UK Visas & Immigration

APPLICANT NAME:
UNIQUE APPLICATION NUMBER: PASSPORT NUMBER:
COUNTRY OF NATIONALITY: DATE OF APPLICATION:
TYPE OF VISA/APPLICATION: REGISTRATION EMAIL: CONTACT EMAIL:
Application type
Were you in the UK before 31 December 2020?
Do you have 5 years 'continuous residence' in the UK?
Since then, have you left the UK for more than 5 years?
Were you in the UK on 31 December 2020?
Since 31 December 2020, have you spent more than 6 months outside the UK in any 12-
month period? Why are you applying after the deadline?
Provide information on your reason for applying after the deadline
Dual nationality
Previous nationality
Permanent residence card
Indefinite Leave to Remain
Are you applying based on being a family member of a person of Northern Ireland?
Residence in the UK
Are you in the UK now?
Address
Town or city
Ionut Ursoiu 3434-5161-2955-6491 059843862
Romania
06 October 2021 13:45 British Summer Time (BST) EU Settlement Scheme
ionutdynacord96@gmail.com ionutdynacord96@gmail.com
Yes Yes
Yes
Yes No
I was unable to apply by the deadline due to my care or support needs
Couse I have long time in England and i like to work hire
No No No No No
Yes, I am in the UK 14
MILL STREET WORCESTER
Ionut Ursoiu
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UK Visas & Immigration

Postcode
When did you first arrive in the UK to begin your residency?
Are you known by any other names or have you been known by any other names in the
past? National Insurance number
Your National Insurance number
Criminal convictions
Criminal activity
Extremist activity
Declaration
Before continuing you need to confirm that:
WR1 2NH
2014-08-12
No
Yes
SS319294C
No No
• the documents you have uploaded are genuine to the best of your
knowledge • you are eligible and have been resident in the UK for the period you
apply for • your photograph is an accurate likeness of you
We will process your information as detailed in our terms and conditions and
privacy policy.
If we find a mistake in your application, we will contact you to help you correct
this. If your application meets the criteria under the EU Settlement Scheme you
will be granted status.
Your application may be refused and you could be prosecuted if you deliberately
provide false information or documents.
Did you have any help completing your application?
No, I completed it myself
Contacting you about your application
If we need more information from you, we will email you. If you cannot get into
your email account, we can phone you instead.
I can get into my emails
How long have you lived in the UK? 5 years or more
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