Your Name

First Name

Last Name

What action did the Home Office take against you?

Curtailed your leave to remain under section 10

Refused an application for further/indefinite leave to remain

Told your college or university to withdraw you from your course, and then curtailed your leave on the basis that you did not have any sponsor

Something else? Please explain …………….

Have you had a final decision in an appeal or a fact-finding judicial review that overturned the Home Office’s decision?

Yes

No

Were you ever detained by the Home Office?

Yes

No

Are you currently employed, self-employed or unemployed?

Employed

Unemployed

Self-employed

Do you have a partner?

Yes

No

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