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SET (LR)
version 09/2018

Application for Indefinite leave to remain in the UK

on the basis of long residence and for a biometric
immigration document
In accordance with paragraph 34 of the Immigration Rules, this form is a specified form
for the purpose of the Immigration Rules as of 21 September 2018 and must be used
for all applications made on or after that date for the purposes stated on this page. Long Residence
You also need the separate guidance documents listed below, which you should read in the UK
before making your application:
• SET(LR) guidance notes
• Rules for passport photographs guidance
If you do not already have these documents, you can get them from our website at
www.gov.uk/government/organisations/uk-visas-and-immigration
Before making your application, you may wish to check whether you are eligible to
apply under the Windrush Scheme. If you are covered by the scheme you should
not apply for leave to remain on this form. For more information, and to access
the Windrush Scheme application form, see www.gov.uk/government/publications/
undocumented-commonwealth-citizens-resident-in-the-uk

Our application forms change periodically. Please check that this is still the version
which must be used when you are ready to apply.
Applications on this form may be made by post or in person at one of our Premium
Service Centres. To apply in person, you must make an appointment.
DUTY TO STATE ALL REASONS TO REMAIN IN THE UNITED KINGDOM
All your reasons or grounds for wishing to stay in the United Kingdom must be stated
in this application. This requirement is being given under section 120 of the Nationality,
Immigration and Asylum Act 2002. If you do not tell us now of any reasons or grounds
for remaining in the United Kingdom and you tell us later without good reason, you will
lose any right of appeal you may have otherwise qualified for if we refuse your claim.
You can use the box at the end of section 3.2.
If you are applying by post, you must send your application to the following
address: Home Office
SET(LR)
Indefinite Leave to Remain
PO Box 591
Durham
DH1 9FS
This form is
The Home Office will use the personal information you provide to consider your to be used for
application. We may also share your information with other public and private sector
organisations in the UK and overseas. For more detail please see the Privacy Notice applications
for the Border, Immigration and Citizenship system at www.gov.uk/government/ made on or after
publications/personal-information-use-in-borders-immigration-and-citizenship. This 21 September
also sets out your rights under the Data Protection Act 2018 and explains how you
can access your personal information and complain if you have concerns about how 2018
we are using it.
© Crown Copyright Published by LexisNexis 2018 under the Open Government Licence
PAYMENT GUIDANCE Banker’s draft (payable to the Home Office)
(postal applications only)
The Fee * Maestro - We will accept any Maestro card
if you are applying in person at a Premium
There is a fee of £2389 for this application.
Service Centre but only Maestro cards issued
Applications can be made in person at a in the UK if you are applying by post or courier.
Premium Service Centre for a same day
Please note that your application is invalid if
consideration of your application. There is
you do not pay the specified fee in full or if you
an additional fee for this service and all fees
pay by any method other than those specified
will be taken when you book an appointment.
above. You will be required to make a fresh
For more details and to book an appointment
application, and any delay in doing so may
please visit www.gov.uk/ukvi-premium-
affect your appeal rights if your application is
service-centres
subsequently refused.
Please note that your application will be
rejected as invalid if you do not pay the Cheques and postal orders
specified fee.
You must make the cheque or postal order
The fee charged is for the processing and payable to ‘Home Office’ and cross the cheque
consideration of the application. This fee or postal order A/C Payee only. Please write
will be payable once the application form is the full name and date of birth of the applicant
received by the Home Office or its payment on the back of the cheque and/or each postal
processing agent, regardless of the outcome order and keep the postal order receipt(s).
of the application. If your application contains Please make sure that the date and the
errors or is missing information it may be amount (words and figures) are correct and
rejected as invalid. Your application will not be that the cheque is signed properly. Attach your
considered and your fee will be refunded less cheque or postal order(s) to the front of the
an administration fee of £25 for each person application form.
included in the application.

We cannot begin the consideration process

Completing the payment details page
until the payment has cleared. We allow 5
working days for payments made by cheque To ensure that your payment is processed
to clear, credit/debit cards and postal orders without any delay, please follow this guidance
will clear immediately. when completing Section 1 of this form
(Payment Details).
Who may apply with you
A1 Tick the fee appropriate to your application
The immigration rules for Long Residence do - see above guidance. If you do not select a
not allow dependants. fee then we cannot take a payment and your
application will be rejected as invalid.
How you can pay
A2-A3 If the address for correspondence is
You must pay by any of the following methods: different from your home address in the UK,
please give that address at A2. If a solicitor
Cheque (postal applications only) or other authorised immigration adviser is
submitting the application, it should be their
Postal Order (postal applications only)
address at A2 and their name at A3. These
Credit card - Visa (including Electron), details will also be used to acknowledge receipt
MasterCard, or American Express (Amex) of the application.

