Claim Child Benefit for one or

more children (CH2)

Applicant details
National Insurance number
NJ715362C
Last name
FATIMA
First name
EMAN
Date of birth
20 June 2003
Current address
2-1 639 HAWTHORN STREET
GLASGOW
G22 6AZ
Nationality
Pakistani
Always lived in the UK
Yes
HMF or civil servant abroad
No
Marital or civil partnership status
Married or in a civil partnership
Benefits received
None of these benefits
Lived at address for more than a year
No
Previous address
2-3 115 Royston road
Glasgow
G21 2QN
Telephone number
07448014306
Currently claiming Child Benefit
No

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 Claim Child Benefit for one or
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Partner details
Partner National Insurance number
NJ447427D
Last name
Nafees
Full name
Muhammad haroon Nafees
Date of birth
3 August 1995
Nationality
Pakistani
Employment status
None of these apply
HMF or civil servant abroad
No
Worked abroad in last 3 months
No
Received benefits abroad in last 3 months
No
Currently claiming Child Benefit
Not claiming Child Benefit

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 Claim Child Benefit for one or
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Child 1 details
Last name
Haroon
First name
Ayzal
Sex as recorded on child’s birth certificate
Female
Date of birth
22 November 2022
Country of birth registration
Scotland
Birth certificate number
607 2022 285
Applicant’s relation to child
Birth child
Applicant adopting child via Local Authority
No
Child Benefit claimed previously for child
No
Child is living with applicant
Yes
Child lived with anyone else
No
Known by any other names
No

For official use only

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 Claim Child Benefit for one or
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Payment details
Wants to be paid Child Benefit
Yes
Child Benefit payment frequency
4 weekly
Sort code
401192
Account number
68929742
Account holder
Applicant
Name on account
Eman Fatima

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 Claim Child Benefit for one or
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Declaration
I understand that I do not need to send documents with this claim form. I will not be
sending any birth certificates or other documents with this form to HMRC.

I declare that the information I’ve given on this form is correct and complete. If I give
information which I know is not correct or complete, you may take action against me.
I’ll tell you about changes to my circumstances when they happen and understand I
could be overpaid and may have to pay money back if I do not.

Signature

Date
Day Month Year

For official use only

Corres Traced CLI Date claim received

Document(s) returned
Birth certificate Normal
Passport Recorded
Other Registered

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 Claim Child Benefit for one or
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What to do now
After you have printed this form and signed and dated the Declaration, return the form to:

Child Benefit Office (GB)

Washington
NEWCASTLE UPON TYNE
NE88 1ZD

You’ll need a stamp on the outside of your envelope to post your form to us, don’t send the
stamp to us separately. Make sure you pay the correct postage.

What happens next

We’ll review your claim and write to tell you if you can get Child Benefit and how much you’ll
get.

If you need further assistance with your claim, contact the Child Benefit helpline.

Telephone: 0300 200 3100

Outside UK: +44 161 210 3086

You can also use Relay UK if you cannot hear or speak on the phone: dial 18001 then 0300
200 3100.