Immigration and Nationality Directorate
Form
WRS
Version 05/2004
Form
WRS
Version 05/2004
This form is for use for applications made between 1
stMay 2004 and 31
stJuly 2004 Application for a registration certificate under the Worker Registration Scheme (WRS) Payment Slip
Section 1: Contact details of person paying for the application
1. Title Mr. Mrs. Miss Ms Other (please state)
2. Contact name
3. House number and street 4. Town
5. County 6. Post code
Section 2: Details of the applicant
Yes No
7. Is the application to be paid for?
Please tick appropriate box
.
Passport National Identity Card 8. Please tick whether you have included a
Passport or National Identity Card 9. Surname/family name
10. First names
11. Date of birth
d d m m y y y y
12. Name of Employer in the UK
13. Nationality
Please select your Nationality by ticking the correct boxCzech Lithuanian
Estonian Polish
Hungarian Slovakian
Latvian Slovenian
Section 3: Payment details – please complete where appropriate
14. Method of payment UK Postal order
UK Cheque
Please make payable to: Home Office, Work Permits (UK)Account No Sort code Cheque No
Or please debit my Visa Mastercard Delta Switch
15. Amount paid £ 50.00 16. Name on card
17. Card number
18. Card details Valid from / Expiry date / Issue No.
(Switch only)
19. Signature (card payment only) Date
These guidance notes explain when you need to submit payment with your application for a registration certificate and how to complete the payment slip.
1. The Fee
There is a fee of £50 for a registration card and certificate issued under the Worker Registration Scheme (WRS). Once a registration card and certificate have been issued, subsequent applications are free of charge. In the event the application is withdrawn or is refused the fee will be refunded.
All applications should be made by post or by courier. See the WRS Guidance Notes at the end of the application form for information on how to apply.
In order to consider an application the full fee, must accompany the application.
We cannot begin the consideration process until the payment has cleared. Payments made by cheque, may take up to 5 working days, credit/debit cards may take up to 1 working day and postal orders will clear immediately.
2. How do I pay?
The payment must accompany the application (unless the applicant already holds a registration card) and the payment slip must be fully and accurately completed. Payment can be made by:
• UK Postal Order;
• UK Cheque (personal or business);
• Debit Card (Delta or Switch only); and
• Credit Card (Visa or MasterCard only).
Please do not send cash.
Please note: we will not accept payment by any other means, including cheques and sterling drafts drawn on foreign banks.
For a payment to be valid, the payment slip must be completed correctly.
3. Completing the Payment Slip
Correct completion of the payment slip is very important. Any errors may prevent the payment from being processed, which may result in the application form being returned. This will delay the consideration of the application. It is therefore imperative that the payment slip is completed in accordance with the guidance below:
Please note that if you have already been issued with a registration card, you do not need to complete section 3, however you must complete sections 1 and 2.
Section 1: Contact Details of Person paying for the application
Please complete all details of the person who is paying for the application and who can be contacted if we have a payment enquiry in the following way:
• Question 1: Title;
• Question 2: Contact name;
• Question 3: House number and street name;
PAYMENT GUIDANCE NOTES FOR WORKER REGISTRATION SCHEME
(WRS)
Section 2: Details of the Applicant
Please complete questions 7-13 with the following details:
• Question 7: Indicate whether the application is to be paid for;
• Question 8: Indicate that a passport or National Identity Card is included with the application;
• Question 9: Applicant’s surname;
• Question10: Applicant’s forename(s);
• Question11: Applicant’s date of birth (day/month/year – e.g. 31/01/1970);
• Question 12: The full name of the applicant’s employer in the UK; and
• Question 13: Applicant’s nationality.
Section 3: Payment details
Please indicate the method of payment at question 14 and the amount paid at question 15, as well as completing the relevant sections as indicated below:
UK Postal Orders
Postal orders should be made payable to ‘Home Office, Work Permits (UK)’ and should contain a valid post office stamp.
Please attach your postal order to the front of the form.
UK Cheque Payments
• The cheque must be made payable to ‘Home Office, Work Permits (UK)’’ and crossed A/C Payee only;
• Please make sure that the date and the amount (words and figures) are correct and that the cheque is signed properly; and
• Include the account number, the sort code, and the cheque number on the payment slip.
Please attach your cheque to the front of the form.
