Registration as a British Citizen and Passport Application - Applicants Born to a British Mother outside the United Kingdom Before Jan.

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1 Immigroup Ic Daforth Ave, Suite 202, Toroto, M4C1L3 Phoe: Fax: Registratio as a British Citize ad Passport Applicatio - Applicats Bor to a British Mother outside the Uited Kigdom Before Ja. 1, 1983 IMMIgroup ORDER FORM INSTRUCTIONS Read all istructios ad follow carefully DOCUMENT CHECKLIST Iclude the followig documets with your applicatio: 1. Please complete the order form ad applicatio forms icluded herei. Make sure to iclude your telephoe umber ad address where you ca be cotacted. 2. Fax or sca ad all forms ad documets i the documet checklist to our office for review at or ifo@immigroup.com 3. You will be cotacted withi 1-2 busiess days regardig your applicatio. If you have ot bee cotacted after 2 busiess days, please cotact our office at to cofirm we have received your order. 4. After we have reviewed your forms ad documets, we will advise you to sed the origial forms ad copies of documets to our office at 2558 DANFORTH AVE, Suite 202, TORONTO, ON M4J 1M3 5. Your origial documets will be retured to you directly from the UK Border Agecy i Great Britai. Upo approval, you will be ivited to appear at the British Embassy or Cosulate closest to your residece to take the oath of citizeship. You will receive a Certificate of Registratio as a British Citize at this time. Whe you have completed the oath process, our office will begi the passport applicatio procedure. Icludig: $1800 service fees $234 HST (harmoized sales tax) *$ for registratio as a British citize *$350 passport & courier fees *These amouts may fluctuate with the exchage rate CREDIT CARD INFORMATION We accept Visa, Mastercard, America Express, bak drafts, ad bak trasfers I agree to pay these charges Cardholder Sigature: CONTACT INFORMATION FEES AND PROCESSING TIMES IMMIGROUP ORDER FORM (THIS PAGE) (Duly completed ad siged) REGISTRATION AS A BRITISH CITIZEN APPLICATION FORM UKM (Duly completed ad siged) APPLICANT'S ORIGINAL LONG FORM BIRTH CERTIFICATE APPLICANT'S ORIGINAL VALID PASSPORT MOTHER'S ORIGINAL LONG FORM UK BIRTH CERTIFICATE MOTHER'S ORIGINAL VALID OR EXPIRED PASSPORT 1 UK PASSPORT PHOTOS (35 x 45) IF YOU ARE UNABLE TO PROVIDE ANY OF THESE ITEMS, FAX WHAT YOU HAVE AND OUR OFFICE WILL ADVISE YOU HOW TO PROCEED DISCLAIMER Applicat must sig below *By sigig below I assert that I have read ad agreed to the terms ad coditios as listed o ad agree to the followig coditios: *Immigroup Ic. is ot resposible for documets or passports lost by courier compaies or ay govermet office *If you require a phoe cosultatio, you will be charged a additioal $75 *Immigroup Ic. is ot resposible for applicatios that are rejected govermet *All fees are o-refudable oce applicatios are submitted to the *I agree to beig charged the total fees correspodig with my required service * A cacellatio fee of a miimum of $42.50 applies to ay caceled orders SIGN HERE: Average processig time is 6-9 moths. PLEASE NOTE THAT IT IS NOT POSSIBLE TO EXPEDITE THIS APPLICATION IN ANY WAY. BRITISH AUTHORITIES DO NOT RECOGNIZE ANY CIRCUMSTANCE AS PROOF OF URGENCYAT THIS TIME. The Uited Kigdom recogizes dual citizeship. This meas that you are able to hold a Caadia ad U.K. passport at the same time. Cardholder Name: Card Number: *$ Total fee Address: Phoe Number: Expiry Date (mm/yy) CVV Code: Immigroup Ic Daforth Ave, Suite 202, Toroto, M4C1L3 Phoe: Fax: ifo@immigroup.com