Debit card - Delta, Maestro* (including Solo)

SET (LR) Application Form (version 09/2018) - page 2

A4 Applicant’s full name, as given in his or her A16 For card payments circle the amount you
passport or travel document. are required to pay

A5 Applicant’s date of birth A17-A18 Cardholder’s signature - the person

named on the credit/debit card must sign and
Method of payment date these sections.

A6 Tick one of the boxes to show which Consideration process

method of payment you are using
• If the payment submitted does not cover
A7 - A9 If paying by cheque or bankers draft the full cost of your application, it will be an
enter the bank account number, sort code and invalid application and the form, together
cheque number with any documentation submitted, will be
returned to you.
Paying by credit / debit card
• The fee charged is for the processing and
A10 The name as displayed on the credit/debit consideration of the application. This fee
card will be payable once the application form is
received by the Home Office or its payment
A11 Card number - this is the long number
processing agent, regardless of the outcome
across the centre of the card
of the application.
A12-A14 Enter the details where available on
• We cannot begin the consideration process
the card
until the payment has cleared. We allow 5
A15 The Card Verification Value (CVV) is a working days for payments made by cheque
3-digit security code found on the back of to clear, credit/debit cards and postal orders
the card on the signature strip - it consists of will clear immediately.
the last 3 digits. For Amex the security code
consists of 4-digits and is found on the front of
the card.

AUTHORISED SIGNATURE

4567 123
123
CVV
If you do not provide the CVV number,
we cannot take your payment and your
application will be rejected as invalid.

AMERICAN EXPRESS

CVV 1234 1234

1234 123456 12345

SET (LR) Application Form (version 09/2018) - page 3

Guidance Notes Save As Email Form Print Form Reset Form

Section 1 - Payment Details SET (LR)

Please complete this section in block capitals and black ink.
A. Application Details
Applicants should refer to the Payment Guidance Notes which accompany this application
form.

A1. Tick the applicable boxes and fee. If no fee is ticked we cannot take a payment and your
application will be rejected as invalid:
the applicant is making a SET (LR) application £2389 Standard
A2. Contact Address in the UK for correspondence

Postcode
A3. Contact Name in the UK if different from that of the applicant

A4. Applicant’s Full Name

A5. Applicant’s date of birth

A6. Please select the method of payment from the list below:
United Kingdom postal order (payable to Cheque/bankers draft (payable to
‘Home Office’) ‘Home Office’) - go to question A7
Visa/Mastercard/Amex - go to question A10 Delta / Maestro - go to question A10

A7. Account number A8. Sort code A9. Cheque number

A10. Please debit the following account: Name on card

A11. Card number (the long number across the centre of the card)

A12. Valid from A13. Expiry date A14. Issue number A15. CVV security number
(where
(3 digit number or
available)
4 digit number for
A16. Circle amount to be paid - Amex)
£2389 - standard
A17. Cardholder’s signature
A18. Date DD/MM/YYYY

SET (LR) Application Form (version 09/2018) Page 4

If you are producing a double-sided copy of this
application form, please include this page and
make sure it falls on the reverse of the payment
details page in the two-sided copy.

For administrative reasons, it is important that the

rest of the form begins with Section 2 - Applicant’s
Details facing upwards.

SET (LR) Application Form (version 09/2018) Page 5

Section 2 - Applicant’s Details
It is mandatory to complete this section as required. Please note that this application will be
invalid if you do not.
Help on the questions is given at the end of this application form. Failure to complete this section
may lead to a delay in the consideration of your application.
B. Personal Details

Photographs
You must provide two recent identical photographs of yourself with your full name on the back of
each one. Please place the photographs in a small sealed envelope and attach it across this space
with a staple or paper clip at the right-hand side of the page/envelope.

Please make sure that the staple or paper clip does not damage or mark the photographs. All
photographs must be as specified in the photo guidance. A copy of the photograph guidance can
be found at:

www.gov.uk/photos-for-passports

B1. Title - please select from the following list:

Mr Mrs Miss Ms Other (please state)

B2. First name(s) as stated in your passport or travel document:

B3. Last name(s) or family name(s) as stated in your passport or travel document:

B4. If you are known, or have ever been known, by any other name(s) than those given
above, please give details below and send the evidence showing the name change:
Nationality at the
Name known by time of using this Dates from and to Evidence sent
name

Please photocopy this page if more space is needed.

