points based system: migrant change of … · tick here if you are the main visa holder \(for...

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MCC POINTS BASED SYSTEM: MIGRANT CHANGE OF CIRCUMSTANCES FORM This form must be posted to: UK Border Agency Change of Circumstances Form PO Box 3468 Sheffield S3 8WA This form is to be used for applications made on or after 31 July 2010 You can get more information from our website at www.ukba.homeoffice.gov.uk

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Page 1: POINTS BASED SYSTEM: MIGRANT CHANGE OF … · Tick here if you are the main visa holder \(for example: if you hold a Tier 4 or PSW visa\). Tick here if you are the dependant of the

MCC

POINTS BASED SYSTEM: MIGRANT CHANGE OF

CIRCUMSTANCES FORM

This form must be posted to:

UK Border AgencyChange of Circumstances FormPO Box 3468SheffieldS3 8WA

This form is to be used for applications made on or after 31 July 2010

You can get more information from our website at www.ukba.homeoffice.gov.uk

kayan
Text Box
ARCHIVE: Please note: For UEL Tier 4 students only. This interactive Migrant Change of Circumstances form is for general guidance only and aims to help you complete the actual form. This form is to notify the UK Border Agency of changes to: personal details; criminal convictions; contact details; representative details; dependants' details. You should download and print off a clean copy of the application form from the UKBA website. Always check your application is correct for your circumstances and that you use the correct version. This form is to assist you with applications from 31st July 2010 until a new version of the form is released. If in doubt, seek advice. UEL cannot take any responsibility for the content of your application. Click on the yellow post-it notes for guidance.
Sticky Note
Before applying for a Migrant Change of Circumstances you must ensure that you understand the requirements. You should use this form to notify the UK Border Agency of changes to: -personal details; criminal convictions; contact details; representative details; dependants’ details.
Sticky Note
This is the address to which you must send this completed form.
Sticky Note
Do not use this form for changes to your study circumstances, errors on your visa or new born children. If the above situation applies, email us at [email protected]
Page 2: POINTS BASED SYSTEM: MIGRANT CHANGE OF … · Tick here if you are the main visa holder \(for example: if you hold a Tier 4 or PSW visa\). Tick here if you are the dependant of the

PBS (MCC) Application Form - page 2

PBS (MigrAnT ChAnge OF CirCUMSTAnCeS) APPliCATiOn FOrM

ContentsPersonal Details....................................................................................................1Type of change .....................................................................................................2Personal details ....................................................................................................2Criminal convictions ............................................................................................2Contact details ......................................................................................................3Representative’s details ......................................................................................4Dependant’s details ..............................................................................................4Other changes ......................................................................................................4Declaration ............................................................................................................4Migrant Change of Circumstances Form - Help Text ........................................5Who needs to complete this form? ......................................................................................... 5What changes in circumstances does the UK Border Agency need to be informed of? ......... 5When not to use this form ....................................................................................................... 5Additional Guidance for Migrants who are in the United Kingdom as a Tier 2 (General), Tier 2 (Intra Company Transfer), Tier 2 (Minister of Religion), Tier 2 (Sportsperson), Tier 4 (General) Student, a Tier 4 (Child) Student or as the Dependant of a Tier 4 Migrant ............................. 5Personal details ...................................................................................................................... 5Criminal convictions ................................................................................................................ 6Contact details ........................................................................................................................ 6Representative’s details .......................................................................................................... 6Dependants’ details ................................................................................................................ 6Other ....................................................................................................................................... 6

Page 3: POINTS BASED SYSTEM: MIGRANT CHANGE OF … · Tick here if you are the main visa holder \(for example: if you hold a Tier 4 or PSW visa\). Tick here if you are the dependant of the

PBS (MCC) Application Form - page 1

PBS (MigrAnT ChAnge OF CirCUMSTAnCeS) APPliCATiOn FOrM

PeRSonal DeTailS

1. are you the Migrant, Family Member of the Migrant or Representative?

