FLR(S)

Version 11/2008

Student
APPLICATION FOR
AN
EXTENSION OF STAY IN THE UK
IN ONE OF THE STUDENT CATEGORIES Student
undertaking
LISTED IN THIS FORM examination

AND FOR A
re-sits

BIOMETRIC IMMIGRATION DOCUMENT

Postgraduate
In accordance with paragraph 34 of the Immigration Rules, this form is a student
specified form for the purpose of the Immigration Rules as of 25 November writing up
2008 and must be used for all applications made on or after that date for the a thesis
purposes stated on this page (and in sections 3 and 4).

You also need the separate guidance documents listed below, which you
should read before making your application: Student nurse

- FLR(S) guidance notes

- UKBA photograph guidance Prospective

student
If you do not already have these documents, you can get them from our web-
site at www.ukba.homeoffice.gov.uk or by calling 0870 241 0645.

Our application forms change periodically. If you obtain this form some time Sabbatical
before applying, please check that it is still the version which must be used officer
when you are ready to apply.

Applications on this form may be made by post or in person at one of our

Biometric
public enquiry offices. To apply in person, you must make an appointment. immigration
document
If you apply by post, you must send your application to the following address: (Identity card for
foreign nationals)
UK Border Ag ency
Leave to R emain - FL R(S)
PO Box 4 95
Durham This form is
DH 99 1 WR valid only for
applications made
on or after
W O R KING TOGETHER TO PROTECT THE PUBLIC 25 November 2008

FLR(S) Version 11/2008 - page 1 of 17

 GUIDANCE ON COMPLETING PAYMENT DETAILS
THE FEE
For applications on this form, there is a fee of £295 for appli-
cations made by post or £500 for applications made in person
at our public enquiry offices. Applying by post takes longer.
There is only one fee per application form. You may include
your spouse or civil partner and/or children under the age of
18 for no additional fee if they are applying as your depen-
dants. But if they apply separately, they must pay the pre-
scribed fee.
Children aged 18 or over cannot be included. They must apply
individually and pay the prescribed fee in each case.
Your application on this form is also one for an identity card for
foreign nationals for yourself and any dependants who are
applying with you. There is no additional fee to pay.
HOW CAN YOU PAY?
You must pay by one of the methods specified below:
• Cheque
• Postal Order
• Credit card - Visa (including Electron) or MasterCard only
• Debit card - Delta or Maestro* (including Solo)
• Banker’s draft
•Cash - but only for applications at a public enquiry office;
please don’t send cash by post.
* Maestro - we will accept any Maestro card if you are apply-
ing in person at a public enquiry office but only Maestro cards
issued in the UK if you are applying by post.
Your application is invalid if you do not pay the fee in full or if
you pay by any method other than those specified here.
CHEQUES AND POSTAL ORDERS
You must make the cheque or postal order(s) payable to
‘Home Office Leave to Remain’ and cross the cheque or postal
order(s) A/C Payee only.
Write the full name, nationality and date of birth of the main
applicant on the back of the cheque and/or each postal order
and keep the postal order stub(s).
Make sure that the date and the amount (words and figures)
are correct and that the cheque is signed properly.
If applying by post, attach your cheque or postal order(s) to the
front of the application form.
If applying in person at a public enquiry office and paying by
cheque, you must have a cheque guarantee card with a limit
sufficient to cover the amount to be paid.
FLR(S) Version 11/2008 - page 2 of 17
COMPLETING THE PAYMENT DETAILS PAGE
To ensure that your payment is processed without any delay,
please follow the guidance below when completing the next
page.
Applicant’s details (1-5)
1 Full name of main applicant as given in his or her
passport or travel document.
2 Nationality of main applicant. If more than 25
letters, please abbreviate..
3 Date of birth - for example, 3 January 1980 should be
written 03 01 1980 in the spaces provided.
4 Home Office reference if you have one (it should be a
letter and seven numbers, such as A1234567).
5 The address of the person named in 1.
Name and address for correspondence if different from
those of the applicant (6-7)
6/7 If a solicitor or other authorised immigration adviser is
submitting the application, give their name and
address at 6 and 7 for any correspondence about
payment issues. The address must be in the UK.
Method of payment (8-15)
8 Tick one of the boxes to show method of payment.
9 If paying by cheque, enter the cheque number,
account number and bank sort code.
10 If paying by card, tick one of the 4 boxes to show the
type of card.
11 Tick the fee which you are paying.
12 Complete 12-15 only if paying by card.
14 The card security number is a three-digit security
code known as the card verification value (CVV). It
consists of the last three numbers on the signature
strip on the back of the card as shown below.
3455 123 123
CVV
15 It is the cardholder as named on the credit/debit card
who must sign and date.
 PAYMENT DETAILS:FLR(S) - please see guidance before completing
Please complete this page in block capitals and black ink.
APPLICANT’S DETAILS