Credit or Debit Card Payments
For Credit or Debit Card payments, the following details must be provided:
• The type of card;
• The name as it appears on the card;
• The card number;
• The valid from and expiry date of the card;
• The issue number (switch cards only); and
• The payment slip should be signed and dated at question 19.
4. Insufficient payment
If your payment details are incorrect (so that the payment cannot be processed) or full payment is not received, you will not be deemed to have made an application. We will inform you, and we will allow 14 days for the correct fee to be paid.
If you do not pay within 14 days, your application will not be considered and returned to you.
Please refer to Part 5 of the WRS Guidance Notes at the end of the application form for more details on refunds and
validation procedures.
Application for a certificate under the Worker Registration Scheme .
The information contained in this application will be treated in confidence by the Home Office, but it may be disclosed to other government departments, agencies, local authorities and other bodies, where necessary, for immigration and nationality purposes or to enable them to carry out their functions.
Data relating to this application may be shared with the employer named on this application form in respect of this application only.
To be completed by the applicant
Section 4: Requirement to register
If you answer yes to any of the questions in this section, you do not need to apply for a registration card and certificate under the Worker Registration Scheme. You may be entitled to an EEA residence permit and details of how this can be obtained can be found at www.ind.homeoffice.gsi.gov.uk.
20. Are you working only in a self-employed capacity? No Yes
21. Have you been working legally in the UK for 12 months or more without interruption? No Yes 22. Have you been working legally in the UK for your current employer before 1 May 2004? No Yes 23. Did you have leave to enter the UK under the Immigration Act 1971 on 30 April 2004 and
that leave was not subject to any condition restricting your employment? No Yes 24. Are you providing services in the UK on behalf of an employer who is not established in the
UK? No Yes
25. Are you a citizen of the UK, another EEA state (other than a relevant accession state) or
Switzerland? No Yes
26. Are you a family member (spouse or child under the age of 21 or dependant) of a Swiss or
EEA national who is working in the UK, and not required to register? No Yes 27. Are you a family member (spouse or dependant child) of a Swiss or EEA national who is in
the UK and is a student, or retired, or self-sufficient? No Yes
Section 5: Type of application
28. Have you already been issued with a registration card under the WRS?
Yes Please complete Sections 1, 2, 4, 5, 8, 9, and 10.
No Please complete all sections of the form.
(Please indicate by ticking the relevant box)
29. If yes, what is the WRS reference number?
30. If you no longer work for any of your previous employers, please state the name of the employer and the date you ceased working:
Name of employer Date you left their employment
Section 6: Personal details of applicant
31. Title Mr. Mrs. Miss Ms Other (please state)
32. Surname/family name
33. Surname/family name at birth (if different) 34. First names
35. Gender Male Female
36. Date of birth day month year
37. Nationality 38. Passport number
Or
National Identity card number
39. National Insurance number (if you have one) 40. Address in the UK: Name/House No.
Street Town County Postcode
41. Your daytime telephone number (if you have one)
42. If your dependants (children and/or spouse or partner) are living with you in the UK, how many of them are:
Aged 16 or under?
Aged 17 or over?
43. Are you undertaking a course of study at an educational establishment in the UK? No Yes
Section 7: Immigration status
44. When did you last enter the UK? day month year
45. On what basis did you enter the UK (e.g. student, visitor)?
46. Do you have any outstanding application for leave to enter or remain (including asylum)? No Yes 47. If yes, please give details, including on what basis you have applied.
48. Do you have an outstanding appeal? No Yes
49. Your Home Office reference number (if you have one)
Declaration of withdrawal of outstanding application with the Home Office
Please delete the following bullet points that do not apply and sign and date the declaration below:
• I now withdraw my outstanding application for asylum and/or human rights application in the United Kingdom
• I now withdraw my outstanding application for leave to remain in the United Kingdom.
Your signature Date
Name (CAPITALS please)
Section 8: Employment details
50. Name of your UK employer
51. Type of business (e.g. agriculture, construction, education, healthcare, hospitality, transport)
52. Address of your UK employer: Name/Building No.
Street Town County Postcode
53.
Address employed at (if different):Name/Building No.
Street Town County Postcode 54. Your UK employer’s telephone number 55. Contact name for employer
56. Your job title
57. The date you started your job day Month year
58. How many hours a week do you normally work? per week 59. How much is your hourly rate, before deductions? £ per hour 60. What allowances, if any, do you receive? £ per
ann m 61. What type of employment are you undertaking?
(Please indicate by ticking the relevant box)