EEA1

A p p li c a t io n f or a re g is tr a t io n c e r t ifi c a t e i n th e U K b y: R EGI STRAT ION

E ur opean E c ono mi c A rea (E E A) nat io nals and t hei r E E A or CE RTI FIC AT E
Sw i s s n a t io n a l fa m il y me mb e r s r e s i d in g i n th e U K

or
Version 11/2007
S w is s n a ti on a ls a n d t h e ir S w is s or E E A n a t i on a l f a mi ly
m embe rs resi din g in t he UK

TH E A D D RE SS T O W HI C H YO U M US T PO ST
Y O U R A PP L I C AT I ON O N F OR M E EA 1 I S :

Border and Immigration Agency

European Applications EEA1
Lunar House
40 Wellesley Road
Croydon
CR9 2BY

For information about the other EEA forms, see page 4.

If you need help in completing this form telephone 0870 606 7766.

This form is
to be used for
applications
BUILDING A SAFE, JUST AND TOLERANT SOCIETY made on or after
15 November 2007
EEA1 Version 11/2007 - page 1 of 15
 FORM EEA1: GUIDANCE NOTES
THER E IS NO LEGAL R EQU IR EME NT FOR E EA AND S WIS S NATIONALS TO OBTAI N A R EGI STR ATI ON
CERTI FICATE TO CO N FIRM THEI R RIG HT OF RE SIDEN CE IN THE UK . THIS I S A VOL UN TARY R EGI STR ATION
PR OCESS FOR WH ICH YOU SHOULD USE FOR M EEA 1 IF YOU WISH TO APPLY

1 FOR WHICH APPLICATIONS SHOULD YOU USE FORM EEA1? Complete all sections as required including the Personal History
section.
To apply for a registration certificate if you are an EEA national
exercising Treaty rights in the UK. See part 15 of these notes Section 1 This is where you give your own details. Leave a space
for information about Treaty rights. between each name and part of the address(es) required in this
section (do the same where names and addresses are required
You may include your family members in the application if in other sections).
they are EEA or Swiss nationals.
Sections 1 and 2 It’s essential that you provide the photographs
To apply for a registration certificate if you are a Swiss national of yourself and any family members included in the application.
residing in the UK. You may include your family members in the Please use one staple or one paper clip in each person’s case to
application if they are Swiss or EEA nationals. attach them within the spaces provided. Do not use glue or any
other sticky adhesive. See part 7 below for more guidance on
Although Switzerland is not a Member State of the EEA the photographs.
Agreement between the European Community, its Member
States and the Swiss Confederation on the free movement of If there is any difference between the personal details given in
persons gives similar rights of residence to Swiss nationals and these sections and those contained in your and/or your family
their family members. member(s) passports or identity cards, we will always use those
given in the passport(s) or identity card(s).
You and any family members included in the application must
be in the UK to apply. All sections If you are at present unable to provide any of the
information or details requested in any of the relevant sections,
please explain the reasons in a letter and enclose it with the
2 RELEVANT UK LEGISLATION application form. If you need help with any of the questions, you
can seek advice by telephoning 0870 606 7766.
The relevant legislation for applications on this form is The
Immigration (European Economic Area) Regulations 2006. You Section 9 This section lists the documents and photographs
can consult it on our website at www.bia.homeoffice.gov.uk or which you have to provide. If you can’t provide any of the docu-
obtain a copy from HMSO. ments specified in the application form, please explain why in a
letter with the form and say when you will be able to provide
them. See part 8 below for more guidance on documents.
3 WHO CAN APPLY ON THIS FORM?
Ensure that your passport or identity card and those of any fam-
Only EEA or Swiss nationals and their EEA or Swiss family mem- ily members included in the application are signed as required.
bers residing in the UK.
Section 10 You must sign and date the declaration. If you don’t,
it will delay your application.
4 WHEN TO APPLY

You may apply at any time during your stay in the UK. 7 PHOTOGRAPHS

You must provide the following photographs:

5 MAKING SURE YOUR APPLICATION IS COMPLETE
Two identical passport-size photographs of yourself with
Your application will be delayed if it is incomplete. To avoid that, your name written on the back of each photograph
you must:
Two identical passport-size photographs of any family mem-
make it on the current version of EEA1 bers included in the application with their names written on
the back of each photograph.
provide all the photographs of yourself and any family mem-
bers included in the application as specified in the form The photographs should be in colour, recent (within the last
month), and approximately 45 millimetres high and 35 millime-
provide all documents specified in the form
tres wide, the size of a passport photo.
complete all sections of the form as required
Each photograph must show the individual’s full face clearly
sign and date the declaration in the form. against a light background. Sunglasses are not acceptable. Nor
is any head covering unless this has to be worn for religious or
cultural reasons. But if the covering conceals the face, this will
6 COMPLETING THE FORM not be acceptable.

Please note the following guidance and information when you If the application(s) is/are successful, the photograph(s) provid-
complete the form. ed will be reproduced in your and your family members’ regis-
tration certificate(s).
Use a black pen to complete the form - and capital letters for
names, addresses and similar details.
EEA1 Version 11/2007 - page 2 of 15
 FORM EEA1 - GUIDANCE NOTES

8 DOCUMENTS For up-to-date information on opening times and services,

please check the PEO pages on our website or phone the num-
All documents provided with the application must be originals. ber above.

Exceptionally, a certified copy may be acceptable. The copy

must be certified by the body or authority which issued the 11 DECISION TIMES
original (for example, a copy of a savings book certified by the
building society or bank), or by a notary. The reasons for pro- We aim to decide applications as soon as possible. For informa-
viding a certified copy rather than the original document must tion on the current processing times for postal applications for
be explained in covering letter. registration certificates on form EEA 1, see the “EEA/EU nation-
als” page on our website.
Generally speaking, it is unlikely that we will be able to grant
your application without seeing the original documents.
12 CONTACTING US AFTER YOU HAVE APPLIED

9 APPLYING BY POST - THE ADDRESS If you need to contact us after you have applied, please do so as
instructed below.
If you are applying by post, the address to which you must post
an application on form EEA1 is: To send us more information about your application, write to
the address in part 9 and give the following details in your let-
Border and Immigration Agency ter:
European Applications EEA1
Lunar House the applicant’s full name, date of birth and nationality
40 Wellesley Road
Croydon any Recorded or Special Delivery number
CR9 2BY the date on which the application was posted or made in per-
son
Posting it to any other address will delay it.
the Home Office reference number if you have one.
Please also use this address for any other correspondence
about your application. If you need your passport because you have to travel urgently
and unexpectedly, call 0870 606 7766 and provide the person-
If you use Recorded or Special Delivery, this will help us to al and other details listed immediately above.
record the receipt of your application. Please make sure that
you keep the Recorded or Special Delivery number.
13 OBTAINING ANOTHER FORM
We will return your passport(s) and other documents by
Recorded Delivery. If you would like them to be returned by You can obtain application forms from the Application Forms
Special Delivery, you must provide a prepaid Special Delivery Unit on 0870 241 0645 or from our website.
envelope big enough for the documents to be returned.

14 OTHER TELEPHONE ENQUIRIES

10 APPLYING IN PERSON
For enquiries other than obtaining an application form call
We offer a same-day service to people who apply on form EEA1 0870 606 7766.
in person at our Public Enquiry Office (PEO) in Croydon.
We also have the following freephone textphone number 0800
Appointments. To apply in person you must make an appoint- 38 98 28 9.
ment in advance with the Croydon PEO. Make an appointment
only when you have completed the correct form, and have all
the documents and photographs. 15 YOUR RIGHT TO RESIDE IN THE UK

If you attend the PEO without making a prior appointment, your EEA nationals have a right to reside in the UK if they are exercis-
application will not be accepted there. PEO appointments are ing a Treaty right in one of the following categories:
limited to a certain number each day. If you cannot book one
before your authorised stay in the UK is due to run out, you can • Worker: a person who is pursuing an effective and genuine
make your application by post. activity for remuneration as an employed person
• Self-employed
The address of the Croydon PEO is: • Student
• Economically self-sufficient
Public Enquiry Office • Retired: a person who has been economically active; or
Lunar House • Incapacitated: a person who is permanently incapacitated
40 Wellesley Road and unable to pursue employment, having been economically
Croydon
CR9 2BY active.