2 Applicatio for registratio as a British citize By a perso bor before 1983 to a British mother IMPORTANT: Before completig this form, you should read the accompayig Guide. Fill i the parts of the form which apply to your applicatio (see Sectio 3 i the Guide) ad cross out all other parts. If there is ot eough space for your aswer, use a separate sheet of paper. Please write clearly i BLOCK CAPITALS usig black ik. NOTE: Some of the iformatio you provide o this form will be stored o a computer which is registered uder the Data Protectio Act. Sectio 1: Persoal Iformatio 1.1 Title Mr Mrs Miss Ms Other Title 1.2 Surame/ Family Name (N B. The ame you give here will be the ame show o your certificate so please esure it is spelt correctly ad you have writte it i the correct order). 1.3 Other ames 1.4 Name at birth if differet from above. (If the ames you have give are differet or spelt differetly from the ame show o your passport, please explai why o a separate sheet of paper). 1.5 If you are or have ever bee kow by ay ame or ames apart from those metioed above, please give details here 1.6 Your preset atioality 1.7 Natioal Isurace Number 1.8 Date of birth 1.9 Village or tow or city of birth 1.10 Coutry of birth 1.11 Sex (Please appropiate box) Male Female 1.12 Curret marital status (Please ( ) oe box oly) Married I a civil partership Divorced Widowed Civil partership dissolved Legally seperated Sigle/Never married 2

3 1.13 Preset address You must give us ay chage of address i writig while we are cosiderig this applicatio. Daytime/mobile telephoe umber Eveig telephoe umber address Postcode If someoe is represetig you, for example a aget, solicitor or you are makig the applicatio through a cosulate, please tell us their: 1.14 Name 1.15 Address 1.16 Telephoe Number Postcode 1.17 If you have completed 1.14 ad the address is that of your immigratio adviser, please state their Office of the Immigratio Services Commissioer (OISC) umber 1.18 If your applicatio is approved, you will eed to take part i a citizeship ceremoy. If you are i the Uited Kigdom, the veue will ormally be withi a local authority area ear where you live. If you wat to have your ceremoy i aother area you should give us the details of the local authority locatio below. Name Address 1.19 Your mother s full ame & maide ame 1.20 Your mother s tow ad coutry of birth Postcode 1.21 Your mother s atioality 1.22 Your mother s date of birth State how your mother acquired citizeship of the Uited Kigdom ad Coloies. If this was by registratio or aturalisatio, give the certificate umber Your father s ame 1.24 Your father s tow ad coutry of birth 1.25 Your father s atioality 1.26 Your father s date of birth 3

4 Details of your mother s parets if relevat (see page 4 of the guide) 1.27 Your gradfather s ame 1.28 Your gradfather s tow ad coutry of birth 1.29 Your gradfather s atioality 1.30 Your gradfather s date of birth State how your gradfather acquired British atioality. If this was by registratio or aturalisatio, give the certificate umber Your gradmother s full ame & maide ame 1.32 Your gradmother s tow ad coutry of birth 1.33 Your gradmother s atioality 1.34 Your gradmother s date of birth State how your gradmother acquired British atioality. If this was by registratio or aturalisatio, give the certificate umber If you were settled i the Uited Kigdom before 1 Jauary 1983 ad had bee ordiarily residet i the Uited Kigdom for at least 5 years, please give details Date residece started Date residece eded Date you became settled (i.e. date you were give idefiite leave to eter or remai i the Uited Kigdom) If you are a woma who married a ma with the right of abode i the Uited Kigdom before 1 Jauary 1983, please give details eve if you are o loger married to that ma Husbad s full ame 1.37 Husbad s date of birth 1.38 Husbad s place ad coutry of birth 1.39 Husbad s atioality at time of the marriage (if he was a citize of the Uited Kigdom ad Coloies, state how he acquired this status. If by aturalisatio or registratio, please give the certificate umber ad the date ad place of issue) 1.40 Date of marriage 4

