Form MN1

Application for registration of a child under 18 as a

British citizen

The Home Office will use the personal information you provide to consider your application. We
may also share your information with other public and private sector organisations in the UK
and overseas. For more detail please see the Privacy Notice for the Border, Immigration and
Citizenship system at www.gov.uk/government/publications/personal-information-use-in-borders-
immigration-and-citizenship. This also sets out your rights under the Data Protection Act 2018
and explains how you can access your personal information and complain if you have concerns
about how we are using it.

July 2018
Application for registration of a child under 18
as a British citizen
Before completing this form, you should read the accompanying Guide. Fill in those
parts of the form that apply to this child’s application (see chapter 3 in the Guide) and
cross out all other parts. If there is not enough space, use the ‘Further information not
covered in other sections’ page.

If you want help to complete this application form, you may wish to contact a competent
adviser, for example, a solicitor or agent registered with the Office of the Immigration
Services Commissioner (see page 17 of the Guide which accompanies this form
for details). Or you may wish to use the Nationality Checking Service operated by a
number of local authorities. Your Register Office will advise if one is operated in your
area.
We recommend that you keep a copy of this application.
Ensure that you read the Guide, which accompanies this form. You should ensure that
you understand the criteria for registering children before submitting the application.
Full fees cannot be returned for applications that fail.
Write in BLOCK CAPITALS using black ink. Enter all dates as dd-mm-yyyy, for
example, 30/02/2010.

Form MN1 Application form (version 07/2018) Page 2 of 31

Section 1 - Personal Information
1.1  Indicate the section of the British Nationality Act 1981 under
which you would like the application considered. See chapter 2 of
the Guide for details:

1.2  State any reference numbers used in your

immigration applications:

1.3  State if and when the child was given indefinite leave to
enter/remain in the UK. If the child’s parent is an EEA national, a
Swiss national or a family member of an EEA or Swiss national
you should ensure that they qualify for permanent residence.

Child has indefinite leave to enter/remain in the UK. Date granted: D D M M Y Y Y Y

1.4  Title - please select:
Mr Mrs Miss Ms Other (state)

1.5  Surname/family name (the name you give here will be the name shown on the child’s
certificate so ensure it is spelt correctly and you have written it in the correct order):

1.6  Other names (If different from the name shown on the child’s passport/birth certificate,
explain why on final page of the form):

1.7  If the child is or has ever been known by any name or names apart from those mentioned
above, give details here:

1.8  The date and reason for the change of name (for example, marriage, adoption, change of
name by deed poll):

1.9  Present nationality:

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1.10  National Insurance
number (if any):

1.11  Date of birth: D D M M Y Y Y Y

1.12  Village or town or city of birth:

1.13  Country of birth:

1.14  Sex: (tick appropriate box) Male Female

1.15  What is child’s current marital status? Tick one box only.

Married Civil partnership dissolved

In a civil partnership Legally separated

Divorced Widowed

Single/never married

1.16  Present address (you must give us any change of address in writing while we are
considering this application):

Postcode:

Daytime/Mobile telephone number:

Evening telephone number:

Email address:

For validation purposes, write your e-mail address again in the box below:

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If someone is representing you, that is an agent or solicitor, tell us their:
1.17  Name:

1.18  Address:

Postcode:

1.19  Telephone number:

1.20  For children aged over 17 years and 6 months: if the child reaches the age of 18 before the
application is approved, they will need to take part in a citizenship ceremony when they are registered.
The venue will normally be within a local authority area near where they live. If you want them to attend
a ceremony in another area you should give us details of the local authority location below.
Name:

Address:

Postcode:

Details of the child’s parents (if one or both are not the birth parents, provide
details of the biological parents on the final page of the form).