B5. Date of birth:

B6. Gender: Male Female

B7. Your current nationality

SET (LR) Application Form (version 09/2018) Page 6

B8. Village, town or city of birth:

B9. Country of birth:

B10. Relationship status - please select from the following list:

Married or civil partner Unmarried partner Widowed or surviving civil partner

Single Divorced or dissolved civil partnership Separated or separation order

B11. Date of marriage or civil partnership (if applicable):

B12. If you are in a genuine and subsisting relationship with a person who is settled in
the UK or who is a British citizen, please provide their details here, including their name,
nationality and date of birth. You must provide evidence of cohabitation since the start of
this relationship.

B13. Your Home Office reference number(s) (if known):

Reference number 1:
Reference number 2:
Reference number 3:

B14. Your UK National Insurance number (if known):

SET (LR) Application Form (version 09/2018) Page 7

B15. If you have had a previous UK National Insurance number (please state):

B16. Home address in the UK:

Postcode:

B17. Date you started living at this address:

If you have lived at the address above for less than five years please provide your previous
address details and the dates you lived there.
Previous address 1:

Postcode:

From To

B18. Telephone numbers: Preferred contact (tick)

Home:
Work:
Mobile:

B19. Your email address if you have one. We may use your email address to communicate
with you about the status of your application. Please write your email address clearly in
block capitals and note that we can only send updates to the email address you provide

B20. Please re-enter your email address in block capitals in the box below

B21. Correspondence address (if different from above):

Postcode:
SET (LR) Application Form (version 09/2018) Page 8
C. Passport, national identity cards or travel documents and Biometric
Residence Permits.
Help on the questions is given at the end of this application form.

In accordance with regulations 3 and 4 of the Immigration (Biometric Registration)

(Amendment ) Regulations 2009, anyone applying for an extension of stay in the UK in
the categories for which this application form is specified must also apply for a biometric
immigration document, otherwise known as a Biometric Residence Permit. For information
about Biometric Residence Permits, please see the help text, which you should read before
completing this form.
For the application to be valid and complete, you must provide your valid passport, national
identity card or travel document unless it is not available for one of the reasons specified on
the application form. If you have a current grant of leave on a BRP you must also provide
your BRP for the application to be valid and complete. You should also provide all previous
passports, national identity cards and/or travel documents that you have used to travel to
and remain in the United Kingdom.
C1. Under what nationality did you enter the United Kingdom?

C2. If you are a dual national, what is your other nationality?

C3. If you have held a previous nationality, what was it?

From To

C4. Is your valid passport/national identity card/travel

Yes go to C6 No go to C5
document enclosed?
Passport/ National Nationality Issue Date Expiry Date Place of issue
Identity Card/Travel
Document number

C5. If not enclosed then location of Passport/National Identity Card/Travel Document

Lost Stolen Expired-returned to national authorities

C6. Do you have any passport or travel document which contains a previous grant of leave or
which you used when you last travelled to the UK?

Yes document enclosed, passport/travel document number is

Yes document not enclosed, it is: Lost Stolen Expired

No

SET (LR) Application Form (version 09/2018) Page 9

These questions will ask you for information about the Biometric residence permit (BRP)
that have previously been issued to you. If you have lost or had a BRP stolen then you
should have reported this to the Police.
C7. Have you been issued with a BRP? Yes go to C8 No go to C11
C8. BRP number

C9. Where is your BRP now? (please tick)

I am submitting it with this Expired and returned to Elsewhere in the  o to
g
application the Home Office Home Office C11

Stolen Lost go to C10

C10. Have you reported this to the Home Office card management services?

Yes No

C11. Which age group do you belong to (at the date of submitting your application)?
15 years & under go to C12 16 years & over go to part D

C12. What is the title of the person accompanying you to have your biometric details taken?
Mr Mrs Miss Ms Other (please state)

C13. First name(s) or given name(s)

C14. Last name(s) or family name(s)

C15. Their date of birth

C16. Their place of birth

C17. Relationship to you

C18. Is this person your parent or legal guardian

Yes go to Part D No go to C19

C19. Explain why your parent or legal guardian will not be accompanying you

SET (LR) Application Form (version 09/2018) Page 10

D. Immigration History
It is mandatory to complete Section D. If it is not complete the application will be invalid and
will be returned to you. Help on the questions is given at the end of this application form.

D1. What is your current immigration status in the United Kingdom?

D2. When did you first enter the UK? This refers to the date of your first entry into the UK at
the beginning of the period of stay on which this application is based.
Day Month Year

D3. Since then have you had any absences from the UK? If yes, give the dates you left and
returned to the UK and the reason for the absence in the spaces below. List all absences
however short and in date order. If you need more space, continue on a separate sheet and
enclose it with your application.