The opening times from Monday to Friday inclusive are 8.00 -

4.00. The telephone number is 0870 606 7766.

EEA1 Version 11/2007 - page 3 of 15

 FORM EEA1 - GUIDANCE NOTES

The following nationals may exercise Treaty rights in the UK: 18 CHOOSING AN IMMIGRATION ADVISER

Austria Belgium If you engage an immigration adviser, take care when choos-
Bulgaria*** Cyprus**
Czech Republic* Denmark ing one. The Office of the Immigration Services Commissioner
Estonia* Finland (OISC) regulates immigration advisers. Their website at
France Germany www.oisc.gov.uk contains a list of authorised advisers. It also
Greece Hungary* has links to websites for solicitors, barristers and legal execu-
Iceland Irish Republic
Italy Latvia* tives. If you have a complaint about an immigration adviser or
Liechtenstein Lithuania* need other information, the OISC contact details are:
Luxembourg Malta
Netherlands Norway Office of the Immigration Services Commissioner
Poland* Portugal
Romania*** Slovakia* 5th Floor
Slovenia* Spain Counting House
Sweden Switzerland (but see part 1 of these notes) 53 Tooley Street
London
* The nationals of the countries marked with a single asterisk
SE1 2QN
may have to register on the Worker Registration Scheme. For
advice on how to obtain information about this, see part 16
Telephone: 0845 000 0046
below. If you have to register on the Scheme, you are not eligi-
ble to apply for a registration certificate on the basis of employ-
Alternatively the Law Society, which regulates solicitors in
ment until you have worked legally in the UK for a continuous
England and Wales, can help you find a solicitor. You can con-
period of 12 months during which time you were not out of work
tact them on 0870 606 6575 or visit their website at
for more than 30 days. You are not required to register on the
www.lawsociety.org.uk
Scheme if you are self-employed.
If you wish to complain about a solicitor you can contact the
** A document issued by the Turkish Republic of Northern Law Society’s Consumer Complaints Service helpline on 0845
Cyprus does not establish that the person is an EEA national. 608 6565 or write to them at:
Only a document issued by the Republic of Cyprus stating that
the holder is a national of the Republic of Cyprus establishes The Law Society
that the person is an EEA national and accordingly entitled to Victoria Court
free movement within the EU. 8 Dormer Place
Leamington Spa
*** Bulgaria and Romania joined the European Union on 1 Warwickshire
January 2007. Guidance and application forms for Bulgarian CV32 5AE
and Romanian nationals are to be found at
www.workingintheuk.gov.uk
19 COMPLAINTS ABOUT OUR SERVICE

16 WORKER REGISTRATION SCHEME If you want advice on how to make a complaint about our serv-
ice please telephone 0870 241 6523 or visit our website. You
If you are a national of the Czech Republic, Estonia, Hungary, may complain, in writing, to:
Latvia, Lithuania, Poland, Slovakia or Slovenia working in the
UK you may have to register on this Scheme (this Scheme BIA Customer Focus Team
does not apply to self -employment). Further information about PO Box 1384
the Scheme is available at www.workingintheuk.gov.uk Croydon
CR9 3YJ
17 OTHER EEA FORMS
Or by email to: [email protected]
The other EEA forms are as follows:

EEA 2 for residence card applications by non-EEA national or 20 DATA PROTECTION NOTICE
non-Swiss national family members of an EEA national or
Swiss national We will treat all information provided by you in confidence but
may disclose it to other government departments, agencies,
EEA 3 for permanent residence applications by EEA nationals local authorities, the police, foreign governments and other
and their EEA or Swiss national family members and by Swiss bodies for immigration purposes or to enable them to perform
nationals and their Swiss or EEA national family members their functions.

EEA 4 for permanent residence applications by non-EEA or We may also use the information provided by you for training
non-Swiss national family members of an EEA national or purposes.
Swiss national

FMRS for residence stamp applications by non-EEA national

family members of persons required to register under the
Worker Registration Scheme.