1 Full name

2 Nationality

3 Date of birth Day Month Year 4 Home Office reference if you have one

5 Applicant’s address

Postcode

NAME AND ADDRESS IN THE UK FOR CORRESPONDENCE IF DIFFERENT FROM THOSE OF THE APPLICANT

6 Name for correspondence

7 Address

Postcode

METHOD OF PAYMENT

8 Payment method - please tick Postal Cheque Debit or Banker’s

order credit card draft
9 Paying by cheque
Cheque number Account number Sort code

10 Paying by Please debit my: Visa / Electron MasterCard Delta Maestro / Solo
card

11 Amount Please tick the amount you are paying £295 - postal £500 - premium
12 Name on
card

13
Card
number
Valid from Expiry date
14 Card security Issue No.
Card details
number - CVV (where
available)
15 Cardholder’s Date
signature
FLR(S) Version 11/2008 - page 3 of 17
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’s important

that the rest of the form begins with
Section 1 - Applicant’s Details facing
upwards.
 FLR(S )
Version 11/2008

SECTION 1 - APPLICANT’S DETAILS

It is mandatory to complete this section as required. Please note that this application will be invalid if you do not.
1.1 Your title - please tick If other, what is your title? Photographs
You must provide two identical photographs of yourself with your full
Mr Mrs Miss Ms Other name on the back of each one. Please place the photographs in a
small sealed envelope, together with those of any dependants includ-
1.2 Your gender - please tick Male Female ed in section 2, and attach the envelope across this space with a sta-
ple or paper clip at the right-hand side of the page/envelope.
Day Month Year
Please make sure that the staple or paper clip does not damage or
1.3 Your date
mark the photographs. All photographs must be as specified in the
of birth separate photograph guidance.
1.4 Your full name as in your passport or travel document

1.5 Surname or family name

1.6 Any other name(s) by which you are or have been known

1.7 Nationality

1.8 Place of birth - town or city and country

1.9 Passport or travel document number 1.10 Home Office reference if you have one

1.11 National insurance number if you have one

1.12 Your UK address - please inform us immediately if this changes

Postcode

1.13 Your daytime telephone number Your mobile telephone number if you have one

1.14 Your e-mail address if you have one

1.15 Name and address in the UK for all correspondence about your application if different from 1.12

Postcode

1.16 If you have completed 1.15 and the address is that of your immigration adviser, please state their Office of the Immigration
Services Commissioner (OISC) number

FLR(S) Version 11/2008 - page 4 of 17

 SECTION 2 - DEPENDANTS WHO ARE ALSO APPLYING
If you have a partner and/or any children under 18 living in the UK who are applying for an extension of stay in the UK
as your dependants, this is where you give their details. “Partner” means your spouse or civil partner.

It is mandatory to complete this section as required. Please note that this application will be invalid if you do not.

If more than 2 children are applying, please give their details on a photocopy of this page, enclose it with this form, and
place the photographs in the envelope attached to section 1 as instructed. Children aged 18 or over must apply sepa-
rately.
Your partner’s’s full name
Photographs
You must provide two
identical photographs
of each dependant Nationality
who is applying.

Write the dependant’s

full name on the back Place of birth - town or city and country
of each photograph and
enclose both photographs
in the envelope attached
to section 1 as
instructed there.
Date of birth Gender Relationship to you
Day Month Year - please tick - please tick
Male Female Spouse Civil partner

Child’s full name

Photographs
You must provide two
identical photographs
of each dependant Nationality
who is applying.

Write the dependant’s

full name on the back Place of birth - town or city and country
of each photograph and
enclose both photographs
in the envelope attached
to section 1 as
instructed there.
Date of birth Gender Relationship to you
Day Month Year - please tick - please tick
Male Female Son Daughter

Child’s full name

Photographs
You must provide two
identical photographs
of each dependant Nationality
who is applying.