Yes No

Date returned to the

Date left the UK Reason for absence Country travelled to
UK

D4. When does your current leave expire?

D5. If your leave to enter/remain has expired, did this leave expire within 14 days of this
application being made?
Yes go to D6 No go to D7

SET (LR) Application Form (version 09/2018) Page 11

D6. Tick to confirm you have provided evidence that your application was submitted
out of time due to reasons beyond your control.

D7. Have you ever stayed in the United Kingdom beyond the end of your period of leave?

Yes provide details below: No

reason(s) why and the dates of the overstay

D8. Have you ever worked in the United Kingdom without immigration permission to do so
(that is, contrary to your conditions of stay)?

Yes provide details below: No

reason(s) why and the dates this work was undertaken

D9. Have you ever illegally entered the United Kingdom?

Yes provide details below: No

details and dates when this happened

SET (LR) Application Form (version 09/2018) Page 12

D10. Have you ever used deception when seeking leave to enter, leave to remain or applying
for a right to reside?
Yes provide details below: No

details and dates when this happened

D11. Do you currently have any other applications with us on which you are awaiting a
decision?
Yes provide details below: No

details, including the date the application was submitted,the category and the payment
reference number

D12. Do you currently have an appeal with the Asylum and Immigration Chamber which is yet
to be heard?
Yes provide details below: No

details, including the date the appeal, the category and the payment reference number of the
original application (where applicable)

SET (LR) Application Form (version 09/2018) Page 13

D13. Please state what ties you have with:

• the country where you were born

• any country whose nationality you hold
• any country where you have lived for more than five years

You should tell us about any family, friends or other connections with that country.

Country Social cultural or family ties

If your 10 years continuous lawful residence includes a period of time spent in the UK as an
EEA national exercising treaty rights, or as a family member of an EEA national exercising
treaty rights you must complete the following. If you are not relying on a period spent in the
UK as an EEA national exercising treaty rights or as a family member of an EEA national
exercising treaty rights please go to section E.

D14. Have you spent time in the UK as:

• an EEA national exercising treaty rights

• a family member of an EEA national exercising treaty

rights

D15. Please state on what basis the EEA national was exercising treaty rights.

Please provide details

Basis of Stay e.g. worker,
of employment, self-
Date from Date to student, self-employed, self-
employment, school or
sufficient, retired, incapacity
college

SET (LR) Application Form (version 09/2018) Page 14

D16. If EEA treaty rights were exercised in employment, self-employment or study, please
give details below starting with the most recent.

Name and address of Type of business if Job title if

employer or place of From To
self-employed employed
study

You must provide evidence to support the above.

If you are the family member of an EEA national exercising their treaty rights you should provide
sufficient evidence to demonstrate when you became the family member of an EEA national, e.g.
marriage/birth certificate. If you are married or in a civil partnership with an EEA national you should
provide evidence to confirm this.

Please tick to confirm that you have enclosed the relevant evidence

D17. Do you have a child or children in the UK?

Yes go to D18 No go to D20

D18. Please provide the name, nationality and date of birth of any children who reside with
you in the UK. Please provide evidence of their residence with you.

SET (LR) Application Form (version 09/2018) Page 15

D19. If have any other information you wish to be considered about the welfare or best
interests of any child in the UK, please provide details here. To suppport this, you should
provide evidence of parental responsibility, current care provision and education provision
confirmed by a third party (school, nursery, Doctors, local authority health visitor).

D20. If you have any reasons or grounds for wishing to stay in the United Kingdom which you
have not already mentioned in your application you should do so now in the box below.

SET (LR) Application Form (version 09/2018) Page 16

E. Personal History (criminal convictions, war crimes, etc.)
It is mandatory to complete section E. If it is not complete the application will be invalid and
will be returned to the applicant. This section asks about any criminal convictions, cautions,
civil judgments or civil penalties against you. It also asks for details of any involvement you
have had in war crimes, genocide, crimes against humanity or terrorism. If you fail to answer
all of these questions as fully and accurately as possible, your application may be refused.

E1. Have you ever been convicted of any criminal offence in the UK or any other country?

Yes - go to question E2 No - go to question E3

Note: You must give details of all criminal convictions, including spent convictions. This
includes convictions for road traffic offences, including drink-driving offences, but not fixed
penalty notices (such as speeding or parking tickets).

E2. Please give details below for each criminal conviction, starting with the most recent one.
If you have received more than two convictions, please photocopy these pages, complete the
details and enclose them with this form.

