must:

mmaakkee iitt oonn tthhee ccuurrrreenntt vveerrssiioonn ooff EEEEAA33

pprroovviiddee aallll tthhee pphhoottooggrraapphhss ooff yyoouurrsseellff aanndd aannyy ffaammiillyy mmeemmbbeerrss iinncclluuddeedd iinn tthhee aapppplliiccaattiioonn aass ssppeecciiffiieedd iinn tthhee ffoorrmm

pprroovviiddee aallll ddooccuummeennttss ssppeecciiffiieedd iinn tthhee ffoorrmm

ccoommpplleettee aallll sseeccttiioonnss ooff tthhee ffoorrmm aass rreeqquuiirreedd

ssiiggnn aanndd ddaattee tthhee ddeeccllaarraattiioonn iinn tthhee ffoorrmm..

66 CCOOMMPPLLEETTIINNGG TTHHEE FFOORRMM

Please note the following guidance and information when youcomplete the form.

UUssee aa bbllaacckk ppeenn to complete the form - and capital letters fornames, addresses and similar details.

CCoommpplleettee aallll sseeccttiioonnss as required, including the Personal His-tory section.

SSeeccttiioonn 11 This is where you give your own details. Leave aspace between each name or part of the address(es) requiredin this section (do the same where names and addresses arerequired in other sections).

SSeeccttiioonnss 11 aanndd 22 It’s essential that you provide the photo-graphs of yourself and your family members included in theapplication. Please use one staple or one paper clip in eachperson’s case to attach the photographs within the spacesprovided. Do not use glue or any other sticky adhesive. Seepart 7 below for more guidance on photographs.

If there is any difference between the personal details givenin these sections and those contained in your and/or yourfamily member(s) passports or identity card(s), we will al-ways use those given in the passport(s) or identity card(s).

AAllll sseeccttiioonnss If you are at present unable to provide any ofthe information or details requested in any of the relevantsections, please explain the reasons in a letter and encloseit with the application form. If you need help with any of thequestions, you can seek advice by telephoning 00884455 00110055220000.

SSeeccttiioonn 55 This section lists the documents and photographswhich you have to provide. If you can’t provide any of thedocuments specified in the application form, please explainwhy in a letter with the form and say when you will be ableto provide them. See part 8 below for more guidance on doc-uments.

Ensure that your passport or identity card and those of anyfamily members included in the application are signed asrequired.

SSeeccttiioonn 66 You must sign and date the declaration. If youdon’t, it will delay your application.

77 PPHHOOTTOOGGRRAAPPHHSS

You must provide the following photographs:

TTwwoo iiddeennttiiccaall ccoolloouurr ppaassssppoorrtt--ssiizzee pphhoottooggrraapphhss ooff yyoouurrsseellff wwiitthh yyoouurr nnaammee wwrriitttteenn oonn tthhee bbaacckk ooff eeaacchh oonnee..

TTwwoo iiddeennttiiccaall ccoolloouurr ppaassssppoorrtt--ssiizzee pphhoottooggrraapphhss ooff aannyy ffaamm--iillyy mmeemmbbeerrss iinncclluuddeedd iinn tthhee aapppplliiccaattiioonn wwiitthh tthheeiirr nnaammeess wwrriitttteenn oonn tthhee bbaacckk ooff eeaacchh oonnee..


FFOORRMM EEEEAA33:: GGUUIIDDAANNCCEE NNOOTTEESS The photographs should be in colour, recent (within the lastmonth), and approximately 45 millimetres high and 35 mil-limetres wide, the size of a passport photo.

Each photograph must show the individual’s full face clearlyagainst a light background. Sunglasses are not acceptable.Nor is any head covering unless this has to be worn for reli-gious or cultural reasons. But if the covering conceals theface, this will not be acceptable.

Use one staple or paper clip in each person’s case to attachthe photographs to the spaces provided. When stapling, doso at the edge of the photograph so as not to damage theimage of the face. DDoo nnoott uussee gglluuee oorr aannyy ootthheerr ssttiicckkyy aaddhhee--ssiivvee..

If the application(s) is/are successful, the photograph(s) pro-vided will be reproduced in the document(s) certifying per-manent residence for you and your family members.

88 DDOOCCUUMMEENNTTSS

TThhee ddooccuummeennttss pprroovviiddeedd wwiitthh tthhee aapppplliiccaattiioonn mmuusstt bbee oorriiggii--nnaallss..

