PARTIALLY COMPLETED APPLICATION APPLICANT NAME: Mr Wesley Gryk NUMBER OF APPLICANTS: 3 PASSPORT NUMBER: PL1234567 COUNTRY OF NATIONALITY: Poland DATE OF APPLICATION: TYPE OF VISA / APPLICATION: EEA (PR) SERVICE OPTION: TOTAL FEE: PAYMENT REFERENCE: CONTACT EMAIL: petar@gryklaw.com Personal information Email address Are you currently in the UK? petar@gryklaw.com Immigration adviser Do you have an immigration adviser? Applicant 1 EEA (PR): Mr Wesley Gryk Personal information Are you: an EEA or Swiss national applying for a document certifying permanent residence Title Given names Family name Are you now or have you ever been known by Mr Wesley Gryk Mr Wesley Gryk Page 1 of 12
another name? Have you changed your name? Telephone number Home address I want to receive mail at a different address. What is your gender, as shown in your passport or travel document? What is your relationship status? Date of birth Country of birth Place of birth Which identity document will you supply? Passport number Place of issue Issue date Expiry date Your current nationality Do you currently hold, or have you ever held, any other nationality or citizenship? 02074016887 WESLEY GRYK SOLICITORS 140 LOWER MARSH LONDON SE1 7AE (address verified) Male Married or a civil partner 1 January 1960 Poland Warsaw Valid passport PL1234567 Warsaw 1 January 2010 1 January 2020 Poland Other history In either peace or war time have you ever been involved in, or suspected of involvement in, war crimes, crimes against humanity, or genocide? Have you ever been involved in, supported or encouraged terrorist activities in any country? Mr Wesley Gryk Page 2 of 12
Have you ever been a member of, or given support to, an organisation which has been concerned in terrorism? Have you, by any means or medium, expressed views that justify or glorify terrorist violence or that may encourage others to commit terrorist or other serious criminal acts? Have you ever engaged in any other activities which might indicate that you may not be considered to be a person of good character? Application route Select the basis on which you are applying for permanent residence. I have lived in the UK for a continuous period of 5 years as an EEA national qualified person, meaning as a worker, jobseeker, student or a self-sufficient person Residence in the UK Were you born in the UK? Date you first entered the UK 1 January 1990 Starting from when you entered the UK, have you spent more than a total of 6 months outside the UK during any one-year period? Have you ever had an EEA residence document issued by the UK government? Activity in the UK Did you work for an employer in the UK? Name and address of employer Start date of employment Salary or wage If the employment details that you have provided cover your continuous 5-year qualifying period, can you provide P60 and/or P45 tax certificates from Wesley Gryk Solicitors, 140 Lower Marsh, London, SE1 7AE 1 January 1985 20,000 per year Mr Wesley Gryk Page 3 of 12
your UK employer(s) for this whole period? Have you been self-employed since entering the UK? During the 5-year qualifying period, were you ever temporarily unable to work or be self-employed due to an illness or an accident? Study or vocational training Have you been a student or done vocational training since entering the UK? Were you a student or self-sufficient person? Looking for work Were you in the UK looking for work during the relevant qualifying period? Accession state workers Did you work for an employer in the UK during the relevant accession period? Convictions and other penalties At any time have you ever had any of the following, in the UK or in another country?, I have never had any of these A criminal conviction A penalty for a driving offence, for example disqualification for speeding or no motor insurance An arrest or charge for which you are currently on, or awaiting trial A caution, warning, reprimand or other penalty A civil court judgment against you, for example for non payment of debt, bankruptcy proceedings or anti-social behaviour A civil penalty issued under UK immigration law Additional information Mr Wesley Gryk Page 4 of 12