Criminal conviction 1

Name of person:

Country where convicted:

Nature of the offence:

Sentence given (if custodial, length of term in years/months):

Date sentenced:

SET (LR) Application Form (version 09/2018) Page 17

Criminal conviction 2

Name of person:

Country where convicted:

Nature of the offence:

Sentence given (if custodial, length of term in years/months):

Date sentenced:

E3. Have you received any other penalty in relation

Yes go to E4
to a criminal offence; for example a caution,
reprimand, warning, or similar penalties in the UK or
No go to E5
any other country?

E4. Give details of each penalty you have received, starting with the most recent one. If you
have received more than two such penalties, please photocopy these pages, complete the
details and enclose them with this form.

Details of penalty 1
Name of person:

Country where penalty given:

Offence:

Type of penalty (e.g caution, reprimand, warning or other - please state):

Date penalty:

SET (LR) Application Form (version 09/2018) Page 18

Details of penalty 2
Name of person:

Country where penalty given:

Offence:

Type of penalty (e.g caution, reprimand, warning or other - please state):

Date of penalty:

E5. Have you had any UK court judgment against you for non-payment of a debt, or received a civil
penalty under UK Immigration Acts?
Yes go to question E6 No go to question E7

E6. Give details for each UK court judgment or civil penalty under UK Immigration Acts, starting with
the most recent one. If you have received more than two court judgments and/or civil penalties under
the UK Immigration Acts, please photocopy these pages, complete the details, and enclose them
with this form.

Details of court judgment or civil penalty 1

Name of person:

Specify whether you had a court judgement:

Date of judgment or civil penalty:

Details of court judgment or civil penalty 2

Name of person:

Specify whether you had a court judgement:

Date of judgment or civil penalty:

SET (LR) Application Form (version 09/2018) Page 19

You must answer questions E7 to E12 below even if you have answered no to question E1.
For help in answering these questions, please see the definitions at the end of this section.

E7. Have you been arrested and charged in any country with any
Yes No
criminal offence and are awaiting, or are currently on trial?

E8. In times of either peace or war have you ever been involved,
Yes No
or suspected of involvement, in war crimes, crimes against
humanity or genocide?

E9. Have you ever been involved in, supported or encouraged

Yes No
terrorist activities in any country?

E10. Have you ever been a member of, or given support to, an
Yes No
organisation which has been concerned in terrorism?

E11. Have you ever, by any means or medium, expressed views

Yes No
that justify or glorify terrorist violence or that may encourage
others to terrorist acts or other serious criminal acts?

E12. Have you ever engaged in any other activities which might
Yes No
indicate that you may not be considered to be persons of good
character?

E13. How long have you lived in the UK?

years months

Please provide details of any periods of absence of more than six months during that time.

Date you left the UK Date you returned to the UK Reason for absence

E14 Please state what social, cultural and family ties you have with:

• the country where you were born

• any other country whose nationality you hold

• any country where you have lived for more than five years

SET (LR) Application Form (version 09/2018) Page 20

You should tell us about any family, friends, or other connections with that country.

Country Social cultural or family ties

If you have answered yes to question E7, E8, E9, E10, E11 or E12, you must give further details in
the space provided below. If you need more space, continue on a separate sheet and enclose it with
this form.

SET (LR) Application Form (version 09/2018) Page 21

Definitions
For the purpose of answering questions E7 to Terrorist activities
E12, the following information provides guidance Any act committed, or the threat of action,
on actions which may constitute war crimes, designed to influence a government or
crimes against humanity, genocide, or terrorist intimidate the public and made for the
activities. purposes of advancing a political, religious or
ideological cause and that involves serious
violence against a person; that may endanger
another person’s life; creates a serious risk
This guidance is not exhaustive. The full to the health or safety of the public; involves
definitions of war crimes, crimes against serious damage to property; is designed to
humanity and genocide can be found in Schedule seriously disrupt or interfere with an electronic
8 of the International Criminal Court Act 2001 at system.
www.legislation.gov.uk/ukpga/2001/17/schedule/8
or purchased from The Stationery Office
(telephone 0870 600 5522). It is the applicant’s Organisations concerned with terrorism
responsibility to satisfy him/herself that he/she is An organisation is concerned with terrorism if
familiar with the definitions and can answer the it commits or participates in acts of terrorism;
questions accurately. prepares for terrorism; promotes or encourages
terrorism (including the unlawful glorification
of terrorism); or is otherwise concerned in
War crimes terrorism.
Grave breaches of the Geneva Conventions
committed during an armed conflict. This
includes an internal armed conflict and an
international armed conflict. The types of acts
that may constitute a war crime include wilful
killing, torture, extensive destruction of property
not justified by military necessity, unlawful
deportation, the intentional targeting of civilians
and the taking of hostages.