Migrant Family Member Representative

2a. applicant’s first name(s) as stated on the application form:

2b. applicant’s last name(s) or family name(s) as stated on the application form:

3. applicant’s date of birth:

D D M M Y Y Y Y

4. applicant’s nationality:

5. Under what Tier of PBS does the applicant currently have leave or have an outstanding application?

- Tier 1 or Dependant of Tier 1 Migrant

- Tier 2 or Dependant of Tier 2 Migrant

- Tier 4 or Dependant of Tier 4 Migrant

- Tier 5 or Dependant of Tier 5 Migrant

6. What is the applicant making changes to?

Application details before decision

Application details after decision

Sticky Note
Tick here if you are the main visa holder (for example: if you hold a Tier 4 or PSW visa).
Sticky Note
Tick here if you are the dependant of the main visa holder (example: you are the dependant of a Tier 4 student)
Sticky Note
If you have a solicitor or other accredited adviser assisting you with this application, they should tick here.
Sticky Note
Write here your first name as stated in your passport.
Sticky Note
Write your surname(s) here, as it appears in your passport.
Sticky Note
Write here your date of birth. This should be in the standard UK digital format: day - month - year eg: 31 - 01 - 1980
Sticky Note
Write here your nationality.
Sticky Note
Tick here if you hold a Tier 4 visa or dependant of a Tier 4 student.
Sticky Note
Tick here if you have made a visa application and not yet received a decision but your circumstances have changed: -personal details; -criminal convictions; -contact details; -representative details; -dependants’ details
Sticky Note
Tick here if you have already have your visa but your circumstances have changed: -personal details; -criminal convictions; -contact details; -representative details; -dependants’ details
Page 4: POINTS BASED SYSTEM: MIGRANT CHANGE OF … · Tick here if you are the main visa holder \(for example: if you hold a Tier 4 or PSW visa\). Tick here if you are the dependant of the

PBS (MCC) Application Form - page 2

PBS (MigrAnT ChAnge OF CirCUMSTAnCeS) APPliCATiOn FOrM

7. PBS reference number (if known):

8. application reference number (if known):

9. Representative reference number (if known):

TYPe OF ChAnge

10. Please indicate the type of change required:

Personal details - go to Q11 Representative’s details - go to Q24

Criminal convictions - go to Q13 Dependants’ details - go to Q26

Contact details - go to Q18 Other - go to Q28

PeRSonal DeTailS

11. Description of change

12. Date change becomes effective

D D M M Y Y Y Y

CriMinAl COnviCTiOnS

13. nature of the criminal offence or the civil action (give details on a separate sheet and enclose it with this form if more space is needed)

Sticky Note
Write here your PBS reference number, if known.
Sticky Note
If you have made a Tier 4 application but have not yet received a decision and you have received a letter confirming receipt of your application, this should state your application reference number.
Sticky Note
Leave blank unless you have a representative (solicitor or accredited adviser).
Sticky Note
If you have a change to your personal details such as change to your passport, name, nationality or title, tick here and move to question 11. You must also notify Student Services and provide evidence of the changes. If the change is to your passport details, you must provide these to the International Office to update your student record.
Sticky Note
If you have a change in your circumstances such as a new criminal conviction (including traffic offences), tick here and move to question 13. You must also notify the Admissions team at UEL, as per UEL's admissions terms and conditions (this applies to prospective and currently enrolled students). See www.uel.ac.uk/terms
Sticky Note
If you have changed your contact details, tick here and provide the details in question 18. This includes any changes to your UK address, email or telephone number. You must ensure that your contact details are also up to date on UEL Direct.
Sticky Note
If you had a representative (solicitor/ accredited adviser), tick here and provide details in question 24.
Sticky Note
If your dependant's details have changed - for example: if you had a dependant partner and your relationship has ended - tick here and move to question 26.
Sticky Note
If some other circumstance has changed, tick here and explain in question 28. Do not use this form for errors in your visa, new born dependants, change of institution. Contact [email protected] for advice
Sticky Note
If you ticked changes to your personal details in question 10, please give a concise description here. (example: Passport expired and obtained a new one. You must provide the new passport number, start and end date and place of issue) Any changes to your personal details other than passport must also be amended at UEL through Student Services. If you have a new passport, you must also visit the International Office with it to update your student record.
Sticky Note
Write here that the change happened or will happen.
Sticky Note
If you ticked 'Criminal Convictions' in question 10, write here the details of your the criminal offence with which you were charged or the civil action and move to question 14. You must also notify the Admissions team at UEL, as per UEL's admissions terms and conditions (this applies to prospective and currently enrolled students). See www.uel.ac.uk/terms
Page 5: POINTS BASED SYSTEM: MIGRANT CHANGE OF … · Tick here if you are the main visa holder \(for example: if you hold a Tier 4 or PSW visa\). Tick here if you are the dependant of the