Are there any other periods you have not told us about, or is there any additional information you would like to give to explain how you acquired permanent residence in the UK? Please provide details You can add more information about your qualifying period here. This is especially useful if you have exercised more than one Treaty right during those five years (e.g. you were a student with CSI for two years and then a worker for three years). Immigration details Does Mr Wesley Gryk have any Home Office reference numbers? Current status What is your current National Insurance number? SC123456A Public funds Have you ever received any money from the UK government or a local council? Child benefit Child tax credit Provide as much detail as possible (dates you received the benefit, whether you are currently receiving it, the amounts you received, how often you received it). If you're not sure, say so. As above. Applicant 2 Spouse or civil partner: Ms Alison Hunter Personal information Which identity document will Ms Alison Hunter supply? National identity card number Place of issue Nationality identity card GER12345678 German embassy Spouse / partner details Mr Wesley Gryk Page 5 of 12
Do you and your partner currently live together? When did you start living together? Were you in a relationship with each other when you started living together? Have they lived with you at an address not already given during the relevant qualifying period? Do you have any children together? Will you be including these children in this application? Does Ms Alison Hunter have any children of whom you are not the parent? Do you have any children living in the UK of whom Ms Alison Hunter is not the parent? When did you decide to marry or form a civil partnership with your partner? Date of your marriage or civil partnership Where did you marry or enter a civil partnership? Were you and your partner both present at the ceremony? January 1995 January 1996 1 January 2000 London Do you or Ms Alison Hunter currently have another spouse or civil partner, or an unmarried or same-sex partner with whom you or they are in a durable relationship? Have you or Ms Alison Hunter been married or in a civil partnership before your current relationship? Have you or Ms Alison Hunter been in a long-term relationship (not including a marriage or civil partnership) before your current relationship? Other history In either peace or war time has the additional applicant ever been involved in, or suspected of involvement in, war crimes, crimes against Mr Wesley Gryk Page 6 of 12
humanity, or genocide? Has the additional applicant ever been involved in, supported or encouraged terrorist activities in any country? Has the additional applicant ever been a member of, or given support to, an organisation which has been concerned in terrorism? Has the additional applicant, by any means or medium, expressed views that justify or glorify terrorist violence or that may encourage others to commit terrorist or other serious criminal acts? Has the additional applicant ever engaged in any other activities which might indicate that they may not be considered to be a person of good character? Current partner Title Given names Family name Is your partner known by another name? Country of nationality Date of birth What is the gender of your partner, as shown on their passport or travel document? Partner's address Does Ms Alison Hunter have any Home Office reference numbers? Ms Alison Hunter Germany 1 January 1970 Female WESLEY GRYK SOLICITORS 140 LOWER MARSH LONDON SE1 7AE Residence in the UK Mr Wesley Gryk Page 7 of 12
Was Ms Alison Hunter born in the UK? Date they first entered the UK 1 January 1995 Starting from when you entered the UK, have you spent more than a total of 6 months outside the UK during any one-year period? Has Ms Alison Hunter ever had an EEA residence document issued by the UK government? When did you first meet them? Where did you first meet them? When did your relationship begin? Are you and Ms Alison Hunter related outside of your marriage, civil partnership or relationship? 1 January 1990 Amsterdam 1 January 1990 Convictions and other penalties At any time have they ever had any of the following, in the UK or in another country?, they have never had any of these A criminal conviction A penalty for a driving offence, for example disqualification for speeding or no motor insurance An arrest or charge for which they are currently on, or awaiting trial A caution, warning, reprimand or other penalty A civil court judgment against them, for example for non payment of debt, bankruptcy proceedings or anti-social behaviour A civil penalty issued under UK immigration law Public funds Have they ever received any money from the UK government or a local council? Child benefit Child tax credit Details to be added here. Details to be added here. Mr Wesley Gryk Page 8 of 12
