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1. Your full name:
*
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2. Your contact details:
*
3. What's your email address?
No problem if you don't have it- just leave this space blank.
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The answer is in an invalid format.
4. Your date of birth (you must be age 19 and over to apply): *
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The answer is in an invalid format.
5. Date of arrival in the UK
*
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6. Your immigration status in the UK- please check your 'pink' residency card or your passport for visa type.
*