EEA1 Version 11/2007 - page 4 of 15

 EEA1
RE GI ST R A T IO N
CE R T IFI C AT E

SECTION 1 - APPLICANT’S DETAILS

Attach two identical
1.1 Your title - please tick Mr Mrs Miss Ms Other
photographs
of you (the applicant)
here with a staple If other, what is your title?
or paper clip
1 .2 Your date of birth Your gender - please tick
Do not use glue or Day Month Year Male Female
other sticky adhesive

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

1.4 Surname or family name

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

1.6 Nationality

1.7 Passport or identity card number 1.8 Home Office reference if you have one

1.9 National insurance number if you have one 1.10 Date you Day Month Year
last entered
the UK
1.11 Your UK address - please inform us immediately if this changes

Post code

1.12 Your daytime telephone number Your mobile telephone number if you have one

1.13 Your e-mail address if you have one

1.14 Name & address for returning documents and letters about your application if different from 1.11

Post code

1.15 If you have completed 1.14 and the address is that of your immigration adviser, please state their Office of the Immigration
Services Commissioner (OISC) number

EEA1 Version 11/2007 - page 5 of 15

SECTION 2 - EEA OR SWISS NATIONAL FAMILY MEMBERS INCLUDED
IN YOUR APPLICATION
Please give details below of any EEA or Swiss national family members included in the application. If more than 3 are applying,
please give their details, with photographs, on a copy of this page and enclose it with this form. Non-EEA or non-Swiss national fam-
ily members wishing to apply for a residence card should complete form EEA2.

If the family member is your child, please provide documentary evidence of the relationship (ie full birth certificate), if your details are
not shown in the child’s passport or ID card.

If the family member is a relative other than a child (eg parent, brother, sister, cousin), please provide appropriate documentary evi-
dence to confirm the relationship (ie full birth, marriage or civil partnership certificates).

Family member’s full name

Attach two identical

photographs
of the family member
here with a staple Nationality
or paper clip

Do not use glue or

other sticky adhesive Day Month Year Female
Gender - Male
Date of birth
please tick

Relationship to you

Home Office reference if they have one

Family member’s full name

Attach two identical

photographs
of the family member
here with a staple Nationality
or paper clip

Do not use glue or

other sticky adhesive Day Month Year Male Female
Date of birth Gender -
please tick

Relationship to you

Home Office reference if they have one

Family member’s full name

Attach two identical

photographs
of the family member
here with a staple Nationality
or paper clip

Do not use glue or

other sticky adhesive Day Month Year Male Female
Date of birth Gender -
please tick

Relationship to you

Home Office reference if they have one

EEA1 Version 11/2007 - page 6 of 15

 SECTION 3 - EMPLOYMENT
Complete this section only if you are applying as a worker - but see the information below.
Worker - person pursuing an effective and genuine activity for remuneration as an employed person. If you are applying on the basis of being a
worker, and you are not a national who has been required to register under the Worker Registration Scheme (ie nationals of the Czech Republic,
Estonia, Hungary, Latvia, Lithuania, Poland, Slovakia or Slovenia), you must complete this section. If you are a national who has registered under
the Worker Registration Scheme, please go to section 7.

3.1 Full name of employer (ie business or firm)

3.2 Business address and telephone number

Post code Telephone number

3.3 Address and telephone number if the address at which applicant is employed is different from the one in 3.2

Post code Telephone number

3.4 Type of business 3.5 Position offered to, or held by, you

3.6 Date employment started/will start 3.7 Number of hours to be worked each week
Day Month Year

3.8 Salary/wages received each month/week 3.9 Expected duration of employment

£ a month / week (delete as appropriate)

3 . 1 0 National insurance number if obtained

Employer’s Declaration
(employee’s name) has been employed as a worker in this business

from Day Month Year

in accordance with the details given above.

Signature of employer

Employer’s stamp

Date

Evidence of Employment: Please provide us with at least one of the following and tick relevant box(es):

Contract(s) of employment

Most recent wage slips (at least one)

Letter(s) from employer confirming your employment

EEA1 Version 11/2007 - page 7 of 15

 SECTION 4 - SELF EMPLOYMENT
Complete this section only if you are applying as a self-employed person.
4.1 Your business details

Name of business

Business address and telephone number

Post code Telephone number

Evidence of self-employment/business to be provided:

4.2
A lease on business premises Construction Industry Scheme Bank statement(s)
(CIS) card (for the building
trade)
Invoices Inland Revenue self-assesment Evidence of national insurance
forms contributions being paid.