Write the dependant’s

full name on the back Place of birth - town or city and country
of each photograph and
enclose both photographs
in the envelope attached
to section 1 as
instructed there.
Date of birth Gender Relationship to you
Day Month Year - please tick - please tick
Male Female Son Daughter
FLR(S) Version 11/2008 - page 5 of 17
 SECTION 3 - WHICH CATEGORY?
Please tick a box below to show us the category in which you are applying for an extension of stay in the UK and to con-
firm that you are also applying for a biometric immigration document.
Student, and biometric Student undertaking examination Postgraduate student writing up a thesis,
immigration document re-sits, and biometric immigration and biometric immigration document
document

Student nurse, and biomet- Prospective student, and biometric Sabbatical officer, and biometric
ric immigration document immigration document immigration document

SECTION 4 - IDENTITY CARD FOR FOREIGN NATIONALS

It is mandatory to complete this section if any children under the age of 16 are applying with you as your dependants,
or if you are a single applicant under the age of 16.

Please note that this application will be invalid if you are required to complete this section and you do not do so.

See Note 1 about indentity cards for foreign nationals.

Note 1 In accordance with regulations 3 and 4 of the Immigration (Biometric Registration) Regulations 2008, anyone applying
for an extension of stay in the UK in the categories for which this application form is specified must apply for a biometric immigra-
tion document, otherwise known as an identity card for foreign nationals. This also applies to applications at the same time by any
dependants of the main applicant. For information about identity cards for foreign nationals, please see the separate FLR(S) guid-
ance notes, which you should read before completing this form.

4.1 If any children under the age of 16 are applying as your dependant(s), please give details below of the person who will be
accompanying them when they have their fingerprints and/or photograph taken. See Note 2.

Name of responsible adult Date of birth Place of birth Relationship to child(ren)

4.2 If you have nominated a responsible adult other than yourself at 4.1, please explain the reason below.

4.3 If you are applying as a single applicant under the age of 16, please give details below of the person who will be accompany-
ing you when you have your fingerprints and/or photograph taken. See Note 2.

Name of responsible adult Date of birth Place of birth Relationship to child(ren)

Note 2 Under The Immigration (Biometric Registration) Regulations 2008, any child under the age of 16 who is required to pro-
vide a record of their fingerprints and/or a photograph must have them taken in the presence of a responsible adult who is the
child’s parent or guardian, or another person who for the time being takes responsibility for the child.

Where dependants of the main applicant are also required to apply for a biometric immigration document, all applicants will nor-
mally have their fingerprints or photograph taken on the same day. This means that you and any children applying with you will
normally be expected to attend together. If there is any reason preventing you from accompanying any child under the age of 16,
you must nominate the responsible adult who will be accompanying them.

The responsible adult accompanying any child under the age of 16 will need to provide an acceptable form of identification, such
as a passport or driving licence. If that person is not the parent or guardian of the child, they must have a letter confirming that
they are a responsible adult who has a close connection to the child and has been authorised to accompany him or her.

FLR(S) Version 11/2008 - page 6 of 17

 SECTION 5 - YOUR STUDIES UNTIL NOW
You are required to complete this section only if your previous leave to enter or remain in the UK was as a student.

5 . 1 When did you begin your studies in the UK?

5 . 2 Full name of the place of study where you are, or have most recently been, studying. See Note 3.

5 . 3 Full address of the place of study named above

Postcode

Note 3 We encourage all overseas students to notify us of changes in their planned course of study, especially where this involves
moving to a different education institution.

5 . 4 Please give details below of all the courses (or parts of courses) which you have attended since being granted leave to enter
or remain in the UK to study, beginning with the most recent course. Indicate in the “name and level” space whether the course
was full-time or part-time. Continue on a separate sheet if you need more space and enclose it with this form.
Name and level of course Place of study Qualification achieved Start/finish dates
Start

Finish

Start

Finish

Start

Finish

Start

Finish

Start

Finish

SECTION 6 - YOUR ATTENDANCE UNTIL NOW

You are required to complete this section only if your previous leave to enter or remain in the UK was as a student.

6 . 1 Your attendance during your current or most recent course

Your place of study should complete the details specified below or provide the same information in a letter on headed notepa-
per. If you have just begun your current course, this information should be provided for the course you have just undertaken or
completed.