Father’s details
1.21  Child’s father’s name:

1.22  Child’s father’s date of birth: D D M M Y Y Y Y

1.23  Child’s father’s town and country of birth:

1.24  Child’s father’s address if different from child’s address:

Postcode:
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1.25  Child’s father’s contact telephone number and email address (if different from child’s):

1.26  Child’s father’s nationality. If a British citizen say how and when this was acquired, for
example, birth, adoption, descent, registration or naturalisation. If dead, give date and place of
death and nationality at time of death:

1.27  Date father became settled in the UK (for example, granted indefinite leave to remain):

D D M M Y Y Y Y

If the father is serving in the armed forces

1.28  Date father joined the armed forces:

D D M M Y Y Y Y

1.29  Country/place where father serving when the child was born:

Mother’s details

1.30  Child’s mother’s full name:

Child’s mother’s maiden name:

1.31  Child’s mother’s date of birth: D D M M Y Y Y Y

1.32  Child’s mother’s town and country of birth:

1.33  Child’s mother’s address if different from child’s address:

Postcode:

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1.34  Child’s mother’s contact telephone number and email address (if different from child’s):

1.35  Child’s mother’s nationality. If a British citizen say how and when this was acquired, for
example, birth, adoption, descent, registration or naturalisation. If dead, give date and place of
death and nationality at time of death:

1.36  Date mother became settled in the UK (for example, granted indefinite leave to remain):
D D M M Y Y Y Y

If the mother is serving in the armed forces

1.37  Date mother joined the armed forces:

D D M M Y Y Y Y

1.38  Country/place where mother serving when the child was born:

Your parents’ marriage

1.39  Date of parents’ marriage or civil partnership (if applicable): D D M M Y Y Y Y

1.40  Was the mother married at the time the child was born? Yes No

Was this to: The child’s father Someone else

If someone else, give details:

Form MN1 Application form (version 07/2018) Page 7 of 31

If the child is married, in civil partnership or living with someone as if married
or in civil partnership, provide details of their partner.
1.41  Full name (before marriage/civil partnership) of partner:

1.42  Name at birth:

1.43  Partner’s date of birth: D D M M Y Y Y Y

1.44  Partner’s village, town or city and country of birth:

1.45  Partner’s nationality:

1.46  Partner’s present address:

Postcode:

1.47  Date and place of marriage/civil partnership (if applicable):

1.48  Date and place of legal separation (if applicable):

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Section 2 - Residence requirements
2.1  If the child is resident in the United Kingdom or a British overseas territory (see page 18 of
the Guide), give date and place of first arrival:

Date: Place:
D D M M Y Y Y Y

2.2  Provide details of the child’s addresses in the United Kingdom or the British overseas
territories for the last 5 years, or if less than 5 years, give details of all addresses since entry.

Continue on final page if necessary.

Address Address

From: From:

To: To:

Address Address

From: From:

To: To:

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2.3  Give details of all absences from the United Kingdom and the British overseas territories
during the period of residence above.

Failure to complete this will result in delay to the application.

If necessary, continue on final page of this applicaion form.

Date of departure Date of return Total

Reason (for example, from the United to the United number
Country visited holiday, business, Kingdom/territory Kingdom/territory of days
visiting relatives)
D D M M Y Y D D M M Y Y absent

More absences shown on final page: Yes No

Total number of days absent (including any shown on final page):

2.4  In which country will the child live if this application is granted:

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Section 3 - Parents’ residence in the UK or the British
overseas territories, where applicable
(See page 9 of the Guide)

3.1  State which parent is the one who is a British citizen by descent and on whom this
application is based:

Mother Father

3.2  Provide the above parent’s addresses in the United Kingdom or the British overseas
territories during the reckonable 3 year period:

Address Address

From: From:

To: To:

3.3  Give details of all absences from the United Kingdom and the British overseas territories
during the reckonable period of residence above. If necessary, continue on final page of this
application form:

Reason (for Date of departure Date of return to the Total number of

example, holiday, from United United Kingdom/ days absent
Country visited
business, visiting Kingdom/territory territory
relatives) D D M MY Y D D M M Y Y

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More absences shown on final page: Yes No

Total number of days absent (including any shown on final page)

Failure to complete this will result in delay of the application:

3.4  Provide details of the other parent’s addresses in the United Kingdom or the British overseas
territories during the reckonable 3 year period (if different from 3.2):

Address Address

From: From:

To: To:

3.5  Give details of all of the parents’ absences from the United Kingdom and the British overseas
territories during the reckonable period of residence above. If necessary, continue on the final
page of this application form:

Reason (for Date of departure Date of return to the Total number of

example, holiday, from United United Kingdom/ days absent
Country visited Kingdom/territory territory
business, visiting
relatives) D D M MY Y D D M M Y Y

