APPLICATION FOR

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)

Account Number Sort Code Cheque No.

Or please debit my Visa MasterCard Delta Maestro (UK)

10 Amount £
11 Name on card
12 Card Number
Expiry Issue No CVV No (on
13 Card Details Valid from / /
Date (Maestro) rear of card)

14 Signature Date
Now please complete the application form on pages 2-14

Form HSMP 1 (10/07) Page 1 of 16

 IF YOU WISH THE HSMP TEAM TO ACKNOWLEDGE RECEIPT OF YOUR APPLICATION AND
PROVIDE YOU WITH YOUR HSMP REFERENCE NUMBER – PLEASE ENTER YOUR DETAILS IN
‘BOX A’ BELOW.
IF YOU WISH US TO ACKNOWLEDGE RECEIPT OF YOUR APPLICATION VIA
E-MAIL PLEASE PROVIDE DETAILS IN THE BOX BELOW.

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:

BOX A - If you would like to receive

confirmation that your application has been
received please insert your full name and
correspondence address or e-mail address into
the space below.
For further information on current process times and other general guidance please
refer to our web site: www.workingintheuk.gov.uk.
If you have any other enquiries please contact us either by telephone on 0114 207
4074, by fax on 0114 207 6021 or e-mail us at:
hsmp.workpermits@ind.homeoffice.gsi.gov.uk.

Regards
HSMP Team

Form HSMP 1 (10/07) Page 2 of 16

 Form HSMP1

Highly Skilled Migrant Programme:

Application for HSMP status
This form is for use by those applying to join the HSMP from outside the United Kingdom, or by those
already in the UK applying to switch into the HSMP from another permitted immigration category. If you
have already received a HSMP approval and are seeking to apply for leave to remain in the United Kingdom
or an extension to that stay, you should make a separate application on the FLR(HSMP) form.

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

Q1. Has this application been paid for or is it exempt?

Paid for: Exempt:
Please tick relevant box

Personal details

Q2. Title: Q8. Current address:

Mr/Mrs/Miss/Ms Other:
Q3. Surname/family name:

Q4. First name:

Q5. Date of birth: Q9. Telephone number:

Q6. Nationality: Q10. Fax number:

Q7. Gender: Q11. Email address:

We will not process this application without this information.

Current status

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:

Q14. What is your current occupation? Q18. Telephone number:

Q15. Any previous Home Office number: Q19. Fax number:

Q16. What is your current immigration status Q20. Email address:

in the UK (if applying within the UK)?

Form HSMP 1 (10/07) Page 3 of 16

SECTION 1
1. Master in Business Administration (MBA) Provision

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.

Evidence of MBA award

You should provide your original MBA certificate in support of claimed points. If you have only
recently graduated and your certificate has yet to be issued, then evidence in the form of an original
academic reference stating you have achieved your qualification and are awaiting graduation, in
addition to an original academic transcript from your university, may be considered.

Q21. MBA awarding institution: Q22. Date of MBA award:

Q23. Required evidence:

(Please tick the box below to confirm what evidence you have supplied.)

Original award from eligible institution:

Exceptional consideration and evidence required:
If your certificate has yet to be issued, then please provide details in the box below.

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)

Now please go to Section 2 of the application form.

Form HSMP 1 (10/07) Page 4 of 16

SECTION 1 CONTINUED
2. Qualifications

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.

Q24. Academic qualifications

If you are claiming points for your educational qualification then please tick one box below.
A PhD* A Masters Degree* (e.g. MA, MSc, MBA) A Degree* (e.g. BA, BSc)
(50 points) (35 points) (30 points)
*Or equivalent vocational or professional qualification.

Please provide details of your higher education qualification for which you wish to claim points:

Qualification Subject Date of Award Awarding Body

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:

Exceptional consideration and evidence required:

If your certificate has yet to be issued, or you have other reasons for being unable to produce your
certificate please state your reasons in the box below. You must also provide evidence to support
your request for exceptional consideration.

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:

Q25. Evidence of professional/vocational qualifications

If you are claiming points for your professional/vocational qualification you must provide both an
original award certificate and evidence from the appropriate UK professional body of the
equivalence to UK academic qualifications. (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 award certificate: Letter from UK professional body:

Exceptional consideration and evidence required:

If your award certificate has yet to be issued, or you have other exceptional reasons for being
unable to produce your award certificate please state your reasons in the box below. You must also
provide evidence to support your request for exceptional consideration.