Student’s full name

Name of course

Day Month Year Day Month Year

Date course Date course
started finished
FLR(S) Version 11/2008 - page 7 of 17
 SECTION 6 - YOUR ATTENDANCE UNTIL NOW

Attendances If any absences, give the reason(s) below.

Possible Actual Continue on a separate sheet if necessary and enclose it with this form.
number number

Administrator’s name Place of study stamp if there is one

Administrator’s signature Date

6 . 2 If your place of study has not completed 6.1, are you providing a letter from them with the same details Yes No
of your attendance? If not, please explain in the space below.

SECTION 7 - YOUR COURSE OF STUDY

7 . 1 Tick one of the following boxes to show what sort of course you intend to study (this may be a continuation of your studies set
out in section 5):
Full-time recognised degree course. See Note 4. To re-sit an examination

Weekday daytime course at a single institution involv- To write up a thesis

ing a minimum of 15 hours organised study per week

Full-time course of study at an independent fee Nursing training course at a recognised

paying school nursing educational establishment

Visiting undergraduate or postgraduate student undertaking a period of study or research (at a publicly funded institu-
tion) as part of a degree being completed overseas

Other - please give details

Note 4 A recognised degree is one which is awarded by a UK recognised body. For a list of these bodies and for further infor-
mation on degrees, see www.dcsf.gov.uk/recognisedukdegrees

7.2 Full name of the place where you will be studying . See Note 5.

7.3 Full address of the place where you will be studying. See Note 5.

Postcode

Note 5 The full address is required as we undertake visits to education institutions to check attendance and enrolment.
FLR(S) Version 11/2008 - page 8 of 17
 SECTION 7 - YOUR COURSE OF STUDY

7 . 4 What is the name of the course on which you are enrolled and, where relevant, what is the level of the course? You should
also give the name of the awarding body.

Name of course

Level of course
(where relevant)

Awarding body

Start End
7.5 Please provide the Day Month Year Day Month Year
start and end dates for
your course of study.

7.6 On completing the studies referred to in question 7.4, do you intend to follow any further course(s) of Y es No
study in the UK? If so, of what nature and for how long? Please give details below.

7.7 If you have not yet enrolled but have received an unconditional offer of a place on a course of study, Y es No
have you accepted the offer?

7.8 If you are applying for an extension of stay to re-sit an examination, have you previously been granted Y es No
leave to enter or remain in the UK to re-sit this examination?

If so, when were you granted such leave?

7.9 If you are applying for an extension of stay to write up a thesis, have you previously been granted leave Yes No
to enter or remain in the UK to write up this thesis?

If so, when were you granted such leave?

7 . 1 0 If you are applying for an extension of stay as a prospective student, were you last admitted to the Y es No
UK with a valid entry clearance/visa as a prospective student?

If so, when were you admitted?

7 . 1 1 If you are applying for an extension of stay as a sabbatical officer, have you previously been Y es No
granted leave to enter or remain in the UK as a sabbatical officer?

If so, when were you granted such leave?

FLR(S) Version 11/2008 - page 9 of 17

 SECTION 7 - YOUR COURSE OF STUDY
7 . 1 2 What do you intend to do when you have completed all your studies in the UK and where do you intend to do this? Please
give details below.

SECTION 8 - YOUR ACCOMMODATION AND FINANCES

8.1 Is your accommodation in the UK:
a) owned by you? c) privately rented by you? e) provided by your place of
study?

b) rented from a local council or hous- d) owned or rented by a f) other? Give details
ing association by you? relative or friend? below.

8.2 Do you pay any rent or mortgage for Yes No If so, how much do you
your accommodation? pay each month? £

8.3 Are you working in the UK? Yes No If so, how many hours on average
do you work during term time?

What is your pay each month during term time after income tax and other deductions?
£

8.4 Do your parents, other relatives or friends give you money, either regularly (for example, each Y es No
month) or occasionally? If so, how much do you receive and how often? Please give details
below, including the total amount you receive for the year.

8.5 Are you receiving, or have you received, sponsorship from your place of study, the British Y es No
Government, any other government, or an international scholarship agency for your recent studies?

8.6 Are you receiving any public funds? Yes No

The public funds which are relevant for the purposes of the Immigration Rules are listed below. If you have answered yes to ques-
tion 8.6, you must tick the relevant box(es) to show which of these are being received.