PBS (MCC) Application Form - page 3

PBS (MigrAnT ChAnge OF CirCUMSTAnCeS) APPliCATiOn FOrM

14. Details of the sentence or civil judgment (give details on a separate sheet if more space is needed)

15. Date of sentence/judgment

D D M M Y Y Y Y

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

17. Please provide details if the applicant has been charged in any country with a criminal offence for which he/she has not yet been tried in court.

ConTaCT DeTailS

18. Full address:

19. Postcode:

20. Home telephone number:

21. Mobile telephone number:

22. Work telephone number:

23. email address:

Sticky Note
If you ticked 'criminal convictions' in question 10 and have provided the details of the offence in question 13, write here the details of the sentence of civil judgement. You must also notify the Admissions team at UEL, as per UEL's admissions terms and conditions (this applies to prospective and currently enrolled students). See www.uel.ac.uk/terms
Sticky Note
If you ticked 'criminal convictions' in question 10 and have provided the details of the offence in question 13, write here the date of the sentence of civil judgement. You must also notify the Admissions team at UEL, as per UEL's admissions terms and conditions (this applies to prospective and currently enrolled students). See www.uel.ac.uk/terms
Sticky Note
If you ticked 'criminal convictions' in question 10 and have provided the details of the offence in question 13, write here the country in which the sentence of civil judgement was passed. You must also notify the Admissions team at UEL, as per UEL's admissions terms and conditions (this applies to prospective and currently enrolled students). See www.uel.ac.uk/terms
Sticky Note
If you ticked 'criminal conviction' in question 10 but have not yet been tried in court, you should explain the details of the charges here. (what, when, where?) You must also notify the Admissions team at UEL, as per UEL's admissions terms and conditions (this applies to prospective and currently enrolled students). See www.uel.ac.uk/terms
Sticky Note
If you ticked change in contact details in question 10, you should write the new address here. Above this box, you should write "New Address" In the blank space below this box - you should write "previous address" and provide the full previous address. If you have not changed your address - write here you current address. You must ensure that your contact details are also up to date on UEL Direct.
Sticky Note
If you ticked change in contact details in question 10, you should write the new address above in the box. We recommend that in this blank space you write "previous address" and provide the full previous address.
Rectangle
Sticky Note
If you ticked change in contact details in question 10 and the change is to your address - write here the post code of your new address. If you have not changed your address, write here your current post code. You must ensure that your contact details are also up to date on UEL Direct.
Sticky Note
If you have ticked change of contact details in question 10 and you have changed your home telephone number - write your new telephone number here. You must ensure that your contact details are also up to date on UEL Direct.
Sticky Note
If you have ticked change of contact details in question 10 and you have changed your mobile telephone number - write your new mobile telephone number here. You must ensure that your contact details are also up to date on UEL Direct.
Sticky Note
If you have ticked change of contact details in question 10 and you have changed your work telephone number - write your new work telephone number here. You must ensure that your contact details are also up to date on UEL Direct.
Sticky Note
If you have ticked change of contact details in question 10 and you have changed your email address - write your new email address here. You must ensure that your contact details are also up to date on UEL Direct.
Page 6: POINTS BASED SYSTEM: MIGRANT CHANGE OF … · Tick here if you are the main visa holder \(for example: if you hold a Tier 4 or PSW visa\). Tick here if you are the dependant of the