More absences shown on final page: Yes No

Total number of days absent (including any shown on final page)

Failure to complete this will result in delay of the application:

3.6  Provide details of the child’s grandparent from whom the parent in 3.1 derived British
citizenship by descent:

Full name:

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3.7  Date of birth: D D M M Y Y Y Y

3.8  Village, town or city of birth:

3.9  Country of birth:

3.10  Nationality:

3.11  If he or she became a citizen of the United Kingdom and Colonies or British citizen by
registration or naturalisation give certificate number and date of issue:

3.12  Relationship to child: Paternal grandfather Paternal grandmother

Maternal grandfather Maternal grandmother

Parent who is an EEA national exercising EC Treaty rights.

3.13  If one of the parents is an EEA national and is claiming to have permanent residence
since 30 April 2006, tick one or more of the boxes below to show the way(s) in which you have
exercised Treaty rights for the past 5 years and give the relevant dates:
From To
Employment
Self employment
Study
Economic self-sufficiency
Retired
Permanent incapacity

3.14  If the parent concerned is an A8 national (see page 7 and 8 of the Guide) and is exercising
their Treaty rights in the UK as a worker, give date of registration under the Worker Registration
Scheme:

D D M M Y Y Y Y

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3.15  If the parent concerned exercised Treaty rights in employment, self-employment or study,
give details below, starting with the most recent if more than one employer and/or place of study. If
necessary, continue on final page of this application form:

Type of
Name and address of employer or Job title if
From Until business if self-
place of study employed
employed

3.16  If you are applying under section 3(2) of the British Nationality Act 1981, tick here to confirm
that you have read the information on pages 9-10 of the Guide MN1, you are aware of section 3(5)
of the British Nationality Act 1981, but still wish to apply under section 3(2) even
though this gives British citizenship by descent:

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Section 4 - Good Character Requirement
This section applies to the child applicant if they are aged 10 and over. You need to give
information which will help the Home Secretary to decide whether they can be satisfied that
you are of good character. Checks will be made with the police and possibly other Government
Departments, the Security Service and other agencies.

4.1  Child’s occupation/job if any? Enter “student” if the child is in full

time education or part time education and they are not employed:

4.2  Name of employer or school or college:

4.3  Address of employer or school or college:

Postcode:

4.4  Tax reference number (if applicable):

Personal History (criminal convictions, war crimes, etc.)

This section asks about any criminal convictions, any civil judgments or civil penalties made
against the applicant and details of any involvement the applicant may have had in war crimes,
genocide, crimes against humanity or terrorism. If you fail to answer all of these questions as fully
and accurately as possible, the application may be refused.
It is an offence under Section 46(1) of the British Nationality Act 1981 to make a statement or
representation which is known to be false or is not believed to be true. Information given will be
checked with other agencies.

4.5  Has the applicant been convicted of any criminal offence in the UK or any other country?
Yes go to question 4.6 No go to question 4.7

4.6  Give details below for each criminal conviction, starting with the most recent one. If the
applicant has received more than 2 convictions, photocopy this page and enclose it with this
form.
We will carry out criminal record checks on all applicants. You must give details of all
criminal convictions. This includes road traffic offences (including all drink driving
offences).
Fixed Penalty Notices (such as speeding or parking tickets) do not form part of a person’s
criminal record and will not be considered in the caseworker’s assessment of character unless
either:
• the person has failed to pay and there were criminal proceedings as a result
• the person has received numerous fixed penalty notices

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Criminal conviction 1
Country where convicted:

Nature of offence:

Sentence given:

Date sentenced: D D M M Y Y Y Y

If you were sentenced to a period of imprisonment, what was the length of the prison sentence
(in months)?

months

Criminal conviction 2
Country where convicted:

Nature of offence:

Sentence given:

Date sentenced: D D M M Y Y Y Y

If you were sentenced to a period of imprisonment, what was the length of the prison sentence
(in months)?
months

4.7  Does the applicant have any civil judgments against him/her or any civil penalty under the
UK Immigration Acts?

Yes go to question 4.8 No go to question 4.9

4.8  Give details for each civil judgment or any civil penalty under the UK immigration acts,
starting with the most recent one.
If the applicant has received more than 2 civil judgments and/or civil penalties under the UK
Immigrations Acts, photocopy this page and enclose it with this form.