Attendance Allowance Council Tax Benefit Income-based Social Fund Payment

Jobseeker’s Allowance

Carer’s Allowance Disability Living Income Support State Pension Credit

Allowance

Child Benefit Housing Benefit Local authority Working Tax Credit

accommodation

Child Tax Credit Housing or Homeless- Severe Disablement

ness assistance Allowance
FLR(S) Version 11/2008 - page 10 of 17
 SECTION 9 - PERSONAL HISTORY
It is mandatory to complete this section as required. Please note that this application will be invalid If you do not.
You must answer every question in this section on behalf of yourself and any dependants applying with you. It is an
offence under Section 26(1)(c) of the Immigration Act 1971 to make a statement or representation which you know to
be false or do not believe to be true. Information given will be checked with other agencies.
9.1 Do you or any dependants applying with you have any criminal convictions in the UK or any other Yes No
country (including traffic offences) or any civil judgments made against you?

If you have answered yes to question 9.1 above, give details below for each criminal conviction and/or civil judgment, starting with
the most recent one - but first see Note 6 about criminal convictions. If you or any dependants applying with you have received more
than two convictions and/or civil judgments, give details on a copy of this page and enclose it with this form.

Note 6 Convictions spent under the Rehabilitation of Offenders Act 1974 need not be disclosed. More information about the Act
is given towards the end of this section.
Name of person convicted or against whom a civil judgment was made

Nature of the criminal offence or the civil action (give details on a separate sheet and enclose it with this form if you need more space)

Details of the sentence or civil judgment (give details on separate sheet if you need more space) Date of sentence/judgment

Country where the sentence was passed or the civil judgment was made

Name of person convicted or against whom a civil judgment was made

Nature of the criminal offence or civil action (give details on separate sheet and enclose it with this form if you need more space)

Details of the sentence or civil judgment (give details on separate sheet if you need more space) Date of sentence/judgment

Country where the sentence was passed or the civil judgment was made

You must answer questions 9.2 to 9.7 below even if you have answered no to question 9.1. For help in answering these questions,
please see the definitions on the next page.

9.2 Have you or any dependants applying with you ever been charged in any country Y es No
with a criminal offence for which you have not yet been tried in court?

9.3 In times of either peace or war have you or any dependants applying with you ever been Y es No
involved, or suspected of involvement, in war crimes, crimes against humanity or genocide?

9.4 Have you or any dependants applying with you ever been involved in, supported or encour- Y es No
aged terrorist activities in any country?

9.5 Have you or any dependants applying with you ever been a member of, or given support to, Yes No
an organisation which has been concerned in terrorism?

9.6 Have you or any dependants applying with you ever, by any means or medium, expressed Y es No
views that justify or glorify terrorist violence or that may encourage others to terrorist acts
or other serious criminal acts?

FLR(S) Version 11/2008 - page 11 of 17

 SECTION 9 - PERSONAL HISTORY

9.7 Have you or any dependants applying with you ever engaged in any other activities which might Y es No
indicate that you may not be considered to be persons of good character?

If you have answered yes to question 9.2, 9.3, 9.4, 9.5, 9.6 or 9.7 above, 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.

REHABILITATION OF OFFENDERS ACT 1974

The Rehabilitation of Offenders Act 1974 enables criminal convictions to become 'spent' or ignored after a 'rehabilitation period'.
The length of the rehabilitation period depends on the sentence given. For a custodial (prison) sentence the rehabilitation period is
decided by the original sentence, not the time served. Prison sentences of more than two and a half years can never become spent
and should always be disclosed. Further information on rehabilitation periods can be found at Nacro's Resettlement Plus Helpline
on 020 7840 6464 or by obtaining a free copy of their leaflet on 020 7840 6427.

DEFINITIONS

For the purposes of answering questions 9.3 to 9.7, the following information provides guidance on actions which may constitute
war crimes, crimes against humanity, genocide, or terrorist activities.

This guidance is not exhaustive. The full definitions of war crimes, crimes against humanity and genocide can be found in Schedule
8 of the International Criminal Court Act 2001 at www.opsi.gov.uk/acts/acts2001/20010017 or purchased from The Stationery
Office (telephone 0870 600 5522). It is your responsibility to satisfy yourself that you are familiar with the definitions and can
answer the questions accurately on behalf of yourself and any dependants applying with you.