Crimes against humanity

Acts committed at any time (not just during
armed conflict) as part of a widespread or
systematic attack, directed against any civilian
population with knowledge of the attack. This
would include offences such as murder, torture,
rape, severe deprivation of liberty in violation
of fundamental rules of international law and
enforced disappearance of persons.

Genocide
Acts committed with intent to destroy, in whole
or in part, a national, ethnical, racial or religious
group.

SET (LR) Application Form (version 09/2018) - page 22

Section 3 - Knowledge of Language and Life in the UK
To qualify for indefinite leave to remain, all applicants aged 18-64 must meet a Knowledge of
Language and Life requirement. The separate guidance notes to this form provide details of
where to find further information about this requirement.

3.1 Have you obtained the following to show that you have met the knowledge of language
and life in the UK requirement?

Life in the UK test pass;

and either:

• A speaking and listening qualification at level B1 or above from the Secure

English Language Test (SELT) list (Go to question 3.3 below); or

• An academic qualification deemed by UK NARIC to meet the recognised standard

of a Bachelor’s or Master’s degree or PhD in the United Kingdom and:

○○ UK NARIC has confirmed that the qualification was taught or researched in

English; or
○○ the qualification was taught or researched in the UK or a majority English
speaking country (other than Canada); or

• You are a national of a majority English speaking country (as in the list at https://
www.gov.uk/english-language)

3.2 . If you have not obtained one of the relevant qualifications, are you claiming exemption
from this requirement because a physical or other condition prevents you from taking the
Life in the UK test or doing a speaking and listening qualification in English?

Yes No

If you are claiming exemption, you must provide a doctor’s letter or similar evidence confirming that
you are unable to take the test or obtain a speaking and listening qualification. An exemption will only
be agreed exceptionally. If you have answered yes to this question go to Section 4.

3.3 Please provide details of your English language test:

Tick to confirm which body awarded your test:

IELTS SELT Consortium

Trinity College London

Provide the SELT unique electronic reference number provided by the awarding body:

Go to section 4

SET (LR) Application Form (version 09/2018) Page 23

Section 4 - Documents
You must provide the documents specified below which are relevant to your application. If
you do not, we reserve the right to decide your application on the basis of the information and
documents provided. Tick the relevant boxes to show the documents you are providing. They
must be originals.
Please note that in some cases, we may have to ask for other documents in addition to those
specified in this form.

Passports and immigration documents

Your current passport, national identity card or travel document. If you last entered the UK
on a previous passport or travel document, please also provide this document if you have
it.
Your Biometrics Residence Permit if you have been issued with one since entering the UK.
See Note 4.

Note 4: Residence Permits have been issued to certain foreign nationals since 25 November
2008 when they have been given permission to remain in the UK. Unless reported lost or
stolen, they should be enclosed with any application for further permission to remain in the UK.

All the passports you have held during this time. If you cannot provide them all, you must
provide the passports you have together with any Home Office letter(s) or other document(s)
granting you leave to enter and/or remain in the UK. You should also provide documents of the
type listed below to show that you were continuously resident in the UK during any periods for
which you are unable to provide a passport.
Doctor’s letter(s) showing registration for each year of your stay and lettes from hospital(s)
or other local health service(s)

Council tax letter(s) or bills for each year of your stay

Gas, electricity and water and other domestic bills or statements for each year of your stay

National Insurance contribution records for each year of your stay or P60 forms

HM Revenue and Custom/Inland Revenue letter(s) and/or P60 statements of income tax
paid

Employer(s) letter(s) confirming the dates during which you have been employed

Department for Work and Pensions letter(s) and letters or other documents from other
government departments or agencies

Full birth certificate(s), ie one which shows the parents names for any of your children
born in the UK

Mortgage document(s) showing any property you own in the UK and/or a letter from your
landord confirming the period of your tenancy

Any other documents/details which support your application

SET (LR) Application Form (version 09/2018) Page 24

Section 5 - Consent for The Home Office to Request Verification Checks

From the applicant :