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Details of judgment or civil penalty 1

Date of judgment or civil penalty: D D M M Y Y Y Y

Country where judgment was made:

Details of judgment or civil penalty 2

Date of judgment or civil penalty: D D M M Y Y Y Y

Country where judgment made:

You must answer questions 4.9 to 4.17 below even if you have answered no to question 4.5. For
help in answering these questions, see the definitions in the Guide MN1.

4.9  Has the applicant received any cautions (simple or conditional), warnings or reprimands in
the UK or any other country?

Yes go to 4.10 No go to question 4.11

4.10  Give details for each caution (simple or conditional), warning or reprimand starting with the
most recent one.

If the child has received more than 2 cautions (simple or conditional), warnings or reprimands,
photocopy this page and enclose it with this form.

Details of caution (simple or conditional), warning, or reprimand 1

Date of caution, warning or reprimand: D D M M Y Y Y Y

Country where caution, warning or reprimand received:

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Details of caution (simple or conditional), warning, or reprimand 2

Date of caution, warning or reprimand: D D M M Y Y Y Y

Country where caution, warning or reprimand received:

You must answer questions 4.11 to 4.17 below even if your have answered no to question 4.5.
For help in answering these questions, see the definitions in the Guide MN1.

4.11  Are the child’s details recorded by the police in respect of certain sexual offences (i.e
on the “sex offenders register”), or is she/he subject to a notification order, a sexual offences
prevention order, a foreign travel order, or a risk of sexual harm order (or equivalent order made
in a British overseas territory or any other country)?

Yes No

4.12  Has the child ever been charged in any country with a criminal offence for which she/
he has not yet been tried in court? (if they have been recently arrested or are subject to police
enquiries, you should check and confirm whether action is outstanding that may lead to a court
appearance).

Yes No

4.13  In times of peace or war has the child ever been involved in, or suspected of involvement
in, war crimes, crimes against humanity or genocide?

Yes No

4.14  Has the child ever been involved in, supported or encouraged terrorist activities in any
country?

Yes No

4.15  Have they ever been a member of, or given support to an organisation which has been
concerned in terrorism?

Yes No

4.16  Has the child ever, by any means or medium, expressed views that justify or glorify
terrorist violence or that may encourage others to terrorist acts or other serious criminal acts?

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Yes No

4.17  Has the child ever engaged in any other activities which might indicate that they may not
be considered a person of good character (see the good character section of the Guide)?

Yes No

4.18  If you have answered yes to question 4.11, 4.12, 4.13, 4.14, 4.15, 4.16, or 4.17 you must
give further details in the space provided below. If you need more space, continue on a separate
sheet and enclose it with this form.

For the purposes of answering questions 4.13 to 4.17, refer to the Guide MN1 which provides
guidance on actions which may constitute war crimes, crimes against humanity, genocide or
terrorist activities.

Form MN1 Application form (version 07/2018) Page 19 of 31

Section 5 - Referees and Identity
Write the child’s name and date of birth on the back of a photograph of
him/her. This should then be glued or pasted into the space aside.

This part of the form is to be filled in by the child’s referees once the
child’s photograph has been affixed aside as explained above. The Affix passport size
referees should read page 25 of the Guide to confirm that they are photo. See page 25
eligible. Checks will be carried out to ensure that referees meet the of the Guide.
requirements below and their signatures are genuine, and we may
contact them as part of our enquiries.

Name of applicant:

5.1  Each referee should know the child personally. One referee should be a professional who
has engaged with the child in a professional capacity, such as a teacher, health visitor, social
worker or minister of religion. The other referee must normally be the holder of a British citizen
passport and either a professional person or over the age of 25 (but see also page 25 of the
Guide).
Referees must:
• not be a relative, solicitor or agent of the applicant
• not be related to the other referee
• not be employed by the Home Office
• not have been convicted of an imprisonable offence during the last 10 years (unless that
conviction can be disregarded in line with the table shown on page 25 of the Guide MN1)
• have known the applicant personally
• be willing to give full details of their knowledge of the applicant
• advise the Home Office of any reason why the applicant should not be registered

1st Referee declaration

I declare that I am qualified to act as a referee. The photograph above is a true likeness of the
applicant. I confirm each of the points in 5.1 above. I confirm that to the best of my knowledge the
details given on page 3 of this form are correct.