Signature of applicant Date

SECTION 5 - STUDENT
Complete this section only if you are applying as a student.

5.1 Name, address and telephone number of the educational establishment at which you are studying

Post code Telephone number

5.2 Course title

5.3 Date course of study starts/started Date course of study will end
Day Month Year Day Month Year

5.4 You are required to provide the following documentary evidence of your course of study and funds:

- a school, college or university letter confirming enrolment and the completion date of the course, and

- a bank statement or evidence of a grant or scholarship.

EEA1 Version 11/2007 - page 8 of 15

 SECTION 6 - OTHER QUALIFIED PERSONS
Complete this section only if you are applying as someone who is economically self-sufficient, retired or permanently incapacitated.

Please tick the relevant box below to show the basis on which you are applying for a registration certificate and provide the documen-
tary evidence requested.

Economically self-sufficient

Evidence of funds sufficient to maintain yourself and any family members included in this application during the time you
intend to reside on this basis. These funds can come from the employment or self-employment of any of your family mem-
bers residing in the UK with you. Documentary evidence of their employment or funds should be supplied.

Retired

Evidence that you are in receipt of a pension.

Incapacitated

A doctor’s letter or medical report confirming incapacity. This should state if the incapacity is likely to be permanent.

SECTION 7 - WORKER REGISTRATION SCHEME

Complete this section only if you have completed 12 months’ continuous lawful employment in the UK after registering under the
Worker Registration Scheme. The nationals who may have to register under the Scheme are those of the Czech Republic, Estonia,
Hungary, Latvia, Lithuania, Poland, Slovakia or Slovenia. Please make sure you provide your worker registration card and all worker
registration certificates.

7.1 Date worker registration card issued Your worker registration card reference number
Day Month Year

7.2 Have you changed employment since you obtained your worker registration card Yes No
and worker registration certificate?

7.3 Please provide employment details/dates below. If you have worked for more than 2 employers in the last 12 months, please
continue on a separate sheet.

Full name of employer (ie the business or firm)

Address of employer

Post code

Date employment started Date ended

Day Month Year Day Month Year

EEA1 Version 11/2007 - page 9 of 15

 SECTION 7 - WORKER REGISTRATION SCHEME (continued)
Full name of employer (ie the business or firm)

Address of employer

Post code

Date employment started Date ended

Day Month Year Day Month Year

7.4 Have you been unemployed since you obtained your worker registration card? Yes No

If yes, please provide all the dates (MM/YY) of unemployment subsequent to obtaining your worker registration card (contin-
ue on a separate sheet if necessary).

From To
Month Year Month Year

Month Year Month Year

Month Year Month Year

Month Year Month Year

7.5 Please provide us with the following documentation to prove that you have been lawfully engaged in employment in the UK
while registered on the Worker Registration Scheme for a continuous 12 month period. You must provide the worker registra-
tion card and all worker registration certificate(s), together with evidence from any of the other sources so long as, individual-
ly or collectively, they cover a continuous period of 12 months.

Worker registration card and all worker registration certificate(s), together with one of the following:

wage slips for the last 12 months; or

contract(s) of employment covering the last 12 months; or

letter(s) from your employer(s) confirming your employment over the last 12 months.

EEA1 Version 11/2007 - page 10 of 15

 SECTION 8 - PERSONAL HISTORY
You must answer all the questions in this section on behalf of yourself and any family members included in this applica-
tion. It is an offence under Section 26(1)(c) of the Immigration Act 1971 to make a statement or representation which
you know to be false or do not believe to be true. Information given will be checked with other agencies.

8.1 Do you or any family members included in this application have any criminal convictions in the Y es No
UK or any other country (including traffic offences) or any civil judgments made against you?

If you have answered yes to question 8.1 above please give details below for each criminal conviction and/or civil judgment, start-
ing with the most recent one - but first see Note 1 about criminal convictions. If you or any family members included in this applica-
tion have received more than two convictions and/or civil judgments, give details on a copy of this page and enclose it with this form.

