Get your National Insurance Number

by post (CA5403)

What to do next
Once you have printed and checked this form you must complete the declaration
section on the last page.
You should then post it and a photocopy of your identity document to:
National Insurance Contributions and Employer Office
HM Revenue and Customs
BX9 1AN

You must include a photocopy of the following document, or we may not be able to
process your application:
• Passport

If you send an original document we can not guarantee that it will be returned to
you.

CA5403 - Instructions
 Get your National Insurance Number by post
(CA5403)
National Insurance Number: Not known Date of birth: 4 May 2002
Title: mr
First name: Michael
Middle names: Seamus
Last name: O'Hare

Personal details
Current address:
1/2 287 wilton st
glasgow
g20 6dd

Returning from living abroad: No

Telephone number: 07398221494

Gender: Male

Your UK benefits
Child benefit claimed: No
Child benefit number: Not known

Other benefits:
Universal Credit

Employment
You have not provided details for any UK employers.

Identity documents to photocopy

Document: Passport

CA5403 - Page 1 of 2
 Get your National Insurance Number by post
(CA5403)
National Insurance Number: Not known Date of birth: 4 May 2002
Title: mr
First name: Michael
Middle names: Seamus
Last name: O'Hare

Declaration
I declare that the information on this form is correct and complete to the best of my knowledge.

Signature

Date
Day Month Year

D D / M M / Y Y Y Y

CA5403 - Page 2 of 2