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.)

Form HSMP 1 (10/07) Page 5 of 16

SECTION 1 CONTINUED

Original letter from institution: Letter from UK professional body:

Please provide details of your vocational or professional qualification for which you wish to claim
points:

Qualification Subject Date of Award Awarding Body

Please enter the number of points you are claiming for Qualifications (max 50)

Form HSMP 1 (10/07) Page 6 of 16

SECTION 1 CONTINUED
3. Previous earnings from your work
Please refer to Annex C of the HSMP: Guidance for Applicants before completing this
section.
You can claim points for your previous earnings obtained from your work. The earnings should be for
any 12 month period during the 15 months immediately preceding the date of your application.

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:

Salaried earnings – required evidence:

You should provide both of the following pieces of evidence. (Please tick the boxes to confirm that this
evidence has been supplied.)
Q33. Income Tax return covering period Q34. Original wage slips covering period
claimed for: claimed for:
Exceptional consideration and evidence required for salaried earnings
If you are not able to submit the evidence from the list above, or you have other exceptional reasons
for being unable to produce the required evidence please state your reasons in the box below. You
must also provide evidence to support your request for exceptional consideration.

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.

Form HSMP 1 (10/07) Page 7 of 16

SECTION 1 CONTINUED

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)

Form HSMP 1 (10/07) Page 8 of 16

SECTION 1 CONTINUED
4. UK Experience
Please refer to Annex C of the HSMP: Guidance for Applicants before completing this
section.
You can claim five points if you have previous experience of living in the UK if either you have
successfully scored points for previous earnings (in section 3 above) which were earned in the UK,
or you have gained a degree level qualification or higher in the UK in the last 5 years.

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:

Previous Employment - required evidence for UK Experience:

If claiming for previous employment, evidence supplied for the Previous Earnings section will be
assessed.
Please enter the points claimed in the box at the bottom of the page.

Full-time Study - required evidence for UK Experience:

If claiming for previous full-time study, you should provide both evidence of your legal study in the
UK in the form of the letter from the Home Office giving you permission to study in the UK, and also
an original letter from the institution confirming the details of the study. (Please see Annex C of the
guidance notes for full information on this requirement.) Please tick to indicate what you have supplied:
Q50. Original Home Office letter of student
Q51. Original letter from institution:
permission:
Please enter the points claimed in the box at the bottom of the page.
Exceptional consideration and evidence required
If there are exceptional reasons as to why you are unable to submit the Home Office letter giving
permission to study in the UK, please state your reasons. You must also provide evidence to support
your request for exceptional consideration.

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)

Please enter the points claimed below

Please enter the number of points you are claiming for UK Experience (max 5)

Form HSMP 1 (10/07) Page 9 of 16

SECTION 1 CONTINUED
5. Age assessment
Please refer to Annex C of the HSMP: Guidance for Applicants before completing this
section.
You can claim points in this section if you are less than 32 years of age at the time your application
is received by the Border and Immigration Agency. The points are only available to applicants who
are within the age bands below when the Border and Immigration Agency receive your application.
If the application is received after your birthday and this takes you into the next age band, then you
can only claim the points associated with the older category. HSMP Office hours are 8.30am until
4.30pm excluding public holidays.

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)

Age Assessment - required evidence:

You must produce one of the following to corroborate your age claim: ( Please tick the box to indicate
which you have supplied, then enter the points claimed for this category in the box at the bottom of the page.)
Q53. Original birth certificate: Q54. Original full driving licence:

Exceptional consideration and evidence required:

If there are exceptional reasons as to why you are unable to submit either of the required
documents, please state your reasons in the box below. You must also provide evidence to support
your request for exceptional consideration.

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 enter the points claimed below

Please enter the number of points you are claiming for Age Assessment (max 20)

Form HSMP 1 (10/07) Page 10 of 16

SECTION 2
6. English Language Requirement

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

Required evidence for those with an IELTS certificate

You must produce your original IELTS certificate, no other evidence will be accepted.
Q55. Original IELTS certificate: Q56. Overall IELTS band score:
Q57. IELTS report number: Q58. Date IELTS test taken:

Required evidence for those with a degree qualification taught in English

You will need to submit both the following pieces of evidence and the letter must state that the
degree was taught in English: (Please tick the boxes to confirm that this evidence has been supplied.)
Q59. Original degree certificate: Q60. Original letter from Institution:
Exceptional consideration and evidence required.
If there are exceptional reasons as to why you are unable to supply your original degree certificate
then please state the reasons below. You must also provide evidence to support your request for
exceptional consideration.