Copies of any kind are not acceptable unless there are validreasons for not being able to provide the original document.In such circumstances, we may accept a copy certified by thebody or authority which issued the original (for example, acopy of a savings book certified by the building society orbank), or by a notary.

The reasons for not being able to provide the original docu-ment must be explained in a covering letter. As a rule, we areunlikely to be able to grant your application without the orig-inal document.

Any documents which are not in English must be accompa-nied by a reliable English translation.

99 AAPPPPLLYYIINNGG BBYY PPOOSSTT -- TTHHEE AADDDDRREESSSS

The address to which you must post an application on formEEA3 is:

UUKK BBoorrddeerr AAggeennccyyEEuurrooppeeaann AApppplliiccaattiioonnss EEEEAA33PPOO BBooxx 330066DDeeoott 4455LLiivveerrppoooollLL22 00QQNN

Posting it to any other address will delay it.

Please also use this address for any other correspondenceabout your application. Applications on this form have to bemade by post. TThheeyy ccaannnnoott bbee mmaaddee iinn ppeerrssoonn aatt aannyy ooff oouurrppuubblliicc eennqquuiirryy ooffffiicceess aass wwee ddoo nnoott ooffffeerr tthhiiss sseerrvviiccee ffoorr aapp--pplliiccaattiioonnss mmaaddee oonn ffoorrmm EEEEAA33..

If you use Recorded or Special Delivery, this will help us torecord the receipt of your application. Please make sure thatyou keep the Recorded or Special Delivery number.

We will return your passport(s) and other documents byRecorded Delivery. If you would like them to be returned bySpecial Delivery, you must provide a prepaid Special Deliv-ery envelope which is large enough.

1100 DDEECCIISSIIOONN TTIIMMEESSWe aim to decide applications as soon as possible.For infor-mation on the current processing times for permanent resi-dence applications on form EEA3, see the “EEA/EU nationals”page on our website.

1111 CCOONNTTAACCTTIINNGG UUSS AAFFTTEERR YYOOUU HHAAVVEE AAPPPPLLIIEEDD

If you need to contact us after you have applied, please doso as instructed below.

TToo sseenndd uuss mmoorree iinnffoorrmmaattiioonn aabboouutt yyoouurr aapppplliiccaattiioonn, write tothe address in part 9 and give the following details in yourletter:

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

any Recorded or Special Delivery number

the date on which the application was posted

the Home Office reference number if you have one.

IIff yyoouu nneeeedd yyoouurr ppaassssppoorrtt bbeeccaauussee yyoouu hhaavvee ttoo ttrraavveell uurr--ggeennttllyy aanndd uunneexxppeecctteeddllyy, call 00884455 001100 55220000 and providethe personal and other details listed immediately above.

1122 OOBBTTAAIINNIINNGG AANNOOTTHHEERR FFOORRMM

You can obtain application forms via the UKBA website atwwwwww..uukkbbaa..hhoommeeooffffiiccee..ggoovv..uukk

1133 OOTTHHEERR TTEELLEEPPHHOONNEE EENNQQUUIIRRIIEESS

For enquires other than obtaining an application form call00884455 001100 55220000..

1144 YYOOUURR RRIIGGHHTT TTOO RREESSIIDDEE IINN TTHHEE UUKK

EEA nationals have a right to reside in the UK if they are ex-ercising a Treaty right in one of the following categories:

• WWoorrkkeerr:: a person who is pursuing an effective and gen-uine activity for remuneration as an employed person;

•SSeellff--eemmppllooyyeedd •SSttuuddeenntt•EEccoonnoommiiccaallllyy sseellff--ssuuffffiicciieenntt•RReettiirreedd:: a person who has been economically active; or•IInnccaappaacciittaatteedd:: a person who is permanently incapacitated and unable to pursue employment, having been economi-cally active.

The following nationals may exercise Treaty Rights in theUnited Kingdom:


FFOORRMM EEEEAA33:: GGUUIIDDAANNCCEE NNOOTTEESS Austria BelgiumBulgaria** Cyprus*Czech Republic DenmarkEstonia FinlandFrance GermanyGreece HungaryIceland Irish RepublicItaly Latvia Liechtenstein LithuaniaLuxembourg MaltaNetherlands NorwayPoland PortugalRomania** SlovakiaSlovenia SpainSweden Switzerland (but see part 1 of these notes)

*A document issued by the Turkish Republic of NorthernCyprus does not establish that the person is an EEA na-tional. Only a document issued by the Republic of Cyprusstating that the holder is a national of the Republic ofCyprus establishes that the person is an EEA national andaccordingly entitled to free movement within the EU.