Note 1 Convictions spent under the Rehabilitation of Offenders Act 1974 need not be disclosed. More information about the Act
is given towards the end of this section.
Name of person convicted or against whom a civil judgment was made

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)

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

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

Name of person convicted or against whom a civil judgment was made

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 if
you need more space) Date of sentence/judgment

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

For help in answering the questions below, please see the definitions on the next page.

8.2 Have you or any family members included in this application ever been charged in any country Y es No
with a criminal offence for which you have not yet been tried in court?

8.3 In times of either peace or war have you or any family members included in this application Y es No
ever been involved, or suspected of involvement, in war crimes, crimes against humanity or
genocide?
8.4 Have you or any family members included in this application ever been involved in, supported Y es No
or encouraged terrorist activities in any country?

8.5 Have you or any family members included in this application ever been a member of, or given Y es No
support to, an organisation which has been concerned in terrorism?

8.6 Have you or any family members included in this application ever, by any means or medium, Y es No
expressed views that justify or glorify terrorist violence or that may encourage others to terror-
ist acts or other serious criminal acts?

EEA1 Version 11/2007 - page 11 of 15

 SECTION 8 - PERSONAL HISTORY
8.7 Have you or any family members included in this application ever engaged in any other activities Y es No
which might indicate that you may not be considered to be persons of good character?

If you have answered yes to question 8.2, 8.3, 8.4, 8.5, 8.6 or 8.7 above please give further details in the space provided below. If
you need more space, continue on a separate sheet.

REHABILITATION OF OFFENDERS ACT 1974

The Rehabilitation of Offenders Act 1974 enables criminal convictions to become 'spent' or ignored after a 'rehabilitation period'.
The length of the rehabilitation period depends on the sentence given. For a custodial (prison) sentence the rehabilitation period is
decided by the original sentence, not the time served. Prison sentences of more than two and a half years can never become spent
and should always be disclosed. Further information on rehabilitation periods can be found at Nacro's Resettlement Plus Helpline
on 020 7840 6464 or by obtaining a free copy of their leaflet on 020 7840 6427.

DEFINITIONS

For the purposes of answering questions 8.3 to 8.7, the following information provides guidance on actions which may constitute
war crimes, 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 Schedule
8 of the International Criminal Court Act 2001 at www.opsi.gov.uk/acts/acts2001/20010017.htm or purchased from The
Stationery Office (telephone 0870 600 5522). It is your responsibility to satisfy yourself that you are familiar with the definitions
and can answer the questions accurately on behalf of yourself and any family members included in the application.

War crimes
Grave breaches of the Geneva Conventions committed during an armed conflict. This includes an internal armed conflict and an
international armed conflict. The types of acts that may constitute a war crime include wilful killing, torture, extensive destruction
of property not justified by military necessity, unlawful deportation, the intentional targeting of civilians and the taking of hostages.

Crimes against humanity

Acts committed at any time (not just during armed conflict) as part of a widespread or systematic attack, directed against any civil-
ian population with knowledge of the attack. This would include offences such as murder, torture, rape, severe deprivation of liber-
ty in violation of fundamental rules of international law and enforced disappearance of 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 of action, designed to influence a government or intimidate the public and made for the purposes
of advancing a political, religious or ideological cause and that involves serious violence against a person; that may endanger anoth-
er person’s life; creates a serious risk to the health or safety of the public; involves serious damage to property; is designed to seri-
ously disrupt or interfere with an electronic system.

Organisations concerned in terrorism

An organisation is concerned in terrorism if it commits or participates in acts of terrorism; prepares for terrorism; promotes or
encourages terrorism (including the unlawful glorification of terrorism); or is otherwise concerned in terrorism.

EEA1 Version 11/2007 - page 12 of 15

 SECTION 9 - DOCUMENTS AND PHOTOGRAPHS
For your application to be complete, you must provide the documents and photographs listed in this section which
are relevant to your application.

Tick the boxes next to the relevant items to show the documents and photographs you are providing. Attach
all photographs to the spaces in sections 1 and 2 as instructed there.

Two recent passport-size photographs of yourself with your name on the back of each photograph. Please see the
guidance notes for information on what types of photograph are acceptable.

Two recent passport-size photographs of each family member included in section 2 for whom a registration cer-
tificate is required with their name on the back of the photographs attached.

