POINTS BASED SYSTEM FORM (VAF9 APR 2009) APPENDIX 1: TIER 1 (GENERAL) MIGRANT SELF- ASSESSMENT
This form is for use outside the UK only This form is provided free of charge. For official use only
READ THIS FIRST
This form must be completed in blue or black ink. Only complete after you have obtained your points score from the electronic Self-Assessment Points Calculator (www.ukba.homeoffice.gov.uk/pointscalculator ). Please follow the guidance notes carefully and complete all questions as indicated. Please ensure you submit all relevant, original documents as indicated in the sections. It is better to explain why you do not have a document than to submit a false document. Your application will be automatically refused, and you may be banned from coming to the UK for 10 years if you use a false document, lie or withhold relevant information. You may also be banned if you have breached immigration laws in the UK. Please ensure you also complete the main Personal Details form.
Part 1
About You
1.1 Given name(s)
1.2 Family name
1.3 Occupation (this your current or most recent job) >>>>>>
1.4 Do you currently hold an approval letter under the Highly Skilled Migrant Programme (HSMP), issued within the last 6 months, which has not been used to obtain entry clearance or leave to remain? Put a cross (x) in the relevant box Yes - Complete Parts 7-8 No - Go to Question 1.5
1.5 Are you applying for reinstatement as a highly skilled migrant who had leave under HSMP and was refused an extension under the revised HSMP Rules which came into force on 5 December 2006 and subsequently left the UK? Put a cross (x) in the relevant box Yes - Complete Part 9 No - Go to Question 1.6
1.6 Are you applying for reinstatement as a highly skilled migrant who had leave under HSMP and left the UK after 7 November 2006 without ever applying for an extension? Put a cross (x) in the relevant box
Yes - Complete Parts 2-9
No - Complete Parts 2-8
Attributes: You need to score a minimum total of 75 points from parts 2 - 5. You should refer to the Immigration Rules and Tier 1 (General) Policy Guidance. Part 2 Age Assessment
2.1 Put a cross (X) in the relevant box to confirm whether you wish to claim points on the basis of your age Yes - Go to Question 2.2 No - Go to Part 3
2.2 Choose one of the options from the following to confirm the points you are claiming for age Put a cross (x) in the relevant box under 28 years (20 points) 28 or 29 years (10 points) 30 or 31 years (5 points)
1 01
Part 3
Qualifications Assessment
State/County/Province (if applicable)
3.1 Provide details of the higher education, vocational or professional qualification for which you are claiming points Country of Award >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
Institution >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
Year of Award
Y
Duration of Study >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> From To
Y
Y
Y
Qualification >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
D D
D D
M M M M
Y Y
Y Y
Y Y
Y Y
Field of Study
Grade (if applicable)
3.2 Indicate your method of postgraduate degree verification Put a cross (x) in the relevant box Qualification not on the points based calculator but a UK Qualification on the points based calculator NARIC letter and/or certificate is enclosed Qualification not on the points based calculator, but a letter stating the UK academic equivalence from the relevant UK professional body is enclosed. 3.3 Indicate the points being claimed for your qualification including equivalent professional/vocational qualifications Put a cross (x) in the relevant box Qualifying MBA 75 points (See Main Tier 1 (General) Policy Guidance) Masters (35 points) 3.4 Put a cross (X) in the relevant box to confirm the documents that you have included as supporting evidence of the qualification for which you are claiming points. Refer to the Tier 1 (General) Policy Guidance to establish the circumstances in which documents other than the original certificate of award will be accepted. Original certificate of award Original reference from awarding body Original academic transcript PhD (50 points)
Part 4
Previous Earnings Assessment
You can claim points for Previous Earnings for any single, consecutive 12 month period from the 15 months immediately prior to the date of the application. The only exceptions to this are where you have either undertaken a period of full-time study ending within the 12 months immediately prior to this application or have taken a period of maternity or adoption related absence from your workplace ending within the 12 months immediately prior to this application. 4.1 Put a cross (x) in the relevant box to indicate whether: You are claiming points for a single, consecutive 12 month period from the 15 months immediately prior to the date of the application. Go to Question 4.7 You have undertaken a period of full-time study ending within the 12 months immediately prior to this application Go to Question 4.2 You have taken a period of maternity or adoption related absence from your workplace which is either still on-going or ended within the 12 months immediately prior to this application. Go to Question 4.4 4.2 Applicants Claiming Periods of Full-Time Study please specify the start and end dates of your periods of study ending within the 12 months immediately prior to the application Start