**The nationals of Bulgaria and Romania joined the Euro-pean Union on 1 January 2007. Guidance and applicationforms for Bulgarian and Romanian nationals are to be foundon our website at wwwwww..wwoorrkkiinnggiinntthheeuukk..ggoovv..uukk

1155 OOTTHHEERR EEEEAA FFOORRMMSS

The other EEA forms are as follows:

EEEEAA11 for registration certificate applications by EEA nationaland their EEA national or Swiss national family membersand by Swiss national and their Swiss or EEA national familymembers

EEEEAA 22 for residence card applications by non-EEA national ornon-Swiss national family members of an EEA national orSwiss national

EEEEAA 44 for permanent residence applications by non-EEA na-tional or non-Swiss national family members of an EEA na-tional or Swiss national

FFMMRRSS for residence stamp applications by non-EEA nationalfamily members of persons required to register under theWorker Registration Scheme.

1166 CCHHOOOOSSIINNGG AANN IIMMMMIIGGRRAATTIIOONN AADDVVIISSEERR

If you engage an immigration adviser, you should take carewhen choosing one. The Office of the Immigration ServicesCommissioner (OISC) regulates immigration advisers. Theirwebsite at wwwwww..ooiisscc..ggoovv..uukk contains a list of authorised ad-visers. It also has links to websites for solicitors, barristers

and legal executives. If you have a complaint about an immi-gration adviser or need other information, the OISC contactdetails are:

OOffffiiccee ooff tthhee IImmmmiiggrraattiioonn SSeerrvviicceess CCoommmmiissssiioonneerr55tthh FFlloooorr CCoouunnttiinngg HHoouussee5533 TToooolleeyy SSttrreeeettLLoonnddoonn SSEE11 22QQNN

Telephone: 00884455 000000 00004466

Alternatively the Solicitors Regulation Authority, which regu-lates solicitors in England and Wales, can help you find a so-licitor if you contact them on 00887700 660066 22555555 or visit theirwebsite at wwwwww..ssrraa..oorrgg..uukk

The address and telephone number for any complaints abouta solicitor are:

LLeeggaall CCoommppllaaiinnttss SSeerrvviicceeVViiccttoorriiaa CCoouurrtt88 DDoorrmmeerr PPllaacceeLLeeaammiinnggttoonn SSppaaWWaarrwwiicckksshhiirreeCCVV3322 55AAEE

Telephone: 00884455 660088 66556655

1177 CCOOMMPPLLAAIINNTTSS AABBOOUUTT OOUURR SSEERRVVIICCEE

If you wish to make a complaint about our service, pleaserefer to the complaints page on our website for detailed infor-mation about how to do so.

If you are unable to access the website or if you need furtheradvice after reading the information on the complaints page,please telephone our contact centre on 00884455 001100 55220000.

1188 DDAATTAA PPRROOTTEECCTTIIOONN NNOOTTIICCEE

We will treat all information provided by you in confidencebut may disclose it to other government departments, agen-cies, local authorities, the police, foreign governments andother bodies for immigration purposes or to enable them toperform their functions.

We may also use the information provided by you for train-ing purposes.


Your full name as in your passport or identity card (ID card)

Surname or family name

Passport or identity card number Home Office reference if you have one

11..33

11..44

11..66

Any other name(s) by which you are or have been known

11..77

National insurance number if you have one

11..88

11..99

11..1111

Nationality

Your UK address - please inform us immediately if this changes

Your daytime telephone number

11..1155

Your e-mail address if you have one

Your mobile telephone number if you have one

Post code

SSEECCTT II OONN 11 -- AAPPPPLL II CCAANNTT ’’ SS DDEETTAA II LLSS

11..1144

If you have completed 11..1144 and the address is that of your immigration adviser, please state their Office of the ImmigrationServices Commissioner (OISC) number

11..1122

11..55

11..1133

Your title - please tick

Your date of birth

If ootthheerr, what is your title?