War crimes
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 civil-
ian population with knowledge of the attack. This would include offences such as murder, torture, rape, severe deprivation of liber-
ty 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.

Terrorist activities
Any act committed, or the threat of action, designed to influence a government or intimidate the public and made for the purposes
of advancing a political, religious or ideological cause and that involves serious violence against a person; that may endanger anoth-
er person’s life; creates a serious risk to the health or safety of the public; involves serious damage to property; is designed to seri-
ously disrupt or interfere with an electronic system.

Organisations concerned in terrorism

An organisation is concerned in terrorism if it commits or participates in acts of terrorism; prepares for terrorism; promotes or
encourages terrorism (including the unlawful glorification of terrorism); or is otherwise concerned in terrorism.

FLR(S) Version 11/2008 - page 12 of 17

 SECTION 10 - PHOTOGRAPHS
It is mandatory to provide the relevant photographs specified below, and for each photograph to comply with the manda-
tory format requirements specified in the separate photograph guidance provided with this form.

Please note that this application will be invalid if you do not provide the photographs or if they do not comply with the spec-
ified mandatory format requirements.

Tick the box (es) to confirm the photographs you are providing and enclose them in a small sealed envelope attached to
section 1 as instructed there.

Two recent identical passport-size photographs of yourself with your full name written on the back of each photo-
graph.Please see the separate photograph guidance on the approved format.

Two recent identical passport-size photographs of each dependant included in section 2 and applying for an
extension of stay in the UK with you, with their full name written on the back of each photograph.

SECTION 11 - 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.

All applicants must provide the relevant documents specified in sub-section 11A . If you are applying in any of the cate-
gories listed in sub-sections 11B to 11E, you must also provide the documents specified in the sub-section for the particu-
lar category in which you are applying.

Please note that, in some cases, we may have to ask for other documents in addition to those specified in this form.

11A All applicants

Passports and immigration documents

Your current passport or travel document. If you last entered the UK on a previous passport or travel document or
other document, please also provide this document if you have it.

The current passport(s) or travel document(s) of each dependant included in section 2 and applying for an exten-
sion of stay in the UK with you. If they last entered the UK on previous passport(s) or travel document(s), please also provide
these documents if you have them.

Your identity card for foreign nationals if you have been issued with one since entering the UK. See Note 7.

Identity cards for foreign nationals for each dependant included in section 2 and applying for an extension of stay
in the UK with you if they have been issued with them since entering the UK. See Note 7.

Note 7 Identity cards for foreign nationals will be issued to foreign nationals from 25 November 2008 when they are given per-
mission 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. Initially, most foreign nationals applying to remain in the UK will not have been issued with UK identity cards.

Your police registration certificate if you have been asked to register with the police.

The police registration certificate(s) for each dependant included in section 2 and applying for an extension of stay
in the UK with you if they have been asked to register with the police.

FLR(S) Version 11/2008 - page 13 of 17

 SECTION 11 - DOCUMENTS
Enrolment / unconditional offer
Evidence of enrolment. Document(s) from your place of study confirming your enrolment on the course for which you are
applying for an extension of stay and including the following information:

- the name and level of the course

- the name and address of the awarding body
- the start and finish dates
- whether the course is full-time or part-time (see Note 8)
- the cost of the course and whether the fees have been paid in full or in part.

Note 8 If you are enrolled on a recognised degree or postgraduate course, or on a course of study at an independent fee-paying
school, the letter should say whether the course is full-time or part-time. For all other courses, the letter should state how many
hours each week you will spend engaged in organised daytime study at the institution at which you are enrolled.

Visiting undergraduate or postgraduate students. If you are such a student and are enrolled at more than one insti-
tution, please provide documents from both the UK publicly funded institution you are attending and the overseas institution
at which you will complete your degree course or postgraduate studies with the evidence of enrolment specified above.

Unconditional offer. If you have not yet enrolled and answered yes to question 7.7, you must provide document(s) from
the place of study confirming that you have received an unconditional offer of a place, and document(s) showing that you have
accepted the unconditional offer made to you.
ATAS clearance certificate
A valid Academic Technology Approval Scheme (ATAS) clearance certificate from the Counter-Proliferation
Department of the Foreign and Commonwealth Office must be provided if you are undertaking postgraduate studies leading
to a Doctorate or Masters by research, or a taught Masters degree, in certain designated subjects listed in Appendix 6 of the
Immigration Rules. See Note 9.

