Current Your details Living Details Savings and Capital Benefits and other income Health and Disability Further information Preview Complete Your details Name Customer name Title Title - Select -MissMsMrMrsDrOther…- Select -▾- Select -MissMsMrMrsDrOther… Enter other… First name Last name National Insurance Number Date of Birth Address Customer address First line of address Second line of address City/Town Postcode Contact Contact details Email Phone Nationality/Immigration Status Are you a British national? - Select -YesNo- Select -▾- Select -YesNo What is your nationality? Do you have Settled Status? - Select -YesNo- Select -▾- Select -YesNo Do you have Pre-Settled Status? - Select -YesNo- Select -▾- Select -YesNo How long have you lived in the United Kingdom? Are you a person whose presence in the United Kingdom is subject to you having No Recourse to Public Funds? - Select -YesNo- Select -▾- Select -YesNo Partners details Do you have a partner?? - Select -YesNo- Select -▾- Select -YesNo Your partners details Partners name Title Title - Select -MissMsMrMrsDrOther…- Select -▾- Select -MissMsMrMrsDrOther… Enter other… First name Last name Partners Date of Birth Partners National Insurance Number Your partners Nationality/Immigration Status Is your partner a British national? - Select -YesNo- Select -▾- Select -YesNo Whats your partners nationality? Does your partner have Settled Status? - Select -YesNo- Select -▾- Select -YesNo Does your partner have Pre-Settled Status? - Select -YesNo- Select -▾- Select -YesNo How long has your partner lived in the United Kingdom? Is your partners presence in the United Kingdom subject to them having No Recourse to Public Funds? - Select -YesNo- Select -▾- Select -YesNo 19956
