Application to be released on SIAC bail (SIAC B1)

Published date21 March 2018
T621 SIAC B1 bail application (07.15) Page 1 of 5
The Immigration Acts Application to
be released on SIAC bailSIAC B1
Section 1 Personal Information
A Home Office reference number
B NOMS number (if applicable)
C Your surname or family name.
Please use CAPITAL LETTERS
D Your other names
E Address where you are detained
Postcode
F Your date of birth
(give as day/month/year) (day)/ (month) / (year)
G Are you male or female?
Male Female
H Nationality (or nationalities) or
citizenship
I Date of arrival in the United
Kingdom (day)/ (month) / (year)
J Do you have a representative? No Yes If yes, your representative should complete
Section 7 on page 4.
Section 2 About your application
A Do you have an appeal or review
pending before the Commission?
No Yes
What is the appeal
number, if you know
it?
B Have you lodged a bail
application before? No Yes
What is the bail
number, if you know
it?
If yes, have you been refused bail
at a hearing within the last 28
days?
No Yes If yes, what was the
date of that hearing? / /
C
The address where you plan or
the Home Office have provided
for you to live, if your bail
application is granted.
Town
Post code
D
Are directions for your removal
from the United Kingdom
currently in force?
No Yes If so, what date is
removal to take place? / /

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