Note 9 Applications for a clearance certificate must be made online at www.fco.gov.uk/atas. This site also contains information
about the scheme and a list of the designated subjects.

External students at private education institutions

A document confirming you are registered as an external student with the UK degree awarding body, if
you are an external student studying for a degree at a private education institution. See Note 10.

Note 10 This is not required if the private education institution is a Listed Body.

Progress and attendance

Evidence of progress. If you have to complete section 5, evidence that you have made satisfactory progress on your
course(s), such as certificates or documents showing examination results or qualifications obtained (see 5.4).

Evidence of attendance. If you have to complete section 6 and your place of study has not completed question 6.1, a doc-
ument from the place of study giving details of your attendance for the course you have just undertaken or completed.

Sponsorship
Evidence of sponsorship. If you have answered yes to question 8.5, a document confirming that you are still sponsored
for the course of study and the period for which you are applying for an extension of stay, or that a former sponsoring author-
ity consents to you continuing to study in the UK.

Finances and authorised employment

Evidence of part-time employment during term time. If you have answered yes to question 8.3, please provide pay
slips covering a period of three months when you last worked part-time during term time.

Evidence of your finances. Documents such as bank statements, building society savings book(s), pay slips or other for-
mal documents as evidence of your ability to meet the costs of your course and to maintain and accommodate yourself and
any dependants without taking employment or engaging in business, or having recourse to public funds. See Note 11.

If a relative or friend is supporting you, please provide a letter from him/her confirming this together with bank state-
ments or other documents of the kind described above as evidence of their financial resources. See Note 11.

FLR(S) Version 11/2008 - page 14 of 17

 SECTION 11 - DOCUMENTS

Note 11 Students should be able to maintain and accommodate themselves and any dependants without relying wholly or main-
ly on their earnings from authorised incidental part-time or vacation employment. Earnings from such employment may be taken
into account only

if you have guaranteed part-time work at a publicly funded institution of further or higher education at which you are
enrolled , or

if you are a student nurse and the employment is directly related to your training and is approved by your course
provider, or

if you have been elected to a full-time sabbatical post at the place of study at which you are enrolled.
We do not accept internet or cashpoint statements as evidence of finances. If you claim that a relative or friend is providing you
with financial support (see question 8.4), in addition to evidence of your own finances, you must provide bank statements or other
documents of the kind described above as evidence of their finances.

The documents showing the finances available to you and to any person supporting you should cover at least the last 3 months.

11B Student undertaking examination re-sits

If you are applying as a student undertaking examination re-sits, in addition to the relevant documents in sub-section 11A,
you must provide the following documents:
A document from the educational institution or independent fee paying school which you attend,or attended in the previous
academic year, confirming that you are required to re-sit an examination, the date(s) of that examination and the expected
date of the results.

If you are re-sitting an examination in a designated subject listed in Appendix 6 of the Immigration Rules and you were last
granted leave as a student on or after 30 November 2007, a valid Academic Technology Approval Scheme clear-
ance certificate must be provided. See Note 9 on page 14.

11C Postgraduate student writing up a thesis

If you are applying as a postgraduate student writing up a thesis, in addition to the relevant documents in sub-section 11A,
you must provide the following documents:

Document(s) showing that you are a postgraduate student enrolled at an educational institution as either a full-time, part-
time or writing up student and that your application is supported by the educational institution. This document should also
state the expected date for the submission of your thesis.

If you are a postgraduate student writing up a thesis in a designated subject listed in Appendix 6 of the Immigration Rules
and you were last granted leave as a student on or after 30 November 2007, a valid Academic Technology Approval
Scheme clearance certificate must be provided. See Note 9 on page 14.

11D Prospective student

If you are applying as a prospective student, in addition to the relevant documents in sub-section 11A, you must provide the
following documents:
A document showing that you intend to undertake a course of study within 6 months of your entry to the UK. This evidence
may, for example, take the form of a conditional offer of a place on a course of study or a letter inviting you to attend for inter-
view for a place on a proposed course of study; and

Evidence that you have the finances without working or recourse to public funds to meet the costs of your intended course
and to maintain and accommodate yourself and any dependants while making arrangements to study and during the course
of your studies. (See Note 11 and the related items above.)

