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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. You and the EU citizen of whom you are a family member may be required to attend for an interview in connection with this review. While your application is being processed at this office, the onus is on you, the applicant, to advise this office of any change in circumstances (including change of residence or change in activities of EU citizen).

Form EU4 (2018-05) - Page 4 of 6 Section 7 Declarations Applicant For a review of an application made on Form EU1, EU2, EU3 or EU5, this declaration should be signed and dated

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