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Version 12/2012

APPLICATION FOR A REGISTRATION CERTIFICATE FOR A BULGARIAN OR ROMANIAN NATIONAL EXERCISING A TREATY RIGHT IN THE UNITED KINGDOM

In order to exercise a Treaty right you must be residing in the United Kingdom at the time of application. This form must be accompanied by:  Original valid passports or ID cards for each person included; and  Two recent passport-sized photographs for each person included; and  Original versions of all required documents. Failure to comply with these requirements may lead to delays in processing your registration certificate and possible refusal of your application. Once you have completed this application form you should send it alongside all required documents to: UK Border Agency Bulgaria and Romania Caseworking PO Box 4160 Sheffield S1 9DZ We will return all your documents by recorded delivery to a UK address only. Please note that recorded delivery does not insure you to the full value of your package should it become lost. If you want your passport and other documents returned by Special Delivery which does insure the full value, you will need to provide a suitably sized Special Delivery envelope with the correct pre-paid postage. Documents returned to an overseas address will not be returned by recorded / special delivery and return will be at your own risk. If you wish to receive acknowledgement that we have received your application, please include a stamped, self-addressed A4 sized envelope.

You should complete this form if you are a Bulgarian or Romanian national residing in the United Kingdom and you are: • self-employed; • a student; or • self-sufficient OR You are a worker or a jobseeker in the UK and you are exempt from worker authorisation (see page 2 for details) OR You are the direct family member of a Romanian or Bulgarian worker who holds an Accession Worker Card If you have family members who are also EEA nationals, you may include them in this application This form is to be

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