PBS (MCC) Application Form - page 4

PBS (MigrAnT ChAnge OF CirCUMSTAnCeS) APPliCATiOn FOrM

RePReSenTaTive’S DeTailS

24. Description of change

25. Date change becomes effective

D D M M Y Y Y Y

DePenDanT’S DeTailS

26. Description of change

27. Date change becomes effective

D D M M Y Y Y Y

OTher ChAngeS

28. Description of change

29. Date change becomes effective

D D M M Y Y Y Y

DeClaRaTion

i hereby declare that the information given in this form is true and correct to the best of my knowledge and belief.

name:

Signature: Date:

D D M M Y Y Y Y

Sticky Note
If you ticked change in representatives details in question 10, your representative can complete this question.
Sticky Note
If you ticked change in representatives details in question 10, your representative can complete this question.
Sticky Note
If you ticked 'change in dependants details' in question 10, explain here the changes to your dependants details.
Sticky Note
If you ticked 'change in dependants details' in question 10, write here the date of the changes to your dependants details.
Sticky Note
If you ticked 'other changes' in question 10, explain here what the changes are.
Sticky Note
If you ticked 'other changes' in question 10, write here the date of the changes.
Sticky Note
Do not forget to write your name, sign and date here to confirm that you have read the declaration. This is mandatory. Failure to complete this section will render your application invalid
Page 7: POINTS BASED SYSTEM: MIGRANT CHANGE OF … · Tick here if you are the main visa holder \(for example: if you hold a Tier 4 or PSW visa\). Tick here if you are the dependant of the

PBS (MCC) Application Form - page 5

PBS (MigrAnT ChAnge OF CirCUMSTAnCeS) APPliCATiOn FOrM

MigrAnT ChAnge OF CirCUMSTAnCeS FOrM - helP TexT

The applicant should complete the Points Based System Migrant Change of Circumstances form to notify the UK Border Agency of a change in his/her circumstances.

A separate form is available for changes to sponsors details; this form can be obtained on the UK Border Agency website at www.ukba.homeoffice.gov.uk

Who needs to complete this form?This form can be completed by the migrant, his/her dependants or a representative.

What changes in circumstances does the UK Border Agency need to be informed of?The applicant must inform the UK Border Agency of any changes to the following for either himself/herself or his/her dependants:

personal details;•criminal convictions;•contact details;•representative details;•dependants’ details.•

The applicant may also use this form to notify the UK Border Agency of any other information that he/she thinks that we should know.

When not to use this formThis form should not be used to notify the UK Border Agency of additional dependants (for example, children born in the United Kingdom). A separate application form is available for this purpose on the UK Border Agency website.

If the applicant believes that a mistake has been made relating to his/her personal details as shown on his/her UK Residence Permit or Bimetric Residence Permit (BRP) he/she should not complete this form. The applicant should return his/her passport and UK Residence Permit or BRP to the address shown on the letter that accompanied his/her documents when they were returned. The applicant should enclose full details of the mistake he/she believes has been made, and

enclose any relevant evidence such as their original passport. If a mistake has been made, an amended UK Residence Permit or BRP will be issued.

additional Guidance for Migrants who are in the United Kingdom as a Tier 2 (General), Tier 2 (intra Company Transfer), Tier 2 (Minister of Religion), Tier 2 (Sportsperson), Tier 4 (General) Student, a Tier 4 (Child) Student or as the Dependant of a Tier 4 MigrantIf the applicant is in the United Kingdom in one of the categories listed above and his/her current grant of leave was made by means of a Biomertic Residence Permit (BRP), he/she should not use this form to notify us of any of the following changes to his/her circumstances:

change of name;•change of date of birth;•change of nationality;•change of gender;•change of appearance •

In these circumstances, the applicant must make an application for a new BRP, using the application form BRP(RC). This can be obtained from the UK Border Agency website at: http://www.ukba.homeoffice.gov.uk/sitecontent/applicationforms/196971/icfnapplication

Applicants should also use the BRP(RC) application form if they need to replace an BRP that has been lost, damaged or stolen.

