Application for correction of a registration or naturalisation certificate Use this form to request an amendment to your certificate of registration or naturalisation.
Section 1 - Personal information 1.1
Please give any reference numbers used in your previous immigration applications:
Please provide the following details – as they are shown on your certificate or registration or naturalisation: 1.2
Title - please select: Mr
Mrs
1.3
Surname/family name:
1.4
Other names:
Miss
1.5
Date of birth:
1.6
Village or town or city of birth:
1.7
Country of birth:
Ms
Other (please state)
D D M M Y Y Y Y
1.8 Present address (you must give us any change of address in writing while we are considering this application):
Postcode:
Form RR (version 10/17)
Page 2 of 4
Section 2 - Information about your certificate of registration or naturalisation Please state: 2.1
The certificate number:
2.2
Date of issue: D D M M Y Y Y Y
2.3
The Home Office reference number:
2.4
The details which you think are incorrect on your certificate:
2.5 The evidence you have enclosed to show that the details on your certificate are incorrect (such as your birth certificate or passport):
If you received your certificate more than 3 months ago please answer question 2.6. If you received your certificate in the last 3 months, go to question 2.7. 2.6
Please explain why you have not requested an amendment of your certificate until now:
2.7 Are the details on your certificate the same details that you put on your application form for
citizenship? No
Go to part 3.
Yes
Please explain why the details you put on your application form were not your true details:
Form RR (version 10/17)
Page 3 of 4
Section 3 - Declaration Warning: to give false information on this form knowingly or recklessly is a criminal offence punishable with up to 3 months’ imprisonment or by a fine not exceeding £5000 or both. (Section 46(1) of the British Nationality Act 1981, as amended). 3.1
I (full name in block letters)
declare that, to the best of my knowledge and belief, the information given in this application is correct. I promise to inform the Home Secretary in writing of any change in circumstances which may affect the accuracy of the information given whilst this application is being considered by the Home Office. I understand that information given by me will be treated in confidence, but may be submitted for checking against records held by other government departments, the security service and other agencies, local authorities and the police, where it is necessary for immigration or nationality purposes, or to enable these bodies to carry out their functions. I understand that I may be liable for prosecution if I have knowingly or recklessly provided false or incomplete information. 3.2
I confirm that I have enclosed the appropriate fee and payment slip.
3.3
I confirm that I have enclosed the appropriate documents.
3.4 I understand that a certificate of citizenship may be withdrawn if it is found to have been obtained by fraud, false representation or concealment of any material fact, and that this may affect my permission to remain in the UK. Signature
Date D D M M Y Y Y Y
Please send your completed form to the following address: Department 201 UK Visas and Immigration Silver Zone, 4th Floor The Capital New Hall Place Liverpool L3 9PP