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

More information on IELTS can be found at: www.ielts.org

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:

English language requirement met?

Yes: No:

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.

Form HSMP 1 (10/07) Page 12 of 16

DOCUMENT CHECKLIST
Checklist for supporting evidence supplied with your HSMP application
Please complete the checklist below listing what documentation you have provided. You must provide the
required evidence as specified in this application form and associated guidance notes. Failure to submit the
required evidence is likely to lead to refusal of your application. Where there are exceptional reasons as to
why you cannot provide the documents requested then you may request exceptional consideration of your
application and provide alternative evidence as specified. However, this may not be sufficient to satisfy the
Border and Immigration Agency. Only original documents can be provided. Photocopies cannot be
assessed.
MBA provision Included:
Required evidence: Original MBA certificate
Exceptional evidence: Original letter from institution
Original academic transcript
Academic qualifications Included:
Required evidence: Original degree certificate
Exceptional evidence: Original letter from institution
Original academic transcript
Professional/vocational qualifications Included:
Required evidence: Original award certificate
Letter from UK professional body stating equivalence
Exceptional evidence: Original letter from institution
Letter from UK professional body stating equivalence
Previous earnings – salaried employment Included:
Required evidence: Income tax returns
Wage slips
Exceptional evidence: Bank statements
Letter from employer
No tax system: Bank statements
Letter from employer
Wage slips
Previous earnings – independent contractors
Required evidence: Income tax returns
Contracts
Invoices
Bank statements
Previous earnings - self-employed Included:
Required evidence: Applicant’s income tax return
Applicant’s bank statements
Company audited accounts and company tax return
Unaudited business accounts and business bank statements and
business tax return.
Unaudited business accounts and contracts and corroborating
invoices.
Previous earnings – students Included:
Required evidence: See evidence above
Original letter from institution
UK experience – earnings Included:
Required evidence: No additional evidence required
UK experience – study Included:
Required evidence: Home Office student grant letter
Original letter from institution
Exceptional evidence: Notarised copy of personal details and endorsed passport pages
Age assessment Included:
Required evidence: Original birth certificate
Original full driving licence
Exceptional evidence: Notarised copy of personal details passport page
Continued on next page

Form HSMP 1 (10/07) Page 13 of 16

DOCUMENT CHECKLIST
Checklist for supporting evidence supplied with your HSMP application continued:
English language Included:
Required evidence: IELTS test report at Level 6 or above
Original degree certificate and original letter from institution
Exceptional evidence: Original letter from institution and original academic transcript
Certificate of English language (equivalent to IELTS Level 6)

Form HSMP 1 (10/07) Page 14 of 16

APPLICANT’S DECLARATION
Authority to disclose personal details

• 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 also understand that any past/present employer; educational establishment or financial

authority may be contacted to verify evidence submitted in support of my application.

• 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.

Applicant’s signature: Date:

Declaration

• I confirm that I intend to make the UK my main home.

• I confirm that if, before this application is decided, there is a material change in my
circumstances or new information relevant to this application becomes available I will inform the
Home Office.
• I understand that all information given by me will be treated in confidence but may be disclosed
to other Government Departments and Agencies and Local Authorities to enable them to carry
out their functions.

• 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.

Applicant’s signature: Date:

Form HSMP 1 (10/07) Page 15 of 16

 REPRESENTATIVE’S DECLARATION
Representative’s Declaration

If a representative is dealing with this application on behalf of the applicant, please complete this section

Name of representative’s company: Address:

Name of contact if different from above:

Telephone number: Fax number:

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.

This declaration must be signed by the representative:

• I have been appointed by the applicant to make this application.
• I confirm that all the facts relating to this application have been given to me by the applicant and to the
best of my knowledge and belief are true and complete.Once the application is decided I will provide the
applicant with all correspondence from you relating to your decision.
• I confirm that the applicant has signed the completed application
• Once the application is decided I will provide the applicant with all correspondence from you relating to
your decision.
Please tick this box if you do not wish to receive further information and publicity from the Border and
Immigration Agency :
Name (CAPITALS please):
Position:
For and on behalf of (representative):
Signature: Date:

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.

END OF HIGHLY SKILLED MIGRANT PROGRAMME APPLICATION

Form HSMP 1 (10/07) Page 16 of 16