5 Sectio 2: Good Character Requiremet I this sectio you eed to give iformatio which will help the Home Secretary to decide whether he ca be satisfied that you are of good character. Checks will be made with the police ad possibly other Govermet Departmets, the Security Service ad other agecies. 2.1 What is your occupatio? 2.2 Are you A employee? A busiess parter? Self-employed? A director? 2.3 Name of employer or busiess 2.4 Address of employer or busiess 2.5 Address of tax office or tax office referece Persoal History (crimial covictios, war crimes, etc.) This sectio asks about ay crimial covictios, ay civil judgemets or civil pealties made agaist you ad details of ay ivolvemet you may have had i war crimes, geocide, crimes agaist humaity or terrorism. If you fail to aswer all of these questios as fully ad accurately as possible, your applicatio may be refused. It is a offece uder Sectio 46(1) of the British Natioality Act 1981 to make a statemet or represetatio which is kow to be false or is ot believed to be true. Iformatio give will be checked with other agecies. 2.6 Have you bee covicted of ay crimial offece i the UK or ay other coutry? Yes - go to questio 2.7 No - go to questio Please give details below for each crimial covictio, startig with the most recet oe. If you have received more tha two covictios, please photocopy this page ad eclose it with this form. Note: We will carry out crimial record checks o all applicats. You must give details of all crimial covictios. This icludes road traffic offeces (icludig all drik-drivig offeces). Fixed Pealty Notices (such as speedig or parkig tickets) do ot form part of a perso s crimial record ad will ot be cosidered i the caseworker s assessmet of character uless: the perso has failed to pay ad there were crimial proceedigs as a result; or the perso has received umerous fixed pealty otices. Crimial covictio 1 Coutry where covicted Nature of offece Setece give 5

6 Date seteced If you were seteced to a period of imprisomet, what was the legth of the priso seteceimposed (i moths)? M M M Crimial covictio 2 Coutry where covicted Nature of offece Setece give Date seteced If you were seteced to a period of imprisomet, what was the legth of the priso seteceimposed (i moths)? M M M 2.8 Do you have ay civil judgmets agaist you or ay civil pealty uder the UK Immigratio Acts? Yes go to 2.9 No go to Give details for each civil judgmet or ay civil pealty uder UK the Immigratio Acts, startig with the most recet oe. If you have received more tha two civil judgmets ad/or civil pealties uder the UK Immigratio Acts, please photocopy this page ad eclose it with this form. Details of judgemet or civil pealty 1 Date of judgemet or civil pealty Coutry where judgemet made Details of judgemet or civil pealty 2 Date of judgemet or civil pealty Coutry where judgemet made 6

7 2.10 Have you received ay cautios (simple or coditioal), warigs or reprimads i the UK or ay other coutry? Yes go to 2.11 No go to Give details for each cautio (simple or coditioal), warig or reprimad startig with the most recet oe. If you have received more tha two cautios (simple or coditioal), warigs or reprimads, please photocopy this page ad eclose it with this form. Details of cautio (simple or coditioal), warig or reprimad 1 Date of cautio, warig or reprimad Coutry where cautio, warig or reprimad received Details of cautio (simple or coditioal), warig or reprimad 1 Date of cautio, warig or reprimad Coutry where cautio, warig or reprimad received You must aswer questios below eve if you have aswered o to questio 2.6. For help i aswerig these questios, please see the defiitios i the Guide UKM Are your details recorded by the police i respect of certai sexual offeces (i.e. o the sex offeders register ), or are you subject to a otificatio order, a sexual offeces prevetio order, a foreig travel order, or a risk of sexual harm order (or equivalet order made i a British overseas territory or ay other coutry)? 2.13 Have you ever bee charged i ay coutry with a crimial offece for which you have ot yet bee tried i court? 2.14 Have you ever bee ivolved i the commissio, preparatio or orgaisatio of war crimes, crimes agaist humaity or geocide? 2.15 To your kowledge have you ever bee suspected, accused, ivestigated, charged, prosecuted or covicted for ivolvemet i war crimes, crimes agaist humaity or geocide? 2.16 Have you ever bee ivolved i fiacig, plaig, preparatio, commissio or attempted commissio of terrorist acts or i supportig acts of terrorism either withi or outside the UK? 2.17 Have you bee a member or supporter of a orgaisatio which has perpetrated or supported acts of terrorism i furtherace or its aims? 2.18 Have you ever egaged i ay other activities which might be relevat to the questio of whether you are a perso of good character (see also page 9 of the guide)? 7