OtherMsMissMrs11..11

11..22Day Month Year

Mr

Your gender - please tick Male Female

Post code

11..1100 Date you lastentered the UK

Day Month Year

EEEEAA33PPEERRMMAANNEENNTTRREESSIIDDEENNCCEE


SSttaappllee hheerree

Attach two identicalphotographs of you

(the applicant)here with staple or

paper clip

DDoo nnoott uussee gglluuee oorrootthheerr ssttiicckkyy aaddhheessiivvee

Name and address in the UK for all correspondence about your application if different from 11..1111

SSEECCTT IIOONN 22 -- EEEEAA OORR SSWWIISSSS NNAATT II OONNAALL FFAAMMII LLYY MMEEMMBBEERRSS II NNCCLLUUDDEEDD II NNYYOOUURR AAPPPPLL II CCAATT IIOONNPPlleeaassee ggiivvee ddeettaaiillss bbeellooww ooff aannyy EEEEAA oorr SSwwiissss nnaattiioonnaall ffaammiillyy mmeemmbbeerrss iinncclluuddeedd iinn tthhee aapppplliiccaattiioonn.. IIff mmoorree tthhaann 33 aarree aappppllyyiinngg,, pplleeaasseeggiivvee tthheeiirr ddeettaaiillss,, wwiitthh pphhoottooggrraapphhss,, oonn aa ccooppyy ooff tthhiiss ppaaggee aanndd eenncclloossee iitt wwiitthh tthhiiss ffoorrmm.. NNoonn--EEEEAA oorr nnoonn--SSwwiissss nnaattiioonnaall ffaammiillyy mmeemmbbeerrsswwiisshhiinngg ttoo aappppllyy ffoorr aa rreessiiddeennccee ccaarrdd sshhoouulldd ccoommpplleettee ffoorrmm EEEEAA22..

IIff tthhee ffaammiillyy mmeemmbbeerr iiss yyoouurr cchhiilldd,, pplleeaassee pprroovviiddee ddooccuummeennttaarryy eevviiddeennccee ooff tthhee rreellaattiioonnsshhiipp ((iiee ffuullll bbiirrtthh cceerrttiiffiiccaattee)),, iiff yyoouurr ddeettaaiillss aarreennoott sshhoowwnn iinn tthhee cchhiilldd’’ss ppaassssppoorrtt oorr IIDD ccaarrdd..

IIff tthhee ffaammiillyy mmeemmbbeerr iiss aa rreellaattiivvee ootthheerr tthhaann aa cchhiilldd ((eegg ppaarreenntt,, bbrrootthheerr,, ssiisstteerr,, ccoouussiinn)),, pplleeaassee pprroovviiddee aapppprroopprriiaattee ddooccuummeennttaarryy eevviiddeenncceettoo ccoonnffiirrmm tthhee rreellaattiioonnsshhiipp ((iiee ffuullll bbiirrtthh,, mmaarrrriiaaggee oorr cciivviill ppaarrttnneerrsshhiipp cceerrttiiffiiccaatteess))..

Family member’s full name

Nationality

Date of birth Gender -please tick

Day Male Female Year Month

Home Office reference if they have one


Nationality




Nationality



Relationship to you


Relationship to you


Relationship to you



Attach two identicalphotographs of your

family memberhere with staple or

paper clip





paper clip





paper clip


SSEECCTT IIOONN 33 -- DDEETTAA II LLSS OOFF TTHHEE EEXXEERRCC II SSEE OOFF TTRREEAATT YY RR II GGHHTTSS FFOORR 55 YYEEAARRSSTToo qquuaalliiffyy ffoorr ppeerrmmaanneenntt rreessiiddeennccee yyoouu nneeeedd ttoo hhaavvee ccoonnttiinnuuoouussllyy eexxeerrcciisseedd aa TTrreeaattyy rriigghhtt iinn tthhee UUKK ffoorr 55 yyeeaarrss tthhrroouugghh eemm--ppllooyymmeenntt,, sseellff-- eemmppllooyymmeenntt,, ssttuuddyy,, eeccoonnoommiicc sseellff--ssuuffffiicciieennccyy,, rreettiirreemmeenntt oorr ppeerrmmaanneenntt iinnccaappaacciittyy.. IIff yyoouu hhaavvee bbeeeenn ssuupp--ppoorrtteedd bbyy tthhee eemmppllooyymmeenntt oorr ffuunnddss ooff aa ffaammiillyy mmeemmbbeerr,, yyoouu mmaayy ssttiillll qquuaalliiffyy.. TThhee ddeettaaiillss ggiivveenn iinn tthhiiss sseeccttiioonn wwiillll hhaavvee ttoobbee ssuuppppoorrtteedd bbyy tthhee ddooccuummeennttaarryy eevviiddeennccee ssppeecciiffiieedd iinn sseeccttiioonn 55..