D
D
M M
Y
Y
Y
Y
End
D
D
M M
Y
Y
Y
Y
4.3 You must provide an original letter from your academic institution confirming the dates of study provided above Put a cross (x) in the box to confirm that you have supplied this document. Go to Question 4.7
02
4.4 Applicants Claiming Periods for Maternity or Adoption leave please specify the start and end dates of the periods you wish to be excluded from the period of previous earnings being claimed. If you are still absent from the work place due to Maternity or Adoption related leave, the end date should be left blank. Start
D
D
M M
Y
Y
Y
Y
End
D
D
M M
Y
Y
Y
Y
4.5 Put a cross (x) in the relevant box(es) to confirm the documents being submitted with the application as evidence of this period of maternity-related absence from the workplace Child’s original birth certificate or Certificate of Adoption, as appropriate. (This should be provided wherever one has been issued); Letter from employer confirming dates of maternity or adoption leave; Original payslips or other payment/remittance advices covering the period of maternity or adoption related absence including detail of any statutory maternity/adoption payments to which you may have been eligible; Go to Question 4.7 Other original alternative evidence of maternity or adoption leave Go to Question 4.6 4.6 Please provide a full explanation of why the specified documents cannot be provided, and give details of the alternative documentation being supplied
4.7 Give the start and end dates of the period for which you are claiming previous earnings Start Start Start Start
D D D D
D D D D
M M M M M M M M
Y Y Y Y
Y Y Y Y
Y Y Y Y
Y Y Y Y
End End End End
D D D D
D D D D
M M M M M M M M
Y Y Y Y
Y Y Y Y
Y Y Y Y
Y Y Y Y
Before completing the following section, you must ensure that you have read the Tier 1 (General) Policy Guidance. 4.8 Earnings Table - You should complete the following table giving details of previous earnings being claimed. If earnings originated from more than one source, you should enter each source separately. The electronic Self-Assessment Points Calculator will explain the purpose of the fields below. Source of Earnings
(include details of employer; Name of Business etc and start and end dates for this source of earning)
Country of Earnings
Currency in which Earnings were paid
Earnings Claimed
(in original currency)
Exchange Rate Applied
Earnings in pounds sterling
Evidence of earnings provided
03
4.9 Confirm points being claimed for total earnings £40,000 and above (45 points) £29,000 - £31,999 (30 points) £20,000 - £22,999 (15 points) £35,000 - £39,999 (40 points) £26,000 - £28,999 (25 points) £32,000 - £34,999 (35 points) £23,000 - £25,999 (20 points)
You must provide at least two types of documentation for each source of earnings. If earnings from any one source have been paid in more than one way (for example, payment for a period of employment by means of a monthly salary and a dividend), you must provide two types of documentation in respect of each part of the payment claimed. The supporting evidence must be from separate sources and must corroborate with one another to clearly support the earnings claimed. 4.10 Put a cross (x) in the relevant boxes to confirm all documents being submitted as evidence of previous earnings claimed. All documents must be original Payslips; Personal bank statements showing the payments made to you; Letter from your (previous) employer/s (or in the case of winnings, the relevant awarding body) confirming that you have received the exact amount you are claiming; Official tax document generated by the tax authority or your employer, showing earnings upon which tax has been paid/is to be paid in a tax year; Dividend vouchers; Invoice explanations/payment summaries from your managing agent/accountant; Company/business accounts which clearly show the net profit of the company; Letter from your managing agent/accountant confirming that you received the exact amount you are claiming, or the net profit to which you are entitled. 4.11 Provide full contact details that will allow each of the documents provided to be verified if necessary. Please also provide here any additional information or explanation of the documentation provided, that will assist the Entry Clearance Officer in their consideration of the earnings being claimed.