5.2  Say how you know the child and state either your age or your profession:

5.3  Date of birth: D D M M Y Y Y Y

5.4  1st referee full name:

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5.5  Sex: Male Female

5.6  Address:

Postcode:

If you have been at this address for less than 3 years, list previous addresses on final page.

5.7  Daytime telephone number:

5.8  Email address:

For validation purposes, write your e-mail address again in the box below:

5.9  Current British citizen passport number (if any):

I understand that I may be liable for prosecution resulting in a penalty of up to 3 months

imprisonment or a fine not exceeding £5000 or both, if I knowingly or recklessly make a false
declaration.
Signature of referee: Date:
D D M M Y Y Y Y

2nd Referee declaration

I declare that I am qualified to act as a referee. The photograph on page 20 is a true likeness of
the applicant. I confirm each of the points in 5.1 above. I confirm that to the best of my knowledge
the details given on page 3 of this form are correct.
5.10  Say how you know the applicant, and state either your age or your profession:

5.11  Date of birth: D D M M Y Y Y Y

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5.12  2nd referee full name:

5.13  Sex: Male Female

5.14  Address:

Postcode:

If you have been at this address for less than 3 years, list previous addresses on final page of
this form.

5.15  Daytime telephone number:

5.16  Email address:

For validation purposes, write your email address again in the box below:

5.17  Current British citizen passport number (if any):

I understand that I may be liable for prosecution resulting in a penalty of up to 3 months

imprisonment or a fine not exceeding £5000 or both, if I knowingly or recklessly make a false
declaration.

Signature of referee: Date:

D D M M Y Y Y Y

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Section 6 - Biometric enrolment
In accordance with British Nationality (General) (Amendment) (2) Regulations 2015 anyone
applying for naturalisation or registration as a British citizen must register their biometric
information. For more information about registering your biometric information, see the
accompanying guidance notes, which you must read before completing this form.
If you have a current grant of leave on a biometric residence permit (BRP), you must provide
your BRP for the application to be valid and complete.

6.1  Have you been issued with a BRP with a previous application for leave?

Yes go to question 6.2 No go to question 6.12

Give details of your BRP. For the application to be valid and complete, your current BRP must be
provided, unless it is not available for one of the reasons specified on the application form.

6.2  BRP number:

6.3  Issue date: 6.4  Expiry date:

D D M M Y Y Y Y D D M M Y Y Y Y

6.5  Place of issue:

6.6  Nationality:

6.7  BRP enclosed? Yes No

If not enclosed state the location of biometric residence permit:

Returned to Home Office go to question 6.8

Lost go to question 6.9

Stolen go to question 6.10

Other go to question 6.11

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6.8  If the required BRP has been returned to the Home Office, give details of the reason it was
sent to us:

Date it was sent to us: D D M M Y Y Y Y

6.9  If the BRP was lost, give the date this was reported to the D D M M Y Y Y Y
Home Office card management service:

6.10  If the biometric resident permit was stolen, give the police report number, crime reference
number, the police station and the date reported to the police.

Police report number:

Crime reference number:

Police station:

Date reported to the Police: D D M M Y Y Y Y

6.11  If the required BRP is not enclosed, give details why you are unable to provide it:

6.12  Have you had your fingerprints taken as part of a previous UK immigration application
made in the UK or abroad?

Yes go to question 6.13 No go to question 6.16

6.13  Date your fingerprints were taken: D D M M Y Y Y Y

6.14  Give details where your fingerprints were taken, including the town or city and country:

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6.15  Give details of the British diplomatic post(s) involved if the application(s) was or were
made abroad:

6.16  Do you have a medical or physical condition which may require special arrangements for
your biometric features to be recorded?

Yes provide us with a letter from a doctor registered with the General Medical Council
(GMC) giving details of the condition and/or special needs and explaining any
arrangements that may be necessary.
No

Applicants under the age of 16

Complete questions 6.17, 6.18, 6.19.

(Applicants under the age of 16 must be accompanied by a parent, legal guardian.)

