Page 1 of 3Getting Started Please ensure you take your time and enter the details correctly Provide a U.K Residential Address Be over the age of 16 5 Minutes to complete Personal DetailsTitle*Please selectMrMrsMissMsDrMxFirst name*Middle nameIf applicableSurname*Date of birth*Sex*Please selectMaleFemaleContact InformationYour Email Address*Confirm Email Address*Mobile Phone Number*NextQuestionnaireDo you have a previous last name?*YesNoWhat is your previous last name?*Do you have a previous first name?*YesNoWhat is your previous first name?*Do you know your National Insurance Number?*YesNoWhat is your national insurance number?*Are you completing this form to tell us about a change to your name?*YesNoPlease tell us why you have changed your name?*Are you married or in a civil partnership?*YesNoAre you married or in a civil partnership?*Have you previously been married or in a civil partnership?*YesNoDate of previous marriage/civil partnership*Date of divorce or dissolution of civil partnership*Reason why marriage/civil partnership ended?Please selectDivorceDissolvedWidowedOtherAre you returning to the U.K from living abroad?*YesNoHave you ever claimed child benefit?*YesNoTell us your child benefit number*Have you ever claimed any other U.K benefits?*YesNoTell us the U.K benefits you’ve claimed*Have you ever worked in the U.K?*YesNoYour employer's name*Your employer's address*Employment from?*Employment to?*To complete your application we require confirmation that you have any of the documents:*Please selectBirth certificatePassportFull or provisional driving license (plastic card)I do not have any of these documentsPlease confirm that you possess any 2 of the documents from the list below:*Adoption certificateHome office or travel documentWork permitCertificate or naturalisationMarriage or civil partnership certificateCertificate of service in Her Majesty’s Forces or merchant navyIdentity or medical cardBackNextAddress line 1*Address line 2City*County*Postcode*Do you have a previous U.K address?*YesNoAddress line 1*Address line 2City*County*Postcode*Previous Address From*Previous Address To*BackSendThis field should be left blank