Please tick one or more of the boxes below to show the way(s) in which you have exercised Treaty rights for the past 5 yearsand give the relevant dates.

If you exercised Treaty rights in employment, self-employment or study, please give details below, starting with the most re-cent if more than one employer and/or place of study. Continue on a separate sheet if you need more space and enclose itwith this form.

From Until

Name and address of employer or place of study From Until

Type of business if

self-employedJob title if employed

If you did not exercise Treaty rights for some or all of this period but were supported by the employment or funds of a familymember, please give details below. Continue on a separate sheet if you need more space and enclose it with this form.

EEmmppllooyymmeenntt

SSeellff eemmppllooyymmeenntt

SSttuuddyy

RReettiirreedd

PPeerrmmaanneenntt iinnccaappaacciittyy

EEccoonnoommiicc sseellff--ssuuffffiicciieennccyy

33 .. 11

33 .. 22

33 .. 33


44 .. 11 Do you or any family members included in this application have any criminal convictions in theUK or any other country (including traffic offences) or any civil judgments made against you?

YYeess NNoo

SSEECCTT IIOONN 44 -- PPEERRSSOONNAALL HH II SSTTOORRYY

YYoouu mmuusstt aannsswweerr aallll tthhee qquueessttiioonnss iinn tthhiiss sseeccttiioonn oonn bbeehhaallff ooff yyoouurrsseellff aanndd aannyy ffaammiillyy mmeemmbbeerrss iinncclluuddeedd iinn tthhiiss aapppplliiccaattiioonn..IItt iiss aann ooffffeennccee uunnddeerr SSeeccttiioonn 2266((11))((cc)) ooff tthhee IImmmmiiggrraattiioonn AAcctt 11997711 ttoo mmaakkee aa ssttaatteemmeenntt oorr rreepprreesseennttaattiioonn wwhhiicchh yyoouu kknnoowwttoo bbee ffaallssee oorr ddoo nnoott bbeelliieevvee ttoo bbee ttrruuee.. IInnffoorrmmaattiioonn ggiivveenn wwiillll bbee cchheecckkeedd wwiitthh ootthheerr aaggeenncciieess..

If you have answered yyeess to question 44..11 above please give details below for each criminal conviction and/or civil judgment, startingwith the most recent one - but first see NNoottee 11 about criminal convictions. If you or any family members included in this applicationhave received more than two convictions and/or civil judgments, give details on a copy of this page and enclose it with this form.

Date of sentence/judgment

Details of the sentence or civil judgment (give details on a separate sheet and enclose it with this form if youneed more space)

Country where the sentence was passed or the civil judgment was made

44 .. 22 Have you or any family members included in this application ever been charged in any countrywith a criminal offence for which you have not yet been tried in court?

YYeess NNoo44 .. 33 In times of either peace or war have you or any family members included in this applicationever been involved, or suspected of involvement, in war crimes, crimes against humanity orgenocide?

Nature of the criminal offence or the civil action (give details on a separate sheet and enclose it with this form if you need more space)

44 .. 44

Have you or any family members included in this application ever been a member of, or givensupport to, an organisation which has been concerned in terrorism?

Have you or any family members included in this application ever, by any means or medium, ex-pressed views that justify or glorify terrorist violence or that may encourage others to terroristacts or other serious criminal acts?

NNaammee ooff ppeerrssoonn ccoonnvviicctteedd oorr aaggaaiinnsstt wwhhoomm aa cciivviill jjuuddggmmeenntt wwaass mmaaddee

NNoottee 11 CCoonnvviiccttiioonnss ssppeenntt uunnddeerr tthhee RReehhaabbiilliittaattiioonn ooff OOffffeennddeerrss AAcctt 11997744 nneeeedd nnoott bbee ddiisscclloosseedd.. MMoorree iinnffoorrmmaattiioonn aabboouutt tthhee AAcctt iissggiivveenn ttoowwaarrddss tthhee eenndd ooff tthhiiss sseeccttiioonn..