Part 5
UK Experience Assessment
5.1 You should confirm whether you wish to claim points for your UK Experience Put a cross (x) in the relevant box Yes - Go to Question 5.2 No - Go to Part 6
5.2 You should indicate the route under which you are claiming points in this section. You may only claim for ONE of the options Put a cross (x) in the relevant box Earnings (5 points) Go to Part 6 Study (5 points) Go to Question 5.3
5.3 You should confirm that you have included the required evidence of your UK Study Put a cross (x) in the relevant box Original letter from educational/academic institution at which you studied. Letter from UK Professional Body confirming degree-level qualification (required only if you are relying upon a professional/ vocational qualification for points in this area and your qualification is not on the points based calculator).
04
Part 6
English Language
You need a minimum standard of English language in order to score 10 points. Without this your application will be refused. You should refer to the Tier 1 (General) Policy Guidance. 6.1 Put a cross (x) in one box to indicate under which category of the English language requirement you are claiming points. National of a majority English speaking country. Go to Question 6.2 English language Test Go to Question 6.3 Degree taught in English Go to Question 6.5
6.2 National of a majority English speaking country (10 points) Antigua and Barbuda; Australia; The Bahamas; Barbados; Belize; Canada; Dominica; Grenada; Guyana; Jamaica; New Zealand; St Kitts and Nevis; St Lucia; St Vincent and the Grenadines; Trinidad and Tobago; The United States of America Enter your nationality. This should be the nationality shown in the passport/travel document you wish to use for this programme. Go to Question 6.9 6.3 English language test (10 points). Provide details of the test taken Awarding Body >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Title of qualification:
Level of qualification >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
Date of Award
D
Award reference number >>>>>>>>>>>>>>>>>>>>>>>>>>>>>
D
M M
Y
Y
Y
Y
6.4 Put a cross (x) in the following box to confirm the evidence you have supplied Original test certificate. Go to Question 6.9 6.5 Degree taught in English (10 points) The degree must be deemed by UK NARIC to be equivalent to a UK Bachelors degree or above. See Tier 1 (General) Policy Guidance. Country of award >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> State/County/Province (if applicable)
Institution >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
Qualification
Year of Award
Duration of Study
Y
Y
Y
Y
Start
D
D
M M
Y
Y
Y
Grade
Y
End
D
D
M M
Y
Y
Y Y
Field of Study >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
6.6 Put a cross (x) in the relevant box to confirm how you verified your degree was taught in English The points-based calculator shows the degree was taught in English; Go to Question 6.9 The points-based calculator shows the qualification is equivalent to a United Kingdom degree but does not show the qualification was taught in English; Go to Question 6.7 The points-based calculator does not show the qualification is equivalent to a United Kingdom degree but a UK NARIC letter and/or certificate is enclosed; Go to Question 6.7
6.7 Put a cross (X) in the box to confirm you have included a letter from your university confirming that the degree was >>> taught in English. 6.8 Put a cross (x) in the relevant box to indicate what evidence has been supplied Original degree certificate; Original academic transcript.
6.9 Put a cross (x) in the box to confirm that you claimed 10 points for your level of English Language >>>>>>>>>>>>>>>
05
Part 7
Maintenance - Refer to the Tier 1 (General) Policy Guidance.
You must have a minimum level of funds to score 10 points for your level of funds. If you do not score 10 points your application will be refused. You must have £2,800 available funds for yourself plus £1,600 for each dependant accompanying you or intending to join you in the United Kingdom within 12 months of your arrival in the United Kingdom. This money must be held in your personal bank account for at least 3 months before the date of your application and not fall below the required amount at any time during that period. Refer to the Tier 1 (General) Policy Guidance. 7.1 Calculate the amount of funds required for you and >>>> the dependants named in the Personal Details part of this application form and enter the amount here. 7.2 Put a cross (x) in the box to confirm that you have this amount of funds available and that it has been in your personal bank account for at least 3 months prior to your making this application.
