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Application for Status Questionnaire (Supporting a Formal Application)


Please complete this questionnaire as completely as possible so that we may assess your application and schedule a further 60 min no obligation consultation as you may request.         Please note:  This is NOT the formal application for Status, and as a Consultant, should you appoint us to act for you, we will charge a comprehensive, flat fee for service, which we will  be confirmed and accepted by you before we start work. 

Do you currently hold a PRC?*

If Yes, What is your PRC certificate no.?

My situation:

Your situation?

Your (the Applicant) Surname:*

First Name: *

Middle Name (s):*

Maiden Name, if applicable:

Family Name @ Birth:*

Street Address (please give full address incl postal code):*

Your Status (check all that apply):*

Email Address 1:

Email Address 2:

Mobile Phone:*

Home Phone:

Name and Phone No. of your alternate:

Postal Address:

Your Nationality at Birth:*

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If Other, please state:

Your present nationality:*

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Are there any restrictions on your right to return to your country of origin?*

Select an option

If yes, please state what these restrictions are:

Marital Status:*

Select an option

Your Employment (Current):

Job Title:

Supervisor Name / Phone:

How long ? Dates?:

Your Employment (Previous):

Job Title:

Supervisor Name / Phone:

How long? Dates?:

Convictions: Have you ever been convicted in a court of law - criminal or civil?*

If yes, when? where?

If yes, nature of offence:

If yes, sentence imposed?

When did you first arrive in Bermuda?

Have you ordinarily resided in Bermuda for a period 10 years?*

During this period, have you lived abroad for more than 2 months?*

If yes, please give details of each residence abroad. Provide dates, employment, academic records. Need to provide full details about employers and schools and able to provide evidence.

DETAILS OF MARRIAGE / SPOUSE

PRC Certificate Number of your Spouse:

Details of Spouse / Fmr Spouse - All other names:

Details of Spouse / Fmr Spouse - Maiden Name, if applic:

Details of Spouse / Fmr Spouse - Sex:

Select an option

Details of Spouse / Fmr Spouse - Age:

Details of Spouse / Fmr Spouse - Date of Birth:

Date of Marriage:

Place of Marriage:

Details of Spouse / Fmr Spouse - Nationality @ Birth:

Date Marriage Ended:

Reason Marriage Ended:

Is your spouse currently residing in Bermuda:

Spousal Details - Where does he / she work? What does he / she do?

Has your spouse or dependent children even been convicted in a court of law? criminal or civil proceedings?

DETAILS OF PARENTS

All other names:

Age ? DOB? MM / DD / YEAR

Nationality @Birth:

Country of Birth?

Present Nationality?

Does he hold PRC?

If yes, what is certificate no?

Date and place of parents marriage:

Date Marriage Ended (if applicable) MM / DD / YY :

Reason (death, divorce etc):

MOTHERS Surname:

All other names:

Her Maiden Name:

Age ? DOB? MM / DD / YEAR

Nationality@Birth: *

Select an option

Country@Birth:*

Present Nationality:*

SPONSOR #1

SPONSOR #2

SPONSOR #3

Yes, I /We would like to schedule a meeting with a Consultant. And -

    Eligibility Requirements:

    You can apply for a Bermuda Status from September 2020 - August 2022 if:


  • You possess a Qualifying Bermudian Connection (QBC) (Section 19);
  • You are a spouse, widow or widower of a Bermudian (Section 19A);
  • You have the right to Bermudian status in certain other cases (see below If you possess a Qualifying Bermudian Connection (QBC), you must fulfil all the requirements below in order to apply. You must:
  • Be 18 years of age or older;
  • Have been ordinarily resident in Bermuda for 10 continuous years immediately preceding the date of the application;
  • Have a qualifying Bermudian connection;
  • Be of good conduct and character.
If you are a spouse, widow, or widower of a Bermudian, in order to apply you must:


  • Be married to or be the widow or widower of a Bermudian for 10 continuous years from the date of marriage;
  • Have resided in Bermuda for seven years after the date of the marriage, the last two years must be continuous to the date of application. In calculating the remaining five years, you must do so in continuous periods of 12 months or more;
  • Be living together as husband and wife continuously for the last two years with the Bermudian spouse to the date of application or for the last six months prior to the death of the Bermudian spouse;
  • Be of good conduct and character.

In order to apply under certain other cases, you must:
  • Have been ordinarily resident in Bermuda on 31 July 1989;
  • Have been ordinarily resident in Bermuda for the period of 10 years immediately preceding the application;
  • Be a British Dependent Territories citizen by virtue of the grant by the Governor of a certificate of naturalisation under the British Nationality and Status of Aliens Act 1914 (U.K.) or the British Nationality Act 1948 (U.K.) or the British Nationality Act 1981 (U.K.) having been approved for the grant of Bermudian status.
Costs / Fees:
  • Certified Copies / $10 per
  • Police Certificate / $100
  • Status Application / $593
  • PRC / $3,150
  • Consultancy Fees / TBD



Fitness

Bermuda / BOTC Passport Questionnaire 

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Please answer all questions as we prepare your digital BOTC passport application.

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What type of passport are you applying for?*

Please check which applies*

Who is this passport for?*

Surname*

First and middle names*

Maiden or all previous names

Current Address*

Country*

Postcode*

Date of birth*

Gender*

Town of birth*

Country of birth*

Mobile Phone Number*

Alternative Phone Number

Email Address*

Has the person named had any sort of passport (British or Otherwise) or been included in any passport before?*

If yes, please state passport number(s)

Details of lost or stolen passport

Issued at

In year

Holders surname at the time it was issued

First and middle names

How the passport was lost, or why it is not available

Date of loss

Place of loss

Mother's full name*

Town and country of birth*

Date of birth*

Nationality and citizenship at the time of applicant's birth*

If they have a British Overseas Territories passport give the number

Date of issue

Date of issue

Father's full name*

Town and Country of birth*

Date of birth*

Nationality and citizenship at the time of applicant's birth*

If they have a British Overseas Territories passport give the number

Has the applicant been granted a certificate of registration or naturalization?*

If yes, give date of issue, Certificate number and place of issue

Countersignatury's Full Name

Countersignatory's Email address

How long have they known you, and under what capacity?

Countersignatory's employer and the address they work at

Postcode

Mobile Phone number

Alternative phone number

Current Passport number

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