44 .. 55 YYeess

YYeess

YYeess NNoo

NNoo

NNoo

Have you or any family members included in this application ever been involved in, supportedor encouraged terrorist activities in any country?

YYeess NNoo

44 .. 66

FFoorr hheellpp iinn aannsswweerriinngg tthhee qquueessttiioonnss bbeellooww,, pplleeaassee sseeee tthhee ddeeffiinniittiioonnss oonn tthhee nneexxtt ppaaggee..

Date of sentence/judgment

Country where the sentence was passed or the civil judgment was made

NNaammee ooff ppeerrssoonn ccoonnvviicctteedd oorr aaggaaiinnsstt wwhhoomm aa cciivviill jjuuddggmmeenntt wwaass mmaaddee

Nature of the criminal offence or civil action (give details on a separate sheet and enclose it with this form if you need more space)

Details of the sentence or civil judgment (give details on a separate sheet and enclose it with this form ifyou need more space)


44 .. 77 Have you or any family members included in this application ever engaged in any other activitieswhich might indicate that you may not be considered to be persons of good character?

If you have answered yyeess to question 44..22,, 44..33,, 44..44,, 44..55,, 44..66 or 44..77 above please give further details in the space provided below. If youneed more space, continue on a separate sheet.

YYeess NNoo

DDEEFFIINNIITTIIOONNSS

For the purposes of answering questions 44..33 to 44..77,, the following information provides guidance on actions which may constitute warcrimes, crimes against humanity, genocide, or terrorist activities.

This guidance is not exhaustive. The full definitions of war crimes, crimes against humanity and genocide can be found in Schedule8 of the International Criminal Court Act 2001 at wwwwww..ooppssii..ggoovv..uukk//aaccttss//aaccttss22000011//2200001100001177..hhttmm or purchased from The StationeryOffice (telephone 00887700 660000 55552222). It is your responsibility to satisfy yourself that you are familiar with the definitions and can answerthe questions accurately on behalf of yourself and any family members included in the application.

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

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

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

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

OOrrggaanniissaattiioonnss ccoonncceerrnneedd iinn tteerrrroorriissmmAn organisation is concerned in terrorism if it commits or participates in acts of terrorism; prepares for terrorism; promotes or encour-ages terrorism (including the unlawful glorification of terrorism); or is otherwise concerned in terrorism.

RREEHHAABBIILLIITTAATTIIOONN OOFF OOFFFFEENNDDEERRSS AACCTT 11997744

The Rehabilitation of Offenders Act 1974 enables criminal convictions to become 'spent' or ignored after a 'rehabilitation period'. Thelength of the rehabilitation period depends on the sentence given. For a custodial (prison) sentence the rehabilitation period is decidedby the original sentence, not the time served. Prison sentences of more than two and a half years can never become spent and shouldalways be disclosed. Further information on rehabilitation periods can be found at Nacro's Resettlement Plus Helpline on 002200 7788440066446644 or by obtaining a free copy of their leaflet on 002200 77884400 66442277.

SS EECCTT IIOONN 44 -- PPEERRSSOONNAALL HH II SS TTOORRYY


SSEECCTT IIOONN 55 -- DDOOCCUUMMEENNTTSS AANNDD PPHHOOTTOOGGRRAAPPHHSS

YYoouurr ccuurrrreenntt ppaassssppoorrtt oorr IIDD ccaarrdd.. If you do not have a passport or ID card, you must provide another form of identity.

FFoorr ttiimmee ssppeenntt aass aa ssttuuddeenntt,, letter(s) from school(s)/college(s)/university(ies) confirming details of course(s), and evidenceof funds eg bank statements or similar documentary evidence.

FFoorr ttiimmee ssppeenntt aass aann eeccoonnoommiiccaallllyy sseellff--ssuuffffiicciieenntt ppeerrssoonn, a bank statement or similar document showing funds avail-able to you or to a family member, or a document confirming a family member’s employment, and evidence of comprehensivesickness insurance for you and your family members.

FFoorr ttiimmee ssppeenntt aass aa rreettiirreedd ppeerrssoonn, evidence of the receipt of a pension.

FFoorr ttiimmee ssppeenntt ppeerrmmaanneennttllyy iinnccaappaacciittaatteedd, doctor’s letter or medical report confirming permanent incapacity, havingpreviously been in employment or self-employment.