I understand that you will check whether the information and supporting documentation that I
have supplied to the Home Office from a bank or utility company is correct. ‘Correct’ means that
documents are unaltered originals issued by the bank or utility company and that the information
on them is correct and applies to me or the person named as a customer on the document.
I agree to the bank or utility company, without seeking any further consent from me, telling you
whether the information or documentation I have supplied is correct or in what way (if any) it is
not correct.
I agree to the bank’s or utility company’s disclosure to the Home Office of any relevant personal
data they hold on me for the above purposes. If I have not supplied correct information or sup-
porting documentation to the Home Office the bank or utility company may disclose my relevant
correct personal data.
If the information or supporting documentation also contains personal data relating to a joint cus-
tomer or customers of mine on the bank or utility company account, or relates to another person
who is to provide financial support, I confirm that I have obtained the consent of those persons to
the disclosure of their personal data to the extent reasonably necessary for the above purposes.
I understand that the information obtained may be used as part of the decision making process
about my application and may, if necessary, be disclosed to a court.
[I understand that providing information or documentation that is not correct will normally result in
my application being refused and may lead to my prosecution for a criminal offence.]

Name and address of applicant

Postcode:

Signature Date

SET (LR) Application Form (version 09/2018) Page 25

If the account with the bank or utility company is in the joint names of the applicant and
other people, each of those others should sign the following declaration :
The above-named person (‘the applicant’) has given the Home Office documentation about
his or her accounts with banks or utility companies (a ‘company’) so that the Home Office can
check that is correct. I am a joint customer with the applicant on some or all of those accounts.
Information about the applicant may thus also reveal information about me.
I agree to the company giving the Home Office relevant personal data it holds about me in
relation to the account. This only covers data about me as joint customer with the applicant
(and not about any other accounts I hold in my sole name) and limited to what is necessary to
confirm that the documentation the applicant has supplied is correct. If that documentation is
not correct, the company may give the Home Office details of any inaccuracies / discrepancies
in the information that the applicant has provided, and may also disclose to the Home Office the
correct information that they have on record about the account.
I agree that this information may be used as part of the decision making process about the
application and may, if necessary, be disclosed to a court.

Name and address of applicant

Postcode:

Signature Date

SET (LR) Application Form (version 09/2018) Page 26

Section 6 - Declarations
F. Applicant Declaration
It is mandatory for you to sign below to show you have read and understood the following
declaration. If it is not complete the application will be invalid and returned to you. It must be
signed by you personally and not by a representative or other person acting on your behalf.
If you are under 18, your parent or legal guardian should sign on your behalf.
Declaration
I hereby apply for Indefinite Leave to Remain in the UK for myself. The information I have given in
this form is complete and is true to the best of my knowledge.
The photographs I have submitted with my application are a true likeness of me and I have had the
opportunity to see the UK Visas and Immigration photograph guidance.
The documents I have submitted in support of my application are complete and correct to the best of
my knowledge and belief.
I agree to co-operate with Home Office officials, or any other person charged by the Secretary
of State for the Home Office with conducting pre-issue and post-issue checks in relation to this
application.
I accept that where I do not qualify for indefinite leave to remain but fall for a grant of limited leave,
my application will be treated as an application for limited leave and I may be asked to pay an
immigration health surcharge, under the Immigration (Health Charge) Order 2015. I accept that the
Secretary of State will treat this application as invalid, retain the application fee and not grant leave,
if a requirement to pay a surcharge is not met.
If there is a material change in my circumstances or any new information relevant to this application
becomes available before it is decided, I will inform the Home Office.
I am aware that the rules and requirements for applications may change in the future and that I
should not assume the current rules and requirements will continue to apply.
I understand that all information provided by me to the Home Office will be treated in confidence;
that it may be disclosed to other government departments, agencies, local authorities, the police,
foreign governments and other bodies for immigration purposes or to enable them to perform their
functions; and that, if such bodies provide the Home Office with any information about me which
may be relevant for immigration purposes, it may be used in reaching a decision on my application.
I understand that documents provided in support of this application, will be checked for authenticity;
and that false documents will be retained and may result in my application being refused and in my
prosecution and subsequent removal from the UK.
I understand that the Home Office may also use the information provided by me for training
purposes.
I am aware that it is an offence under the Immigration Act 1971 as amended by the Immigration and
Asylum Act 1999 and the Nationality, Immigration and Asylum Act 2002, to make to a person acting
in execution of any those Acts a statement or representation which I know to be false or do not
believe to be true, or to obtain or to seek to obtain leave to remain in the UK by means which include
deception.
I understand that my details may in certain circumstances be passed to fraud prevention agencies to
prevent and detect fraud and money laundering. I also understand that such agencies may provide
the Home Office with information about me. Further details explaining when information may be
passed to or from fraud prevention agencies and how that information may be used can be obtained
from the Home Office website.
I understand that if I am informing the Home Office that I have changed my gender, these details
may in certain circumstances be shared with other Home Office colleagues. I consent to this, where
necessary and understand that this information will only be shared in limited circumstances relating
to identity and security in line with Section 22 of the Gender Recognition Act. I am aware they will
otherwise be treated in confidence and that my rights under the Equality Act 2010, Data Protection
Act 2018 and Article 8 of the European Convention on Human Rights will be unaffected.

