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Form EU4 (1.3) - INIS

Form EU4 (2018-05) - Page 1 of 6 Department of Justice,Equality and LawReformIrish Naturalisation &ImmigrationService DEPARTMENT OF JUSTICE AND EQUALITY IRISH NATURALISATION & IMMIGRATION SERVICE FORM EU4 Request for Review of Decision For EU1, EU2, EU3 or EU5 Applicant 2018-05 This form is to be completed by each person requesting a review under Regulation 21 of the European Communities (Free Movement of Persons) Regulations 2006 and 2008. This form must be completed in BLOCK CAPITALS. Where indicated, please place a tick ( ) in the appropriate box. A request for a review of a refusal decision should be made within 15 days of the refusal date (as per the letter of refusal). All sections must be completed. The declaration(s) in section 6 must be signed. Incomplete applications cannot be processed and will be returned.

Form EU4 (2018-05) - Page 2 of 6 2.8 Contact Telephone Number 2.9 Email Address Section 3 Details of EU Citizen (for Review of EU1, EU3 or EU5) 3.1 Name (as in passport) 3.2 Date of Birth Day Month Year 3.3 Gender (please tick) Male Female 3.4 PPS Number 3.5 Current Residential Address in Ireland 3.6 Nationality 3.7 Contact …

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Transcription of Form EU4 (1.3) - INIS

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