Referral form – advice line

Due to limited resources, we are only able to provide our advice line service on complex British citizenship matters to destitute or low-income young people. Please fully complete this referral form and send to advice@prcbc.net . If you have difficulties completing this form due to personal circumstances, please e-mail advice@prcbc.net.

IMPORTANT: Due to the nature of our legal advice and assistance, we are required to keep your data for a certain period.

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– Step 1 of 6

Confirm best method to contact you (i.e. phone, Zoom, post etc)

Full name of young person *

First

Last

Next

Address of young person

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Contact number

Email address *

Date of birth

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Age

Country of birth

Nationality

Ethnicity

Next

Date of arrival in the UK (if applicable)

Length of time living in the UK (if applicable)

Dates of any absence(s) from the UK since birth or since first arrival in the UK

Young person’s current status in the UK

Date of grant of stay in the UK (if applicable)

Any medical/special needs

Details of any fine(s)/caution(s)/criminal conviction(s)

Next

Mother’s nationality

If British citizen, please confirm whether this is by birth, naturalisation or registration

• Birth
• Naturalisation
• Registration
• Not known

Date of registration or naturalisation

Mother’s status in the UK

Date of grant of status

If ILR/settled, date of grant

Next

Father’s nationality

If British citizen, confirm whether this is by birth, naturalisation or registration

• Birth
• Naturalisation
• Registration
• Not known

Date of registration or naturalisation

Father’s status in the UK

Date of grant of status

If ILR/settled, date of grant

Next

Are the child’s parents married to each other?

• Yes
• No

Date of marriage

What is the young person’s or parent(s)/carer’s financial circumstances?

Income

• Working full time
• Working part time
• State benefits
• Local Authority support
• Destitute

Savings

• None
• More than £1,000
• More than £5,000

Are there any urgent deadlines?

Brief details of advice being sought and/or any additional information

If possible and relevant, please attach copies of any status document/Home Office citizenship decision or any other relevant documents

Checkboxes

• First Choice
• Second Choice
• Third Choice

Submit