11E Sabbatical officer

If you are applying as a sabbatical officer, in addition to the relevant documents in sub-section 11A, you must provide the fol-
lowing documents:
A document showing that you have been elected to a full-time salaried post as a sabbatical officer at the place of study at
which you are registered as a student; and

A letter from you confirming that, at the end of your sabbatical post, you intend to complete the course of study you have
already begun or you intend to take up a further course of study which has been deferred to enable you to take up the sab-
batical post or you intend to leave the UK.
FLR(S) Version 11/2008 - page 15 of 17
 SECTION 12 - DECLARATION
You must now read the declaration below and sign it. This must be signed by you (the applicant) and not by a
representative or other person acting on your behalf. If you are under 18, your parent or guardian may sign.

It is mandatory for the declaration to be signed.

Please note that this application will be invalid if it is not signed as specified above.

I hereby apply for an extension of stay in the UK for myself and any dependants listed in this form. The information I
have given in this form is complete and is true to the best of my knowledge.

I confirm that the photographs submitted with this form are a true likeness of myself and any dependants included in
the application, as named on the back of each photograph and that I have had the opportunity to see the UK Border
Agency (UKBA) photograph guidance.

As required to do so by The Immigration (Biometric Registration) Regulations 2008, I confirm that I also apply for a
biometric immigration document for myself and any dependants applying with me. If I am a single applicant under the
age of 16, or if any dependent child under that age is applying with me, I understand that the Home Office may make
enquiries about any responsible adult nominated by me to be present when my/their fingerprints and/or a photograph
are taken.

I confirm that if, before this application is decided, there is a material change in my circumstances or new information
relevant to this application becomes available, I will inform the Home Office.

I understand that all information provided by me to the Home Office will be treated in confidence; that it may be dis-
closed to other government departments, agencies, local authorities, the police, foreign governments and other bod-
ies 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 my details may in certain circumstances be passed to fraud prevention agencies to prevent 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 infor-
mation may be used can be obtained from the UKBA webite.

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 United Kingdom.

I understand that the Home Office may also use the information provided by me for training purposes.

I understand that the Home Office may make enquiries of the institution(s) named in sections 5.2 and/or 7.2 of this
form in order to establish whether I meet the requirements of the Immigration Rules with regard to satisfactory atten-
dance and progress. I consent to the institution(s) named in those sections disclosing details of my attendance and
progress to the Home Office in response to any such enquiries. I also consent to their informing the Home Office on
their own initiative if I cease to attend any course of study with them for which I have been granted leave to enter or
remain in the UK.

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 of 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 United Kingdom by means which include deception.

Signature Date

FLR(S) Version 11/2008 - page 16 of 17

 PHOTOGRAPHS AND DOCUMENTS CHECKLIST
Please complete this part of the form to help us check that we have received your photographs and documents. At “A”,
tell us how many of each of the listed items you are providing with your application. At “B”, list any other documents
provided by you and state how many in each case. Continue on a separate sheet if necessary and enclose it with this
form. All documents must be originals.
How How
A. Listed items many? B. Other documents many?
Photographs of yourself

Photographs of any dependants applying

Passports and/or travel documents

Police registration certificates

Evidence of enrolment

Evidence of attendance

Evidence of progress

ATAS certificate

Evidence of registration as an external

student with UK degree awarding body
Bank statements

Building society savings books

Pay slips

Please note that, in some cases, we may have to ask for other
documents in addition to those specified in this form.

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 FLR(S) the right form for you and is it valid for use? Have you completed the payment details page and made
See date and notes on front page. the correct payment?

Have you completed section 1 and, if required to do so, Have you ticked a box in section 3 to show the category
sections 2 and 4? in which you are applying?

Have you completed section 9 and the rest of the form Have you provided the photographs specified in section 10
as specified? and are they in the approved format?

Have you provided your current passport(s) or travel doc-
ument(s) and all other relevant documents specified in
section 11 and are they originals?
Have you, or a parent or guardian if you are under 18,
signed and dated the declaration in section 12?
If you are unable to send us any of the documents
specified in section 11 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 ?

Finally, please make sure that the application is addressed UK Border Agency
exactly as shown opposite. Leave to Remain - FLR(S)
PO Box 495
Durham
DH99 1WR
FLR(S) Version 11/2008 - page 17 of 17