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Filled Form of LOTR Applicant Information Template-V5
Filled Form of LOTR Applicant Information Template-V5
Afghan Relocations and Assistance Policy (ARAP) – Leave Outside the Rules (LOTR)
Application
Please complete this application form to enable the ARAP LOTR Panel to consider your
request to relocate ARAP non-eligible family members to the UK under LOTR. Information
provided will be required to be shared with your employing or sponsoring department from
the UK Government to assess your case.
Note that submission of this form does not guarantee relocation for any additional family
members not eligible under the ARAP scheme.
In addition to this form, you must provide all relevant documents to support your application.
These include:
1. Copies of Tazkiras (photograph of front and back of ID card) are essential and,
where available, passports for all family members to be considered:
2. Birth, marriage, divorce and death certificates, as applicable:
3. Official adoption/fostering paperwork if you are applying for an adopted/fostered
child:
4. Medical certificates to evidence any medical conditions listed.
You should be aware that failing to provide the relevant documentation may delay your
application and incomplete information may ultimately impact the panel’s decision.
Additional guidance on eligibility of additional family members can be found at the link below:
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/
attachment_data/file/991391/arap-additional-dependants-guidance-v1.0ext.pdf
Part 1 – Applicant to complete
LOTR Template 1
)Official Sensitive Personal (When Complete
خط و نکاح خط .اگر شما سرپرست قانونی کودکان دیگری هستید و نه از خودتان(فرزندی) ،باید اسناد قانونی مبنی بر این
موضوع ارائه نمایید .همه اسنادهای قانونی باید دارای مهر رسمی باشند .در صورت عدم دریافت ،نمی توانیم پروسه کیس
شما را ادامه دهیم.
مهرباني وکړئ ډاډ ترالسه کړئ چې ټول معلومات چمتو شوي وی ،تاسو باید تذکره یا پاسپورټ (که شتون ولري) ،د
زیږون خط او نکاح خط شامل کړئ .که تاسو د ماشومانو قانوني سرپرست یاست ستاسو خپل ماشومان نه (فرزندی) ،تاسو
باید قانوني اسناد چمتو کړئ چې دا بیانوي .ټول قانوني اسناد باید رسمي ټاپه ولري .که نه وي ترالسه شوي ،موږ نشو
کولی ستاسو د کیس پروسه پرمخ بوځو.
Name Date of Employment Relationship Supporting
Birth status/occupation to Applicant Documents
provided
Ataullah 02/09/1964 jobless Father Passport
Ma Gull 21/03/1966 House wife Mother Passport
Wahidullah 21/04/1988 Jobless Brother Electronic Tazkira
Shabnam 09/03/2005 House tailor Sister Electronic Tazkira
Yaman 13/02/2009 Student Brother Electronic Tazkira
2. Please describe your current living situation including your address and
complete the below table with the details of any family members who are living with
you.
لطفًا شرایط زندگی فعلی خود را از جمله آدرس ،ترکیب خانواده (همه اعضای خانواده از جمله سن ،رابطه با شما و
کار/شغل) بیان نمایید.
مهرباني وکړئ د خپل اوسني ژوند شرایط بیان کړئ پشمول پته ،د کورنۍ جوړښت (د کورنۍ ټول غړي پشمول عمرونه ،له
.تاسو سره اړیکه او د کار /شغل)
Address:
111- East Fazel-e-Haq Road, Blue Area, Islamabad, Pakistan. Envoy continental hotel,
3. Please explain what exceptional circumstances you believe mean that the family
members at Q1 should be considered to accompany you to relocate to the UK.
Medical conditions will need to be evidenced by a supporting diagnosis from a medical
professional detailing any health conditions and their impact on the individual and
associated care requirements.
در صورت عدم، لطفًا کاپی اسنادهای صحی را به عنوان اسناد ارائه نمایید،اگر یکی از اعضای خانواده مشکل صحی دارد
جزییات، بشمول هر نوع اسناد، در مورد تهدید طالبان علیه اعضای خانواده. درخواست شما به تأخیر می افتد،دریافت
.مشخص ارائه نمایید
که نه، مهرباني وکړئ د شواهدو په توګه د طبي اسنادو کاپي چمتو کړئ،که چیرې د کورنۍ کوم غړی صحي حالت ولري
د هر ډول شواهدو په، د کورنۍ د غړو په وړاندې د طالبانو د ګواښ په اړه.وي ترالسه شوي دا به درخواست وځنډوي
.ګډون مشخص معلومات وړاندې کړئ
As I was interpreter I and my family life is in threats of death that we received many
warning letters and calls from Taliban that will killed if arrested. So, fortunately me and my
immediate family nearly moving to UK but my additional family are lifted in danger in
Afghanistan.
4. Please detail any specific dependences that family members listed in Q1 have on
you.
Please explain the impact on family members listed in Q1 if you and your approved
family members relocated to the UK without them.
چه، افغانستان را ترک نمایید، ذکر گردیده است1 اگر شما و خانواده نزدیکتان بدون اعضای خانواده شما که در سؤال
تأثیری بر آنها خواهد داشت؟
پوښتنه کې لیست شوي افغانستان پریږدئ په هغوی باندې1 که تاسو او ستاسو نږدې کورنۍ پرته د کورنی غړی چې په
څه اغیزه لري ؟
If me and my immediate family that nearly we moving to UK. And my additional family
lifted in Afghanistan. They would face to many life threads from Taliban. Such as arresting
LOTR Template 3
Official Sensitive Personal (When Complete)
even killing. Right now they in danger situation a many of Taliban. Even they cannot stay
in one place for more than one or two days. They changing their living places every two
day later. Even they cannot work to earn money to buy some food for themselves.
LOTR Template 4
Official Sensitive Personal (When Complete)
5. Please list family members that will remain in Afghanistan or another country
after you have relocated. Please detail their name, age, relationship to you, location
and occupation and why they cannot support family members listed in Q1.
حمایت نماییند1 لطفًا توضیح دهید که چرا بقیه اعضای خانواده نمی توانند از اعضای خانواده ذکر شده در سؤال.
پوښتنه کې1 مهرباني وکړئ تشریح کړئ چې ولې د کورنۍ پاتې غړي نشي کولی د کورنۍ غړو سره مرسته وکړي چې په
لیست شوي
Because they were military persons in EX- government. So now they hided in a place at
Kabul. Even they cannot work. Because of life threads by Taliban. So, they cannot
support themselves.
6. Please detail why support to the family members requested for consideration at
Q1 cannot be provided remotely from another country?
I cannot support them remotely because I have my own childrens and need to make my
future and also my support is not enough for them. It’s not possible for me. Specially my
additional family lifesaving is my priority.
7. Please detail if any other family members have applied under ARAP, the Ex-
Gratia Scheme or another UK relocation scheme, or are in the process of, or have
relocated to the UK, or relocated to other countries under other schemes?
No. not
8. Please detail any other concerns or supporting information that will assist in an
assessment of your circumstances.
You must include any supporting documentation that is of relevance to your application.
LOTR Template 5
Official Sensitive Personal (When Complete)
Me and my additional family concerns are about their life threads. Need to be save and
live in peace because we revived many warning letters that I will show it in your presence.
Also Taliban killed many persons of our tribles. Such as my cousin and my brother in law.
LOTR Template 6
Official Sensitive Personal (When Complete)
9. Threat Assessment
LOTR Template 7
Official Sensitive Personal (When Complete)
LOTR Template 8