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Apply for court order about immigration or asylum ('application notice')

Document Cited in Related
Vincent
Published date21 March 2018
Subject MatterImmigration and Asylum Chamber (Upper Tribunal) forms
Application notice
(Upper Tribunal Immigration and Asylum Chamber)
Upper Tribunal
Immigration and Asylum Chamber
UTIAC No.
Name of Applicant
Name of Respondent
Help with Fees - Ref no.
(if applicable) H W F – –
Part A
Full name of applicant or
your representative
State briey the nature
of the order sought and
the reason it is sought
including the material
facts relied on and
identifying any rule or
statutory provision.
This application will be
heard before a Judge of
Upper Tribunal
Part B
/ /
Date and time of hearing
am/pm
Date Time
:
What do you wish to
reply on?
the attached Witness Statement/Adavit
my statement of case
the evidence in Part C on reverse of this application
Full name
Signed Position or
oce held
(Applicant) (Applicant's representative)
(Litigation friend)
(If signing on behalf of rm or company)
Date / /
Applicant Respondent Litigation friend
T484 Application notice (Upper Tribunal Immigration and Asylum Chamber) (12.18) © Crown copyright 2018
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