AAss eevviiddeennccee ooff tthhee eexxeerrcciissee ooff TTrreeaattyy rriigghhttss iinn tthhee UUnniitteedd KKiinnggddoomm,, bbootthh ccuurrrreennttllyy aanndd ccoonnttiinnuuoouussllyy oovveerr tthhee ppaasstt55 yyeeaarrss,, pplleeaassee pprroovviiddee tthhee ffoolllloowwiinngg ddooccuummeennttss::

FFoorr ttiimmee ssppeenntt iinn eemmppllooyymmeenntt, letter(s) from your employer(s) confirming your employment, P60s and most recent wageslips.

FFoorr ttiimmee ssppeenntt iinn sseellff--eemmppllooyymmeenntt, an accountant’s letter, Inland Revenue self - assessment forms, invoices/receipts, pay-ment of tax and national insurance contributions, lease on business premises or Construction Industry Scheme (CIS) card.

TTwwoo rreecceenntt,, ccoolloouurr ppaassssppoorrtt--ssiizzee pphhoottooggrraapphhss ooff yyoouurrsseellff with your name written on the back of each photograph.Please see the guidance notes for information on what types of photograph are acceptable.

TTwwoo rreecceenntt,, ccoolloouurr ppaassssppoorrtt--ssiizzee pphhoottooggrraapphhss ooff eeaacchh ffaammiillyy mmeemmbbeerr included in section 2 for whom permanentresidence is required with their name written on the back of the photographs attached.

CCuurrrreenntt ppaassssppoorrtt((ss)) oorr IIDD ccaarrdd((ss)) ffoorr eeaacchh ffaammiillyy mmeemmbbeerr included in section 2 for whom permanent residence is re-quired. If they do not have a passport or ID card, you must provide another form of identity for them.


FFoorr yyoouurr aapppplliiccaattiioonn ttoo bbee ccoommpplleettee,, yyoouu mmuusstt pprroovviiddee tthhee ddooccuummeennttss aanndd pphhoottooggrraapphhss lliisstteedd iinn tthhiiss sseeccttiioonn wwhhiicchhaarree rreelleevvaanntt ttoo yyoouurr aapppplliiccaattiioonn..

AAnnyy ddooccuummeennttss wwhhiicchh aarree nnoott iinn EEnngglliisshh mmuusstt bbee aaccccoommppaanniieedd bbyy aa rreelliiaabbllee EEnngglliisshh ttrraannssllaattiioonn..

TTiicckk tthhee bbooxxeess nneexxtt ttoo tthhee rreelleevvaanntt iitteemmss ttoo sshhooww tthhee ddooccuummeennttss aanndd pphhoottooggrraapphhss yyoouu aarree pprroovviiddiinngg.. AAttttaacchh aallllpphhoottooggrraapphhss ttoo tthhee ssppaacceess iinn sseeccttiioonnss 11 aanndd 22 aass iinnssttrruucctteedd tthheerree..

SSEECCTT IIOONN 66 -- DDEECCLLAARRAATT II OONN

I hereby apply for permanent residence for myself and any EEA or Swiss national family members listed inthis form. The information I have given in this form is complete and is true to the best of my knowledge. I alsodeclare that the photographs submitted with this form are a true likeness of myself and any family membersincluded in the application form, as named on the back of each photograph.

I confirm that if, before this application is decided, there is a material change in my circumstances or newinformation relevant to this application becomes available, I will inform the Home Office.

I understand that all information provided by me to the Home Office will be treated in confidence but that itmay be disclosed to other government departments, agencies, local authorities, the police, foreign govern-ments and other bodies for immigration purposes or to enable them to perform their functions; and that, ifsuch bodies provide the Home Office with any information about me which may be relevant for immigrationpurposes, it may be used in reaching a decision on my application.

I understand that documents provided in support of this application will be checked for authencity; and thatfalse documents will be retained and may result in my application being refused and in my prosecution andsubsequent removal from the United Kingdom.

I understand that the Home Office may also use the information provided by me for training purposes.

II aamm aawwaarree tthhaatt iitt iiss aann ooffffeennccee ttoo mmaakkee aa ssttaatteemmeenntt oorr rreepprreesseennttaattiioonn wwhhiicchh II kknnooww ttoo bbee ffaallssee oorr ddoo nnoott bbee--lliieevvee ttoo bbee ttrruuee,, oorr ttoo oobbttaaiinn oorr sseeeekk ttoo oobbttaaiinn ppeerrmmaanneenntt rreessiiddeennccee bbyy mmeeaannss wwhhiicchh iinncclluuddee ddeecceeppttiioonn..