8 2.19 If you have aswered yes to questio 2.12, 2.13, 2.14, 2.15, 2.16, 2.17 or 2.18 you must give further details i the space provided below. If you eed more space, cotiue o a separate sheet ad eclose it with this form. For the purposes of aswerig questios please refer to the Guide UKM which provides guidace o actios which may costitute war crimes, crimes agaist humaity, geocide or terrorist activities. 8

9 Sectio 3: Referees ad Idetity Please write your ame ad date of birth o the back of a photograph of yourself. This should the be glued or pasted ito the space aside. This part of the form is to be filled i by your referees oce your photograph has bee affixed aside as explaied above. Your referees should read page 11 of the guide to cofirm that they are eligible. Checks will be carried out to esure that referees meet the requiremets below ad their sigatures are geuie, ad we may cotact them as part of our equiries. Affix passport size photo See page 11 of the guide Name of applicat 3.1 Oe referee should be a perso of ay atioality who has professioal stadig, e.g. miister of religio, civil servat, or a member of a professioal body e.g. accoutat or solicitor (who is ot represetig you with this applicatio). The other referee must ormally be a holder of a British citize passport ad either a professioal perso or over the age of 25 (but see also page 11 of the guide). Both should declare that: they are ot a relative, solicitor or aget of the applicat; they are ot employed by the Home Office; they have ot bee covicted of a imprisoable offece (uless that covictio ca be disregarded i lie with the table show o page 7 of the Guide UKM); they have kow the applicat persoally for more tha 3 years; they are willig to give full details of their kowledge of the applicat; they will advise the Home Office of ay reaso why the applicat should ot be aturalised. 1st Referee declaratio I declare that I am qualified to act as a referee. The photograph above is a true likeess of the applicat. I cofirm each of the poits i 3.1 above. I cofirm that to the best of my kowledge the details give o page 2 of this form are correct. 3.2 Say how you kow the applicat, ad state your age ad professio 2d Referee declaratio I declare that I am qualified to act as a referee. The photograph above is a true likeess of the applicat. I cofirm each of the poits i 3.1 above. I cofirm that to the best of my kowledge the details give o page 2 of this form are correct. 3.2 Say how you kow the applicat, ad state your age ad professio 3.3 1st Referee full ame 3.3 1st Referee full ame 3.4 Sex Male Female 3.5 Address 3.4 Sex Male Female 3.5 Address If you have bee at this address for less tha 3 years please list previous addresses o a separate sheet. 3.6 Daytime telephoe umber If you have bee at this address for less tha 3 years please list previous addresses o a separate sheet. 3.6 Daytime telephoe umber 3.7 address 3.7 address 3.8 Curret British citize passport umber (if ay) 3.8 Curret British citize passport umber (if ay) I uderstad that I may be liable for prosecutio resultig i a pealty of up to 3 moths imprisomet or a fie ot exceedig 5,000 or both if I kowigly or recklessly make a false declaratio. Sigature of referee I uderstad that I may be liable for prosecutio resultig i a pealty of up to 3 moths imprisomet or a fie ot exceedig 5,000 or both if I kowigly or recklessly make a false declaratio. Sigature of referee Date Date 9

10 Sectio 4: Biometric erolmet I accordace with British Natioality (Geeral) (Amedmet) (2) Regulatios 2014 ayoe applyig for aturalisatio or registratio as a British citize must register their biometric iformatio. For more iformatio about registerig your biometric iformatio, please see the accompayig guidace otes which you must read before completig this form If you have a curret grat of leave o a biometric residece permit, you must provide your biometric residece permit for the applicatio to be valid ad complete. 4.1 Have you bee issued with a biometric residece permit with a previous applicatio for leave? Yes go to questio 4.2 No go to questio 4.12 Please give details of your biometric residece permit. Please ote for the applicatio to be valid ad complete your curret biometric residece permit must be provided, uless it is ot available for oe of the reasos specified o the applicatio form. Biometric residece permit 4.2 Biometric residece permit umber 4.3 Natioality 4.4 Issue date 4.5 Expiry date 4.6 Place of issue 4.7 Biometric residece permit eclosed? If ot eclosed the please state the locatio of biometric residece permit Retured to Home Office - go to questio 4.8 Lost - go to questio 4.9 Stole - go to questio 4.10 Other - go to questio If the required biometric residece permit has bee retured to the Home Office, please give details of the reaso ad the date that it was set to us 4.9 If the biometric residet permit was lost, please give the date this was reported to the Home Office card maagemet service 10

