HIGHLY SKILLED
MIGRANT STATUS
Please complete this form in accordance with the guidance that appears in the Highly Skilled
Migrant Programme notes, and provide documentary evidence as appropriate. Please note
– if seeking to apply for leave to remain in the United Kingdom you should make a separate
application on the FLR(HSMP) form. (See guidance notes)
You must supply original documentation. Photocopies cannot be assessed.
Submission of documents that are fraudulent or not genuine will lead to refusal of the
application.
Please contact the Customer Contact Centre on 0114 207 4074 if you have any further
queries regarding completion of this payment slip.
Payment slip
Contact details
1 Contact Name:
2 Contact Address:
3 Postcode:
4 Contact telephone number:
5 Date of birth: Day Month Year
Application details
Please refer to the Payment Guidance Notes Please tick the appropriate boxes
6 Is the application to be: Paid for, please include the fee of £400.00 exempt
7 Are you applying from within the United Kingdom?
Yes
No
8 Applicant’s surname (please print)
Payment details
9 Preferred method of payment
UK Postal Order Cheque Please make cheques payable to: Home Office Work Permits (UK)
14 Signature Date
Now please complete the application form on pages 2-14
Dear Applicant,
Please accept this as confirmation of our receipt of your application under the Highly
Skilled Migrant Programme.
Please note:
Name of applicant
……………………………………………
We received your
……………………………………………
application on:
……………………………………………
Your Reference Number is:
Regards
HSMP Team
You should refer to the ‘HSMP: Guidance for Applicants’ booklet before attempting to complete this form.
You must supply original documentation where possible. Submission of documents that are fraudulent or
not genuine or do not properly relate to you will lead to refusal of the application.
Payment
Personal details
Q12. From where are you making this Q17. What is the name and address of
application? your legal representative, if you have one?
Inside the UK: Outside the UK:
Q13. Country of current legal residence:
Please refer to Annex D of the HSMP: Guidance for Applicants before completing this section.
The MBA provision applies to those who have been awarded an MBA from the list of 50 eligible
institutions published by the Treasury. If you completed your MBA at the time your MBA appears on
the list, then you can claim 75 points for this MBA. After completing the MBA section please go to
Section 2.
You will also need to provide an original academic reference and an original academic transcript.
(Please tick both boxes below to confirm that the evidence outlined above has been supplied.)
Original academic reference: Original academic transcript:
Please enter the points you are claiming for your MBA (max 75)
Please refer to Annex C of the HSMP: Guidance for Applicants before completing this
section.
You can claim points for one educational qualification that you hold. This qualification must be
equivalent to the recognised standard of British Bachelors, Masters or PhD.
Please provide details of your higher education qualification for which you wish to claim points:
Required evidence:
(Please tick the box below to confirm that you have supplied your original academic certificate then enter the
points claimed for this category at the bottom of the page.)
Original academic certificate:
You must also include alternative evidence in the form of both an original academic reference and
an original academic transcript. (Please tick both boxes below to confirm that this evidence has been
supplied and enter the points claimed in this category at the bottom of the page.)
Original academic reference: Original academic transcript:
You must also include corroborating evidence in the form of both an original letter from the
institution and a letter from the UK professional body. (Please tick both boxes below to confirm that this
evidence has been supplied and enter the points claimed in this category below.)
Please provide details of your vocational or professional qualification for which you wish to claim
points:
Please enter the number of points you are claiming for Qualifications (max 50)
If you are claiming points for your previous earnings then please complete questions 26-31 below
and indicate the evidence included with this application, then insert your score in the box on the next
page. You will need to refer to Annex C of the HSMP: Guidance for Applicants. In exceptional
circumstances detailed below we may be willing to consider alternative forms of specified evidence.
Q26. Start date of earnings period claimed: Q29. Country where income was earned:
Q27. End date for earnings period claimed: Q30. Amount you earned:
Q28. Please insert the relevant country code Q31. Please insert the relevant income
from the guidance notes: band from the guidance notes:
Please ensure that you also provide contact details for each previous employer. This should include
the name and address of each employer, a named contact to confirm the information and the
telephone number, fax number and e-mail address of the employer.
Required evidence for those who have been a student in the past 12 months
If you are a student who has finished a full-time course within the previous 12 months and wish us to
consider your earnings for a 12-month period in the 15 months prior to your period of study you must
supply an original letter, on letter-headed paper, from the institution. (Please tick the box below to
confirm that this evidence has been supplied.)
Q32. Original signed and headed letter from institution:
If you are only able to submit one piece of evidence from the list above, you must also submit one of
the following pieces of evidence. If you cannot produce either piece of evidence from the list above
you must submit both of the following: (Please tick to confirm what evidence you have provided.)
Q35. Bank statements covering the period Q36. Letter from the employer stating
claimed for: salary as claimed:
If you were on secondment during the period claimed, please complete the following:
Country where job based: Country of 1st secondment: Country of 2nd secondment:
Please enter the number of points claimed in this category, on the next page.
If you have been working in a country that has no tax system you must supply two of the
following three pieces of evidence: (Please tick the boxes below to confirm what you have supplied.)
Q37. Bank statements covering the full Q38. Letter from the employer stating salary
period claimed for: as claimed:
Q39. Wage slips covering the full period
claimed for:
Please enter the number of points claimed in this category in the box below.
Independent contractor – required evidence
If you have been in employment as an independent contractor, you should provide four pieces of
evidence. You must supply all of the following: (Please tick the boxes to confirm what you have supplied.)