6.17  Is the applicant:

16 years old or more complete questions 6.1 to 6.16, then go to 6.21

less than 16 years old go to question 6.18

6.18  Give details of the person who will be accompanying the applicant when he or she attends
their Biometric information registration appointment:
Name of responsible adult:

Address of responsible adult:

Postcode:

Date of birth: D D M M Y Y Y Y

Nationality:

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Relationship to child:

6.19  Is this person the applicant’s parent or legal guardian?

Yes go to question 6.21 No go to question 6.20

6.20  Explain why a person other than the applicant’s parent or legal guardian will be
accompanying the applicant:

6.21  Declaration to be completed by all applicants

As required by British Nationality (General) (Amendment) (2) Regulations 2015, I confirm that I
wish to register my biometric information.
(If applying for a person under the age of 16), I understand that the Home Office may make
enquiries about any responsible adult nominated to be present when fingerprints and/or a
photograph are taken.

Signature of applicant/parent or guardian:

Date:
D D M M Y Y Y Y

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Section 7 - Consent to the application
The consent of both parents is required for applications made under section 3(5) and 4D and is
expected for all other applications.

7.1  Father’s consent:

I (name of father) consent

to this application for the registration of

(name of child) as a British citizen.

signed:

7.2  Mother’s consent:

I (name of mother) consent

to this application for the registration of

(name of child) as a British citizen.

signed:

7.3  If only one parent has signed, say why the other parent has not signed and provide
supporting documents (see page 27 of the guide):

7.4  Guardian’s consent:

I (name)

of (full address in block letters):

Postcode:

Form MN1 Application form (version 07/2018) Page 27 of 31

am the guardian of (name of child)
and consent to this application for their registration as a British citizen. I am authorised to act as
guardian by either the court at:

or

the child’s father or mother whose consent is attached

signed:

Daytime telephone number:

7.5  Child’s consent where they are making an application on their own behalf

I (name in block letters)

apply for registration as a British citizen and attach the consent of my father/mother/guardian to
this application.

Signed:

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Section 8 - 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).
8.1  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 know of no reason why the child should not be registered as a British citizen. 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 all information provided by me to the Home Office will be treated in confidence;
that it may be disclosed to other government departments, agencies, local authorities, the police,
foreign governments and other bodies for immigration purposes or to enable them to perform
their functions; and that, if such bodies provide the Home Office with any information about me
which may be relevant for immigration purposes, it may be used in reaching a decision on my
application.
I understand that my details may in certain circumstances be passed to fraud prevention
agencies to prevent and detect fraud and money laundering. I also understand that such
agencies may provide the Home Office with information about me. Further details explaining
when information may be passed to or from fraud prevention agencies and how that information
may be used can be obtained from the Home Office website.

I understand that I may be liable for prosecution if I have knowingly or recklessly provided false
or incomplete information.

I authorise the HM Revenue & Customs to provide the UK Visas and Immigration with any
information relevant to this application, and with any information needed to check the information
I have provided. I understand that any information provided to the HM Revenue & Customs in
connection with this application may be used by them for the purpose of their statutory functions.

8.2  I confirm that I have read and understood the Guide MN1

8.3  I confirm that I have enclosed the appropriate registration fee

8.4  I understand that if I withdraw my application, or it is refused, only part of the fee will
be returned to me

8.5  I confirm that I have enclosed the appropriate documents

8.6  Where I have provided a photocopy of my parent’s, adoptive parent’s or

grandparent’s British passport, I confirm that, to the best of my knowledge and belief, it is
a complete and full copy of that original document.

8.7  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, or if someone registered as a British citizen goes on to engage in conduct
which is seriously prejudicial to the public good.

Form MN1 Application form (version 07/2018) Page 29 of 31

8.8  [For parents applying for British citizenship at the same time as their child] I still
want my child to be registered as a British citizen even if my own application for British
citizenship is refused.

8.9  For those applying under section 3(2) of the British Nationality Act 1981, I confirm
that I am aware of the benefits of registration under section 3(5) of the 1981 Act but still
wish to proceed under section 3(2) (see page 9 of Guide MN1).

8.10  Sign below once you are satisfied you have completed the form correctly. Fees are
not fully refundable for applications that fail. You are recommended to read the Guide,
particularly those sections on how to qualify and the residence requirements.

Signature Date

D D M M Y Y Y Y

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Further information not covered in other sections

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