11 4.10 If the biometric residet permit was stole, please give the police report umber, crime referece umber, the police statio ad the date reported to the police Police report umber Crime referece umber Police statio Date reported to the Police 4.11 If the required biometric residet permit is ot eclosed the please give details why you are uable to provide it 4.12 Have you had your figerprits take as part of a previous UK immigratio applicatio made i the UK or abroad? Yes go to questio 4.13 No go to questio Date your figerprits were take 4.14 Give details where your figerprits were take, icludig the tow or city ad coutry 4.15 Give details of the British diplomatic post(s) ivolved if the applicatio(s) was or were made abroad 4.16 Do you have a medical or physical coditio which may require special arragemets for your biometric features to be recorded? Yes please provide us with a letter from a treatig cliicia registered with the Geeral Medical Coucil (GMC) givig details of the coditio ad/or special eeds ad explaiig ay arragemets that may be ecessary. No 4.17 Declaratio As required by British Natioality (Geeral) (Amedmet) (2) Regulatios 2014, I cofirm that I wish to register my biometric iformatio. Sigature of applicat 11

12 Sectio 5: Declaratio by applicat WARNING: To give false iformatio o this form kowigly or recklessly is a crimial offece puishable with up to 3 moths imprisomet or by a fie ot exceedig 5,000 or both. (Sectio 46(1) of the British Natioality Act 1981, as ameded). 5.1 I, (full ame i BLOCK LETTERS) declare that, to the best of my kowledge ad belief, the iformatio give i this applicatio is correct. I kow of o reaso why I should ot be grated British citizeship. I promise to iform the Home Secretary i writig of ay chage i circumstaces which may affect the accuracy of the iformatio give whilst this applicatio is beig cosidered by the Home Office. I uderstad that iformatio give by me will be treated i cofidece, but may be submitted for checkig agaist records held by other Govermet departmets, the Security Service ad other agecies, local authorities ad the police, where it is ecessary for immigratio or atioality purposes, or to eable these bodies to carry out their fuctios. I uderstad that I may be liable for prosecutio if I have kowigly or recklessly provided false or icomplete iformatio. I authorise the HM Reveue & Customs to provide the UK Border Agecy with ay iformatio relevat to this applicatio, ad with ay iformatio eeded to check the iformatio I have provided. I uderstad that ay iformatio provided to the HM Reveue & Customs i coectio with this applicatio may be used by them for the purpose of their statutory fuctios. I authorise the UK Border Agecy to make equiries of the Isolvecy Service (Eglad ad Wales) the Accoutat i Bakruptcy (Scotlad) the Official Receiver (Norther Irelad) other appoited Receiver cocerig my declaratio of bakruptcy. I agree that the relevat body may disclose persoal iformatio obtaied as part of their statutory fuctio. 5.2 I cofirm that I have read ad uderstood the guide to registratio as a British Citize 5.3 I cofirm that I have eclosed the appropriate ceremoy fee ad paymet slip 5.4 I cofirm that I have eclosed the appropriate documets 5.5 I uderstad that a certificate of citizeship may be withdraw if it is foud to have bee obtaied by fraud, false represetatio or cocealmet of ay material fact, or if o the basis of my coduct the Home Secretary cosiders it to be coducive to the public good. 5.6 Please sig below oce you are satisfied that you have completed the form correctly. Your applicatio will ot be valid if you do ot eclose the correct fee. You are recommeded to read the guide, particularly those sectios o how to qualify. Sigature Date 12