EEA 3 Permanent Residence 06 14
10318 words 42 pagesApplication for a Document
Certifying Permanent Residence
To be used by European Economic Area (EEA) or Swiss nationals residing in the UK and their EEA or Swiss national family members.
It is not mandatory to complete this application form. However it will assist in dealing with your application more efficiently if this form is used.
Please read the guidance notes at the front of this form before making your application.
Please note there is a fee of £55 for each person applying for a document certifying permanent residence. You must pay this fee even if you choose not to use this application form. If you do not pay the fee, your application will be rejected. For …show more content…
A. Application Details
Applicants should refer to the Payment Guidance Notes which accompany this application form. A1. Tick the applicable boxes and fee. If no fee is ticked we cannot take a payment and your application will be rejected as invalid:
Single applicant - no family members
Main applicant and two family members £165
Main applicant and one family member
Main applicant and three family members £220
If more than 3 family members are applying with you, please state the number in the space below and enter the correct amount specified in the payment guidance in the box.
Main applicant and ............... family members
A2. Contact Address in the UK for correspondence
A3. Contact Name in the UK if different from that of the applicant
A4. Applicant’s Full Name
A5. Applicant’s date of birth (dd/mm/yyyy)
A6. Please select the method of payment from the list below:
United Kingdom postal order (payable to
Cheque/bankers draft (payable to
‘Home Office’) - go to question A7
Visa/Mastercard/Amex - go to question A10
Delta / Maestro - go to question A10
A7. Account number
A8. Sort code
A9. Cheque number
A10. Please debit the following account: Name on card
A11. Card number (the long number across the centre of the card)
A12. Valid from
A13. Expiry date