7.3 Put a cross (x) in the relevant boxes to indicate what evidence of these funds has been supplied. All documents must be original. Building society/savings account pass book Letter from a bank or building society confirming funds and that they have been in your bank for at least 3 months Personal bank or building society bank statements covering a 3 month period Letter from a regulated financial institution confirming funds and covering a 3 month period
7.4 Put a cross (x) in the box to confirm that you have claimed 10 points for your level of funds >>>>>>>>>>>>>>>>>>>>>
Part 8
Summary Sheet
Please complete the summary sheet below listing the points you have claimed and the documentation provided. You must provide the required evidence as specified in this application form and the Tier 1 (General) Policy Guidance. All documents must be original, unless otherwise stated. Failure to submit required evidence is likely to lead to refusal of the application. Points Scoring Area Age Qualifications Previous Earnings UK Experience English Language Requirement Maintenance Points Claimed Documents Provided (please list)
Total I confirm I have completed the Personal Details separate form and accept the contents of the declaration. Applicant’s signature Date
D
D
M M
Y
Y
Y
Y
YOU MUST SUBMIT A PAPER COPY OF THIS APPENDIX WITH YOUR SUPPORTING DOCUMENTS. ENSURE YOU ALSO COMPLETE THE PERSONAL DETAILS FORM EITHER ON PAPER OR ON LINE. YOU SHOULD SIGN THE DECLARATION AND SUBMIT THIS WITH YOUR OTHER DOCUMENTS
06
Part 9
9.1 Full name
Complete this part if you are applying for reinstatement as a highly skilled migrant under the HSMP Forum JR Ruling.
9.2 Date of Birth >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
D
D
M M
Y
Y
Y
Y
9.3 Did you have previous leave under HSMP which expired after 7 November 2006? Put a cross (x) in the relevant box Yes - Go to Question 9.4 No - You are not covered by the Ruling
9.4 What evidence are you providing to show your original entry clearance/leave to remain in the UK? Put a cross (x) in the relevant box Passport Other – State which >>>
9.5 If you cannot provide original evidence of your previous entry clearance/leave to remain in the UK please supply as much detail as possible of your original application including the post of issue.
9.6 Did you apply for an extension of stay in the UK under >> HSMP? Put a cross (x) in the relevant box Yes - Go to Question 9.7 No - Go to Question 9.10
9.7 What is your HSMP reference number?
9.8 You need to provide your original refusal letter. Please put a cross (x) in the box to confirm you have done so No - Say why it is not available then >>>> Yes Go to Question 9.9
9.9 What is your Home Office Reference number (if you have one)
9.10 What date did you leave the UK?
D
Yes No - Say why it is not available >>>>>>>>
D
M M
Y
Y
Y
Y
9.11 Have you provided documentary evidence to confirm this? Put a cross (x) in the relevant box
9.12 What job were you doing immediately before you left the United Kingdom?
07
9.13 If you were an employee, what was the name and address of your last employer before you left the UK?
9.14 If you were self-employed what type of business were you engaged in and what was the address of the premises from where you conducted your business?
9.15 What were your annual pre-tax earnings at the time you left the UK?
9.16 What evidence can you provide to support this information? All documents must be original. Put a cross (x) in the relevant box Pay slips Bank statements Contract of employment Tax return 9.17 If you were unemployed in the period just before you left the United Kingdom, provide evidence that you were actively seeking employment, for example job applications and replies from prospective employers. Put a cross (x) in the relevant box Job applications Job refusal letters Other – Please state below Business invoices/accounts Other – Please state below
9.18 Were you in receipt of public funds whilst in the UK? Put a cross (x) in the relevant box Yes - State which >>>>>>>>>>>>>>>>>>>>>>>>>>>>>
No - Go to Question 9.19 9.19 Which country was your main home at the time you were living in the UK?
9.20 What evidence are you providing to show that you will be able to maintain and accommodate yourself and any dependants in the UK without recourse to public funds, should your application be successful? All documents must be original. Put a cross (x) in the relevant box Building society/ savings account books Bank/Building society statements Other – please state below
I confirm I have completed the Personal Details separate form and accept the contents of the declaration. Applicant’s signature Date
D
D
M M
Y
Y
Y
Y
YOU MUST SUBMIT A PAPER COPY OF THIS APPENDIX WITH YOUR SUPPORTING DOCUMENTS. ENSURE YOU ALSO COMPLETE THE PERSONAL DETAILS FORM EITHER ON PAPER OR ON LINE. YOU SHOULD SIGN THE DECLARATION AND SUBMIT THIS WITH YOUR OTHER DOCUMENTS
08