If the applicant’s current grant of leave was made by means of an BRP and he/she wishes to notify the UK Border Agency of any changes to his/her circumstances not listed above, he/she may continue to do so, using this application form.

Personal detailsname change: Provide the current full name and title of the migrant. Evidence of the name change,suchasamarriagecertificateordeedpoll, should be provided.

Sticky Note
Read these guidance notes to help you complete this application form.
Page 8: POINTS BASED SYSTEM: MIGRANT CHANGE OF … · Tick here if you are the main visa holder \(for example: if you hold a Tier 4 or PSW visa\). Tick here if you are the dependant of the

PBS (MCC) Application Form - page 6

PBS (MigrAnT ChAnge OF CirCUMSTAnCeS) APPliCATiOn FOrM

Dependants’ detailsDependants who cease to be dependant on the main applicant for any reason will generally no longer be eligible for further leave to remain in the United Kingdom as a dependant. Any current leave the dependant holds may be curtailed due to the change in circumstances. The dependant must therefore either leave the United Kingdom or take steps to regularise his/her stay in the United Kingdom by applying for leave under a different immigration category. Further information on the different types of leave that may be available can be found at www.ukba.homeoffice.gov.uk.

Relationship breakdownsIf the migrant’s relationship with his/her •dependant partner has permanently broken down he/she should provide details of the date that they ceased living together and, if possible, the address that his/her partner is now living at.If the dependant of a migrant under the •Points Based System, is completing this form, and their relationship has permanently broken down, he/she should give the date that he/she stopped living with his/her partner and his/her new address.

ChildrenIf a child travelled to the United Kingdom as •the applicant’s dependant and is no longer living with the applicant permanently, then he/she should inform the UK Border Agency as soon as possible. The applicant should include the new address of the dependant if possible.If the dependant child of a migrant is •completing this form, but he/she is no longer living with that person permanently, then he/she should provide his/her new address details and the reason for leaving (for example, to start University, to live with another person or to get married). The dependant should indicate whether he/she has made an application for an alternative category of leave or whether he/she intends to leave the United Kingdom (please give details).

OtherThe applicant may also use this form to notify the UK Border Agency of any other information that he/she thinks that we should know.

nationality: If the applicant’s nationality has changed since the last application, please clearly state his/her previous and current nationality. Evidence of this change, such asanewpassportorcertificateofnationalityfrom the government of the country should be submitted.

Passport details: If a new passport has been issued, provide the passport number, place of issue, date of issue and the date of expiry of the new passport.

If the applicant has received a new passport following the loss or theft of the original document, enclose the crime reference number or report issued by the police when the loss or theft was reported.

Criminal convictionsThe applicant should provide full details of the offence which he/she has been convicted of, the name of the court, date and place of sentencing and the sentence imposed.

Contact detailsAddress change: Provide the previous and the new address in full including the postcode.

Telephone number: State the full number including the area code.

email address: State the amended email address.

Representative’s detailsRepresentative’s details: The applicant should notify the UK Border Agency if he/she changes his/her representative. State the name, full address (including postcode) and telephone number of the new representative. Their Unique Reference Number, OISC reference number or details of their exemption should be included.

If the representative is completing the form he/sheshouldconfirminthissectionthathe/sheholds a letter of authorisation from the migrant confirmingtherepresentativeisactingonhis/her behalf. He/she must enclose the original letter with this form.