H.M. GOVERNMENT OF Civil Status and Registration Office House 3 Secretary’s Lane Gibraltar

APPLICATION FOR SECTION 9 OF THE GIBRALTARIAN STATUS ACT

BEFORE USING THIS FORM READ THE GUIDANCE NOTES AT THE BACK

PLEASE COMPLETE EACH SECTION OF THE FORM IN BLOCK LETTERS AND IN BLACK INK

Applicant’s Details (to be filled by all applicants)

Surname First Names

Date of Birth D D M M Y Y Place of Birth

Nationality (tick as appropriate) British British Overseas Territories Citizen

Marital Status Date of Naturalisation (if applicable)

Address Date of Marriage or Civil Partnership

(if applicable)

Telephone No. Current Employment email

Date of first arrival in Gibraltar

Length of residence in Gibraltar Years

Family Details Does he/she live in Name Nationality Date & Place of Birth Gibraltar Spouse Yes No

Child (1) Yes No

Child (2) Yes No

Child (3) Yes No

Child (4) Yes No

Are any of the family members listed above Registered ? Yes No

If yes, please give details –

DECLARATION I confirm that it is my intention to make my permanent home in Gibraltar.

The information given on this form is true to the best of my knowledge and belief. I understand that it is a criminal offence to give false information and that I may be prosecuted and fined £1,000, or sent to prison for six months, or both, if I include, or cause to be included, information which I know is false or do not believe to be true. I also understand that the Civil Status and Registration Office holds and uses data in accordance with the Data Protection Act 2004. Information about this application may be shared with appropriate public and private sector authorities. I consent to other Government Departments or Agencies supplying the Civil Status & Registration Office with personal data which may be relevant to my application

Signature of applicant Date of application

Guidance Notes

FOR DOCUMENTS REQUIRED TO SATISFY THE CONDITIONS (a) to (g) AS STATED IN OFFICE USE SECTION 9 OF THE GIBRALTARIAN STATUS ACT ONLY (www.gibraltarlaws.gov.gi)

(a) You MUST bring us your valid British passport; (b) Your full birth certificate; and Your naturalisation certificate if you have been naturalised as a British Overseas Territories citizen by virtue of your connection with Gibraltar.

(c) You MUST bring us a Certificate of Good Conduct from the . If you owe any arrears of Income Tax, rent, rates or any other debt to Her Majesty’s Government, you MUST bring evidence to show that you have made arrangements to repay this debt.

(d) Your knowledge of English will be assessed when you submit your application at our counter. In some cases we may ask you to attend a formal evaluation with a professional assessor.

(e) You MUST bring us a Certificate of Residence available at the Civil Status & Registration Office & – Immigration Section. This is NOT required if you have been naturalised as a British Overseas (f) Territories citizen by virtue of your connection with Gibraltar. You MUST also bring –  Your Identity Card or Civilian Registration Card.  A breakdown of Social Insurance Contributions with contributions paid throughout your employment (available from 1a Leanse Place, 50 Town Range Tel No 20052737) The following guidelines although not essential are here to assist you in satisfying the 10 year continuous period. This list is not exhaustive and you may if you wish, provide us with more documentary evidence to strengthen your application.  Rental agreements, Property Deeds or Letters from Landlords and Utility Bills preferably throughout the 10 year continuous period. If you have changed your address since you first arrived in Gibraltar.  School reports( if applicable), Tax and Medical Records; two testimonials from neighbours or other people who have known you and can confirm that you have lived in Gibraltar for a continuous period of 10 years or more as from the date of application.  A historical record of your Elec/Water Bills obtained from Aquagib for the continuous 10 year period.  A letter from your employer stating the period of your employment and contracts of previous employment if applicable.  If you are married and/or have any children please bring in your marriage certificate and birth certificates of your spouse and children.

(g) You MUST state that it is your intention to make Gibraltar your permanent home and you will do this when signing the declaration in the application.

PLEASE PROVIDE US WITH ORIGINAL DOCUMENTS AS STATED ABOVE, TOGETHER WITH EQUIVALENT PHOTOCOPIES.

IMPORTANT – ALL DOCUMENTS SUBMITTED MUST BE IN ENGLISH OR ACCOMPANIED BY A CERTIFIED TRANSLATION BY AN ACCREDITED TRANSLATOR. ANY EVIDENCE PROVIDED WILL BE SUBJECT TO SCRUTINY AND MAY BE REJECTED AS INADMISSIBLE. Please contact Cathy Balban or Neville Dalmedo on 20059842 or 20051725 in order to make an appointment to submit your documentation.