Form T619
| Published date | 21 March 2018 |
Notice of appeal/
Notice of application for review to The Special Immigration
Appeals Commission (SIAC)
THE SPECIAL IMMIGRATION APPEALS COMMISSION ACT 1997
Please attach a copy of the certificate, notice of decision, notice of direction and/or letter from the Home Office which you are appealing against or applying to have reviewed.
You will have had a letter or notice telling you about the decision or direction. That letter or notice explains your rights of appeal or review. Please complete the information below and tick the section(s) of the Special Immigration Appeals Commission Act 1997 and/or Nationality Immigration and Asylum Act 2002 under which you are appealing or applying for review.
Section 1 Decision(s) or direction(s) you are appealing against or applying to have reviewed
A Home Office reference
B Date of service of Home Office
decision/direction / /
C Deadline to appeal/apply for review / /
D Method of service of Home Office decision/ direction
(ie. how did you receive it)
Post Fax or Personal
Service
Appeal being made under:
Special Immigration Appeals Commission Act 1997: Section 2 Section 2B
Nationality, Immigration and Asylum Act 2002: Section 97A(3)
Application for review being made under:
Special Immigration Appeals Commission Act 1997: Section 2C Section 2D Section 2E
Nationality, Immigration and Asylum Act 2002: Section 97A(2F)
Section 2 About You
A Surname or family name. (CAPITALS)
B Other names
C Address where you can be contacted
Notice: If you change your address, you must notify SIAC immediately, in writing.
D
E
F
G
Telephone number
(Give a number where SIAC may contact you during the day)
Date of birth
(Please give as Day/Month/Year)
Nationality (or nationalities) or citizenship
Do you have a representative?
/ /
No Yes Your representative should complete Section 6: Representative’s Details
H Have you previously made an asylum and/or a human rights claim or appealed against, or applied for a review of, any immigration decision or direction made in the United Kingdom?
No Yes
What type of decision did you appeal/review?
Date of appeal/review / /
What is the appeal/ review number, if you know it?
Who did you make the appeal/application for review to?
AIT/First-tier Tribunal (IAC)/
Upper Tribunal (IAC)
High Court/Court of Session
SIAC
I
Who will be present at the hearing?
Yourself Your representative
Witness/es
If this information is not yet known, please leave blank and provide it to SIAC when the hearing date is set.
Please list details of all witnesses you wish to attend any hearing
J
If you, your representative or a witness are attending the hearing, will an interpreter be needed?
Yourself
Your representative
Witness/es
If this information is not yet known, please leave blank and provide it to SIAC when the hearing date is set.
K If you, your representative or a witness has a disability, please
explain any special arrangements needed for the hearing.
If this information is not yet known, please leave blank and provide it to SIAC when the hearing date is set.
Which language will be needed?
Language:
Dialect (if applicable):
Section 3 Grounds of Appeal or Application for Review
In this section you must set out the grounds for your appeal or application for review and give the reasons in support of these grounds – that is, why you disagree with the decision or direction.
If you are applying for a review, please note that in determining your application SIAC will apply judicial review principles.
Please refer to the paragraphs of the letter or notice containing the decision/s when possible.
You should include in this section any parts of your claim that you think have not been addressed in the refusal letter. You must say if you have raised these issues before.
Give as much detail as possible; use additional sheets of paper if you need to.
Please note that if you want to vary your grounds at a later date, you will only be able to do so if you obtain permission from SIAC.
Section 4 Late Appeal or Application for Review
The time limits setting out when your appeal/application must be received at the Special Immigration Appeals Commission are set out in Rule 8 of The Special Immigration Appeals Commission (Procedure) Rules 2003)
If you know your appeal is late, or you are not sure if it will be received in time, you must apply for an extension of time.
Explain why your appeal is late in the box below. Attach any evidence / additional sheets if necessary.
Section 5
Additional Documents
You must send the letter or notice telling you about the decision, or a copy of it, with this form, together with any other document which was served on you which provided reasons for the decision or direction.
If you are sending additional documents with this form please list them all here, including the HO letter/notice:
Section 6
Declaration
Declaration I declare that the information I have given is true and complete to the best of my knowledge and belief.
Appellant/applicant signature and date
Name of appellant/applicant
Please use CAPITAL LETTERS
Representative signature and date
Name of representative
Please use CAPITAL LETTERS
Section 7 Representative’s Details
This section is for completion by your representative.
Name of Representative
Name of Representative Organisation
Postal Address of Organisation
Telephone and Fax Number
Email Address
Is the representative regulated by
the Office of the Immigration Services
Commissioner (OISC)?
No Yes
P...
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