Applicant 3 Child: Miss Baby Gryk Personal information Which identity document will Miss Baby Gryk supply? National identity card number Place of issue Nationality identity card PL1234567 Warsaw Applicant details Title Given names Family name Is your child known by another name? Country of nationality Date of birth What is their gender, as shown on their passport or travel document? Child's address Does Miss Baby Gryk have any Home Office reference numbers? Miss Baby Gryk Poland 1 January 2010 Female WESLEY GRYK SOLICITORS 140 LOWER MARSH LONDON SE1 7AE Residence in the UK Was Miss Baby Gryk born in the UK? Date they first entered the UK 1 July 2010 Starting from when you entered the UK, have you spent more than a total of 6 months outside the UK during any one-year period? Mr Wesley Gryk Page 9 of 12
Has Miss Baby Gryk ever had an EEA residence document issued by the UK government? Name of parent Date of birth of parent Nationality of parent Name of parent Date of birth of parent Nationality of parent Does Miss Baby Gryk live with both parents? Wesley Gryk 1 January 1960 Poland Alison Hunter 1 January 1970 Germany Employment and self-employment Are they currently working (including self-employment) in the UK? Are they currently in education? Name of educational establishment Address of educational establishment Name of course or qualification Course start date Course end date Lower Marsh School 100 Lower Marsh LONDON SE1 7AE Primary school 1 September 2016 30 July 2022 Public funds Have they ever received any money from the UK government or a local council? Documents Required documents Two passport photos for Mr Wesley Gryk Two passport photos for Ms Alison Hunter Two passport photos for Miss Baby Gryk Mr Wesley Gryk Page 10 of 12
Proof of Mr Wesley Gryk's identity and nationality, such as a valid passport, travel document or national identity card Proof of Ms Alison Hunter's identity and nationality, such as a valid passport, travel document or national identity card Proof of Miss Baby Gryk's identity and nationality, such as a valid passport, travel document or national identity card Other documents P60 and/or P45 tax certificates for Mr Wesley Gryk's employment which covers their continuous 5-year qualifying period Proof that Mr Wesley Gryk has been in receipt of public funds or state benefits, such as letters from DWP, HMRC or the local authority giving details of the benefits or tax credits, or bank statements showing receipt of money Proof that Ms Alison Hunter has been in receipt of public funds or state benefits, such as letters from DWP, HMRC or the local authority giving details of the benefits or tax credits, or bank statements showing receipt of money Proof of relationship to your partner - for example, marriage or civil partnership certificates Proof of living with your partner - for example, utility bills, mortgage or tenancy agreements, and NHS letters showing you and your partner live at the same address Proof that Mr Wesley Gryk has continued to live in the UK from the end of their qualifying period, such as P60s and/or P45 tax certificates or utility bills, employer letters, bank statements, council tax (or equivalent) bills, NHS (or equivalent) letters, mortgage or tenancy agreements Mr Wesley Gryk Page 11 of 12
Proof of Miss Baby Gryk's relationship to Mr Wesley Gryk or their spouse / civil partner - for example, birth, adoption or marriage certificates Proof that Ms Alison Hunter has lived in the UK for the relevant qualifying period, such as P60s, utility bills, employer letter, bank statements, council tax (or equivalent) bills, NHS (or equivalent) letters, letter from child's school, mortgage or tenancy agreements Proof that Miss Baby Gryk has lived in the UK for the relevant qualifying period, such as P60s, utility bills, employer letter, bank statements, council tax (or equivalent) bills, NHS (or equivalent) letters, letter from child's school, mortgage or tenancy agreements Birth certificates for the children you and your partner have Payment Mr Wesley Gryk's application for EEA (PR) Ms Alison Hunter's application for Spouse or civil partner Miss Baby Gryk's application for Child Total 65.00 GBP 65.00 GBP 65.00 GBP 195.00 GBP Declaration By sending this application, you confirm that to the best of your knowledge and belief the following is correct: the information relating to the application the supporting documents the photographs are accurate likenesses Also, the application will be processed according to the privacy policy and terms and conditions. If false information is given, the applications will be refused and the applicants may be banned from the UK and prosecuted. I am an applicant and I am authorised to act on behalf of the other applicants and have discussed and confirmed the contents of this application with them Mr Wesley Gryk Page 12 of 12