Your current passport or ID card. If you last entered the UK on a previous passport or ID card, please also provide this
document if you have it.

The current passport(s) or ID card(s) of each family member included in section 2 for whom a registration certifi-
cate is required.

If section 3 (employment) has been completed, contract(s) of employment, letter(s) from your employer(s) confirm-
ing your employment or your most recent wage slips (at least one) should be provided. These should feature a full national
insurance number rather than a temporary one.

If section 4 (self - employment) has been completed, evidence to show you are self-employed, eg a lease on busi-
ness premises, Construction Industry Scheme card, Inland Revenue self-assessment forms, bank statements, invoices or
national Insurance contributions.

If section 5 (students) has been completed, a school, college or university letter confirming enrolment on a course of
study and giving the completion date of the course; and evidence of funds available to you such as a bank statement or a doc-
ument confirming the receipt of a grant or scholarship.

If section 6 (economically self-sufficient, retired or incapacitated) has been completed,

evidence of funds to show you are economically self-sufficient, eg a bank statement. If these funds come from a family mem-
ber, evidence of their employment or funds should be supplied; or

evidence to show you are retired, eg document(s) confirming the receipt of a pension; or

evidence to show you are permanently incapacitated, eg doctor’s letter or medical report confirming permanent incapacity,
having previously been in employment or self employment.

If section 7 (Worker Registration Scheme) has been completed,

Your worker registration card and all worker registration certificate(s)

and one of the following as evidence of continuous employment for 12 months following worker registration:

letter(s) from your employer(s) confirming your employment over the last 12 months; or

wage slips for the last 12 months; or

contract(s) of employment covering the last 12 months.

EEA1 Version 11/2007 - page 13 of 15

 SECTION 10 - DECLARATION

You must now read the declaration below and sign it. It must be signed by you (the applicant) and not by a
representative or other person acting on your behalf. If you are under 18, your parent or guardian may sign.

I hereby apply for a registration certificate for myself and any EEA or Swiss national family members listed
in this form. The information I have given in this form is complete and is true to the best of my knowledge.
I also declare that the photographs submitted with this form are a true likeness of myself and any family
members included 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 new
information 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
it may be disclosed to other government departments, agencies, local authorities, the police, foreign gov-
ernments and other bodies for immigration purposes or to enable them to perform their functions.

I understand that the documents provided in support of this application will be checked for authenticity.
False documents will be retained and may result in my application being refused and my case being
referred to the Border and Immigration Agency and other relevant authorities for the purposes of my pros-
ecution and subsequent removal from the United Kingdom.

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

I am aware that it is an offence to make a statement or representation which I know to be false or do not
believe to be true, or to obtain or seek to obtain a registration certificate by means which include deception.

Signed

Date

EEA1 Version 11/2007 - page 14 of 15

 DOCUMENT CHECKLIST
Please complete this part of the form. It will help us to make sure that we have received the documents you supplied and to keep
a record of them while they are in our possession. The list is a standard one covering important documents which are common to
most application types. Please state how many of each of the following you have provided.

Passports Birth Marriage or civil Driving Other

and/or ID certificates partnership cer- licences (please list
cards tificates below)

FOR OFFICIAL USE ONLY

Passports Birth Marriage or civil Driving Other
and/or ID certificates partnership cer- licences (please list
cards tificates below)

Signed Date

APPLICANT’S CHECKLIST
To ensure that your application is complete, please make the following checks before posting it. Tick each box
that is relevant to your application.

Is EEA1 the right form for you and is it valid for use? Have you completed all relevant sections of the form as
See date on front page. specified?

Have you sent the documents and photographs specified in section 9 as listed below?

Current passport(s) or ID card(s) Photographs Worker registration card All other relevant doc-
including those for family mem- and all worker registra- uments specified in
ber(s) tion certificate(s) section 9

Have you, or your parent/guardian if you are under 18, If you are unable to send us any of the documents speci-
signed and dated the declaration in section 10? fied in section 9 which are relevant to your application,
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.

Border and Immigration Agency

European Applications EEA1
Lunar House
40 Wellesley Road
Croydon
CR9 2BY
EEA1 Version 11/2007 - page 15 of 15