APPENDIX 2

This form must be completed in full in order for a candidate to be eligible for further consideration
IMMIGRATION STATUS

NAME: Post Ref No:

POST APPLIED FOR:

1. Are you a British Citizen or EEC National?
2. Did you obtain your primary medical qualification in the UK/EEC? YES / NO
If you have answered NO to either question please continue
3. On what date did you enter the UK? DAY: MONTH: YEAR:
4. Have you worked in the UK before? YES / NO
If NO, have you achieved a minimum score of 7 in each of the four sections of the IELTS
(International English Language Testing System administered by The British Council)
YES / NO
If NO please give details
There are no exemptions to the IELTS
5. Have you successfully passed the PLAB Test? YES / NO
If NO are you exempt and on what basis?
6. Do you have evidence of entitlement to enter and work in the UK for an unlimited period? YES / NO
7. If you answered YES to question 6, please tick one of the following:
a) Settled Status
b) Spouse of British Citizen Please state visa expiry date:
c) Commonwealth grand-citizen with grandparents born in the UK
d) Refugee Please state visa expiry date:
8. If you answered NO to question 6, what is your current immigration status and please state the expiry date:
a) HSMP (Highly Skilled Migrant Programme) Please state visa expiry date:
b) Tier 1 / Tier 1 dependant (with no restrictions) Please state visa expiry date:
c) Tier 1 / Tier 1 dependant (with restrictions,
no employment as doctor in training) Please state visa expiry date:
d) Work Permit Please state visa expiry date:
e) Tier 2 (Sponsor Certificate) Please state visa expiry date:
f) Post graduate doctor / dentist Please state visa expiry date:
g) Student Please state visa expiry date:
h) Clinical attachment / dental observer posts Please state visa expiry date:
i) Any other (i.e. TWES, IGS, SE, GS, MTI) Please state visa expiry date:
Please state the relevant category:

PLEASE SEND DOCUMENTARY EVIDENCE IN CONNECTION WITH QUESTIONS 4 TO 8, E.G. PHOTOCOPIES
OF PASSPORT, VISA, LETTER OF IMMIGRATION STATUS FROM THE HOME OFFICE, ETC.

FOR FURTHER INFORMATION SEE GUIDANCE AT www.biahomeoffice.gov.uk

Note: If you are called for interview, you will be asked to provide original documentary evidence of entitlement
to enter and work in the United Kingdom.