Q40.Income Tax return covering the full Q41.Copies of contracts over the period
period claimed for: claimed for showing the full amount of
earnings claimed:
Q42. Invoices to cover the period claimed for Q43. Bank statements to cover the period
showing the full amount claimed: showing the full amount claimed:
Please enter the number of points claimed in this category in the box below.
Self-employed - required evidence.
You should provide the appropriate combination of the following documents, no alternative evidence
will be considered.
You must provide both of the following: (Please tick the boxes below to confirm what you have supplied.)
Q44. Applicant’s Income Tax return: Q45. Applicant’s bank statements:
In addition you must provide one of the following combinations of documents. Either
Q46. Company audited accounts and company tax return (2 documents):
Or
Q47. Unaudited business/management accounts confirming the total amount claimed plus
either
• Business bank statements together with a business tax return (2 documents)
or
• Copies of contracts totalling the full amount payable to the individual together with
corroborating invoices detailing your payment.
Please enter the number of points claimed in this category below.
Please enter the number of points you are claiming for Past Earnings (max 45)
Please tick one box below to indicate under which category you wish to claim 5 points for UK
experience:
Q48. Previous UK employment: Q49. UK Study:
You must also submit a notarised copy of the personal details page of your passport together with a
notarised copy of the page in the passport which has previously been endorsed with the period of
student stay.
Please tick the box below if you have supplied these:
Notarised copies of both the personal details page and the endorsement of the period of student
stay: (2 documents)
If you are claiming points for your age please tick one box and complete the evidence section:
Q52. How old will you be at the time of submitting this application?
27 years or under: 28 or 29 years: 30 or 31 years: 32 years or above:
(20 points) (10 points) (5 points) (No points)
You must also include a notarised copy of the personal details page of your passport . Please tick the
box below to confirm that this evidence has been supplied.
Notarised copy of personal details page of passport:
Please refer to Annex E of the HSMP: Guidance for Applicants before completing this section.
In order to qualify for the HSMP then you must have a minimum standard of English language. You
will need to provide evidence of your English Language ability even if you are a national of a country
where the main language is English.
This is an absolute requirement and if it is not met then your application will be refused.
Please tick one box below to show the evidence you have supplied to demonstrate your English
ability.
IELTS Test Report at Degree, equivalent to UK Bachelors,
Band 6 or above: taught in English
Please go to question 55 Please go to question 59
You will also need to submit both an original letter from the institution and an original academic
transcript. (Please tick the boxes to confirm that this evidence has been supplied.)
Q61. Original letter from institution: Q62. Original academic transcript:
Exceptional consideration and evidence required for applicants with neither of the above.
If you have previously gained an English language qualification that is equivalent to IELTS 6 we will
consider this qualification. You are advised to ensure that it is equivalent to IELTS 6 prior to making
your application.
Q63. Title of previously gained qualification in English language:
Q64. Level of qualification obtained: Q65. Date that you gained the certificate:
You must also include your original English language certificate. (Please tick the box below to confirm
that this evidence has been supplied.)
Q66. Previously obtained English language certificate
7. Total scores
Form HSMP 1 (10/07) Page 11 of 16
SECTION 2
Please insert your total scores claimed for Section 1 in the boxes below and indicate whether you have met the
English language requirement set out in Section 2.
Previous UK
Section: MBA Qualifications Age Total
Earnings Experience
Points
claimed:
If you do not score 75 points or more, and/or you do not meet the English language requirement, then your
application will be refused.
• I understand that the UK government may contact any government authority, including police,
judicial and state authorities in all countries in which I have resided, to seek the release to the
UK government authorities of all records and information they may possess on my behalf
concerning investigations, arrests, charges, trials, convictions and sentences.
• I understand this information will be used to assist in evaluating my suitability for admission to
the UK under the Highly Skilled Migrant programme or any other category of entry to the UK for
immigration purposes.
• I authorise the UK immigration authorities to contact the above with regard to my application.
Declaration
• I am aware that the rules and regulations governing HSMP and leave applications may change
in the future and I do not assume that the requirements covering any future applications will be
the same.
• I am aware that it is an offence under the Immigration Act 1971, as amended by the
Immigration and Asylum Act 1999 and the Nationality, Immigration and Asylum Act 2002,
to do an act which facilitates the commission of a breach of immigration law by an
individual who is not a citizen of the European Union, knowing or having reasonable
cause to believe that the act has this effect.
If a representative is dealing with this application on behalf of the applicant, please complete this section
Email address:
It is important that all those in the business of providing advice or services in connection with Highly
Skilled Migrant Programme (HSMP) applications check their status under the regulatory scheme with
the Office of the Immigration Services Commissioner (OISC), and if necessary obtain the appropriate
exemption or registration from the OISC. If they do not, the Border and Immigration Agency may be
unable to deal with them in connection with any HSMP applications which they submit. Further
information, can be found at: www.oisc.gov.uk.
I am registered by the OISC: I am exempted by the OISC:
OISC number:
I am a representative based outside the UK.
Finally, please make sure that the application is addressed correctly i.e.
Border and Immigration Agency HSMP
PO Box 3975
Sheffield
S1 9BL
This form and the associated guidance notes may be included or reproduced in any non-Home Office
website or publication. However, such inclusion or reproduction does not constitute an endorsement of any
services offered or provided by the owners of the website or publication, or of the content of the website or
publication.
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