SET (LR) Application Form (version 09/2018) Page 27

Declaration continued:

Name:

Signature:

Date:

SET (LR) Application Form (version 09/2018) Page 28

G. Representative’s Details and Declaration
You should fill in this section if you are a third party, such as a representative, dealing
with the application on behalf of an applicant.

G1. Is a representative acting for you in relation to this application?

Yes - go to question G2 No - go to section 7

G2. Name of your representative’s organisation:

G3. Contact name of your representative:

G4. Select the title of the contact person within your organisation:
Mr Mrs Miss Ms Other (please state)

G5. Representative’s address:

Postcode:

G6. Representative’s telephone number:

G7. Representative’s email address:

G8. Representative’s fax number

G9. Are you regulated by the Office of the Immigration Service Commissioner (OISC)?
Yes - go to question G10 No - go to question G11

G10. Give your OISC registration number: (Then go to question G14)

G11. Are you authorised to practice and regulated by a designated professional body or
supervised by such a person?
Yes - go to G12 No - go to G14

SET (LR) Application Form (version 09/2018) Page 29

G12. Select the relevant body from the following options:
The Law Society The Law Society of The Law Society of
Scotland Northern Ireland
The Faculty of The Institute of Legal The General Council of the
Advocates Executives Bar of Northern Ireland
The General Council of the Bar

G13. Is your representative approved by the British Council? Yes No

G14. This section must be completed by all representatives, who are dealing with this
application on the applicant’s behalf. They must now read the declaration below and
authorise as the representative or other person acting on the applicant’s behalf:
• I have been appointed by the applicant to make this application.

• I confirm that the applicant has completed and verified the application and the application is,
to the best of my knowledge and belief, true and correct.

• Once the Home Office has decided the application, I will give the applicant all
correspondence from the Home Office relating to the decision.

• I am permitted to give immigration advice and immigration services by Section 84 of the

Immigration and Asylum Act 1999.

• I am aware that it is an offence under the Immigration Act 1971, as amended by the
Immigration and Asylum Act 1999 and the Nationality, Immigration and Asylum Act 2002, to
do an act which facilitates the commission of a breach of immigration law by an individual
who is not a citizen of the European Union, knowing or having reasonable cause to believe
that the act has this effect.

Name

Signature
Date

Name of representative organisation:

Position within organisation:

SET (LR) Application Form (version 09/2018) Page 30

Section 7 - Summary Sheet
Fill in this part of the form to help us make sure that we have received your documents
and to keep a record of them while they are with us. At “A”, tell us how many of each
of the listed documents you have sent with this application. This is a standard list, you
should only send in the documents from this list that are required for your application.
At “B”, list any other documents and state how many in each case. Continue on a
separate sheet if necessary.

A. Type of document How many? B. Listed items How many?

Passports

National identity cards

Biometric Residence Permit and/
or travel documents
Marriage or civil partnership
certificate
Birth certificate

Driving Licence

Photographs of yourself

Letter/docs from your employer

Life in the UK pass notification
letter
English language speaking and
listening qualification
Bank statements

Building Society savings books

Payslips

Previous travel documents

SET (LR) Application Form (version 09/2018) Page 31

 FINAL CHECKS
To ensure that your application is complete, please make the following final checks. Tick each
box that is relevant to your application.

Is SET (LR) the right form for you and is it valid for use? See date and
notes on front page.

Have you completed the appropriate payment details page and made the
correct payment?

Have you completed section E and the rest of the form as specified?

Have you provided the photographs specified in section B and are they in
the approved format?

Have you provided your valid passport(s), national identity card(s) or travel
document(s) and all other relevant documents specified in section C and
are they originals? (We also require photocopies of the same).

If you are unable to send us any of the documents specified in section

C which are relevant to your application, or if you are unable to provide
originals, have you given an explanation and said when you will be able to
send them?

Have you, or a parent or guardian if you are under 18, signed and dated
the declaration in section ?

Lock Form >>

Finally, please ensure your application is addressed correctly as follows:

Home Office
SET (LR)
Indefinite Leave to Remain
PO Box 591
Durham
DH1 9FS

SET (LR) Application Form (version 09/2018) Page 32