Date

Signed

YYoouu mmuusstt nnooww rreeaadd tthhee ddeeccllaarraattiioonn bbeellooww aanndd ssiiggnn iitt.. IItt mmuusstt bbee ssiiggnneedd bbyy yyoouu ((tthhee aapppplliiccaanntt)) aanndd nnoott bbyy aa rreepp--rreesseennttaattiivvee oorr ootthheerr ppeerrssoonn aaccttiinngg oonn yyoouurr bbeehhaallff.. IIff yyoouu aarree uunnddeerr 1188,, yyoouurr ppaarreenntt oorr gguuaarrddiiaann mmaayy ssiiggnn..


AAPPPPLL II CCAANNTT ’’ SS CCHHEECCKKLL II SSTT

Is EEA3 the right form for you and is it valid for use? Seedate on front page.

Have you completed all relevant sections of the form asspecified?

TToo eennssuurree tthhaatt yyoouurr aapppplliiccaattiioonn iiss ccoommpplleettee,, pplleeaassee mmaakkee tthhee ffoolllloowwiinngg cchheecckkss bbeeffoorree ppoossttiinngg iitt.. TTiicckk eeaacchh bbooxxtthhaatt iiss rreelleevvaanntt ttoo yyoouurr aapppplliiccaattiioonn..

Have you sent the documents specified in section 5 as listed below?

Current passport(s) or ID card(s)including those for family mem-ber(s)

Photographs

If you are unable to send us any of the documents speci-fied in section 5 which are relevant to your application,have you given an explanation and said when you will beable to send them?

Have you, or your parent/guardian if you are under 18,signed and dated the declaration in section 6?

Finally, please make sure that the application is addressed exactly as shown below.

All other relevant documents specified in section 5

UUKK BBoorrddeerr AAggeennccyyEEuurrooppeeaann AApppplliiccaattiioonnss EEEEAA33PPOO BBooxx 330066DDeepptt 4455 LLiivveerrppoooollLL22 00QQNN


PPHHOOTTOOGGRRAAPPHHSS AANNDD DDOOCCUUMMEENNTTSS CCHHEECCKKLL II SS TT

PPlleeaassee ccoommpplleettee tthhiiss ppaarrtt ooff tthhee ffoorrmm ttoo hheellpp uuss cchheecckk tthhaatt wwee hhaavvee rreecceeiivveedd yyoouurr pphhoottooggrraapphhss aanndd ddooccuummeennttss,, aanndd ttookkeeeepp aa rreeccoorrdd ooff tthheemm wwhhiillee tthheeyy aarree wwiitthh uuss.. AAtt ““AA””,, tteellll uuss hhooww mmaannyy ooff eeaacchh ooff tthhee lliisstteedd iitteemmss yyoouu aarree pprroovviiddiinngg wwiitthhyyoouurr aapppplliiccaattiioonn.. AAtt ““BB””,, lliisstt aannyy ootthheerr ddooccuummeennttss pprroovviiddeedd bbyy yyoouu aanndd ssttaattee hhooww mmaannyy iinn eeaacchh ccaassee.. CCoonnttiinnuuee oonn aa sseepp--aarraattee sshheeeett iiff nneecceessssaarryy aanndd eenncclloossee iitt wwiitthh tthhiiss ffoorrmm.. AAllll ddooccuummeennttss mmuusstt bbee oorriiggiinnaallss..

Photographs of yourself

Photographs of any family members

Passports and/ID cards

Employment letter/ P60s/ wage slips

Accountant’s letter/Inland Revenueforms/ invoices

CIS card/ lease

School/ college/ university letter

Evidence of funds

Comprehensive sickness insurance docu-ment

Pension document

Doctor’s letter/ medical report

AA.. LLiisstteedd iitteemmss BB.. OOtthheerr ddooccuummeennttssHHooww mmaannyy??

HHooww mmaannyy?

Documents

APPLICATION FOR PERMANENT EEA3 · PERMANENT RESIDENCE IN THE UK. THIS IS A VOLUNTARY PROCESS FOR WHICH YOU SHOULD USE FORM EEA3 IF YOU WISH TO APPLY 1 FOR WHICH APPLICATIONS SHOULD