Confirmation

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Summary of information entered
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Getting started
\par
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Your date of birth
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10 January 1992
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Your sex
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Male
}
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Do you have a partner?
}
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No
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Do you have any dependent children aged under 20 living with you?
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No
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0 \ql
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\intbl
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Are you claiming Jobseeker\rquote s Allowance because Employment & Support Allow
ance stopped since 12 December 2011?
}
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No
}
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0 \ql
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Have you had Jobseeker\u8217\'3fs Allowance since 13 July 2011 ?
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No
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In total, do you have savings of more than \u163\'3f16000?
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No
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{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
Your claim
\par
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If you would like an email acknowledgement when you submit your claim, please en
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ridhwaanali@hotmail.co.uk
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Do you want to claim Council Tax Benefit?
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Yes
}
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\cellx4520 \ql
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\intbl
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Do you want to claim Housing Benefit?
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No
}
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{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
Work
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}
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\intbl
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Are you looking for work?
}
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Yes
}
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Do you have a job at the moment, paid or unpaid?
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No
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\cellx4520 \ql
\cellx9040 \ql
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Do you have any restrictions imposed by the Home Office on your right to work in
this country?
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{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0

No
}
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{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
Current benefits
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Do you have an illness or disability that prevents you from working?
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No
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Existing benefits
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\cellx4520 \ql
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\intbl
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Are you currently receiving Housing Benefit?
}
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No
}
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\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0

Are you currently receiving Council Tax Benefit?
}
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{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
When your claim will start
\par
}
}{
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Online claims normally begin on the date they are submitted. In exceptional circ
umstances, it may be possible for a claim to start from an earlier date, if you
can provide a valid reason. Do you want your claim to start from an earlier date
?
}
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No
}
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When we can contact you
\par
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Please indicate any times you are not available for us to contact you within the
next few days, to arrange a \lquote new jobseeker interview\rquote
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{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
8am til 12pm anytime after 12pm

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{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
Personal details
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Title
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Mr
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First name
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Ridhwaan
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Middle name
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Ahmed
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Surname
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Ali
}
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Relationship status
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Single
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Nationality
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British
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National Insurance (NI) Number
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{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
JP284705B
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Where you live
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Are you in a residential care home, a nursing home or residential accommodation?
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{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
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{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
Contact information
\par
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Your address status
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{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
I have a permanent residential address

}
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0 \ql
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\intbl
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Where you live
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{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
4 Livesey Street, PRESTON, PR1 4JQ, England
}
}
0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Would you like us to send your post to a different address?
}
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{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}
0 \ql
0 \ql
\intbl
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Daytime contact number
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07851110304
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Contact number type
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{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Mobile
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0 \ql
0 \ql
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Is this a specially adapted phone for the deaf,
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{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}
0 \ql
0 \ql
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Do you have another contact number?
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{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Yes
}
}
0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0

hard of hearing or speech-impair




Please provide another number you can be contacted on
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
01772 513530
}
}
\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
If you need us to provide an interpreter when we contact you, please select the
language required
}
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{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
}\i0 \ri0 \fs24 \ql \cf1 \f0 \li0 \b0 \intbl \cell \row }}
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Family and relationships
\par
}
}{
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Have you separated from someone who used to be your partner in the 26 weeks befo
re the date you want your claim to start?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
Disability
\par
}
}{

\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Have you ever been on the local authority register for blind persons?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
Immigration
\par
}
}{
\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Do you have to comply with immigration control rules on entry and residence in t
his country?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}
0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Do you have a right of abode in the UK?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Yes
}
}
\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Have you returned to or arrived in the UK in the last two years?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
Working or claiming benefits abroad
\par
}
}{
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Have you worked or claimed benefit outside the United Kingdom in the last five y
ears?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
Tax and tax credits
\par
}
}{
\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
What is your tax district number?
}
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{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
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0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
What is your tax reference number?
}
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{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
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\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Are you getting Child Tax Credit or Working Tax Credit?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Neither
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
Work stoppage
\par
}
}{
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Have you been laid off, are you on short-time work or has work been temporarily
stopped
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
Previous work
\par
}
}{
\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Have you received, or do you expect to receive, any payments because a job ended
in the last 12 months?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}
\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Have you had any jobs that have ended in the last six months?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
Education and training
\par
}
}{
\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Have you been on any government or vocational (work-related) training scheme dur
ing the last four years?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0

No
}
}
0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Are you currently registered on a course of study?
}
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{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}
0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Have you been a student during the last four years?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Yes
}
}
\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Are you on Work Based Learning for Young People / Skillseekers?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1

Your previous study
\par
}
}{
\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Other than courses you are currently registered on, how many courses have you be
en on in the last four years?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
2
}
}
0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Please enter a name for your previous course 1 that can be used when asking furt
her questions
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
btec business
}
}
\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Please enter a name for your previous course 2 that can be used when asking furt
her questions
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
btec it
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
About your previous study: btec business
\par
}
}{
\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
When did you start on this course?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
1 September 2008
}
}
0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
When did you finish on this course?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
1 September 2009
}
}
0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Did your local authority pay your course fees?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Yes
}
}
0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Was the course a sandwich course?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}
\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Was the course part-time?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
About your previous study: btec it
\par
}
}{
\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
When did you start on this course?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
1 September 2009
}
}
0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
When did you finish on this course?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
20 June 2011
}
}
0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Did your local authority pay your course fees?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Yes
}
}
0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Was the course a sandwich course?
}
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{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
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\cellx4520 \ql





\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Was the course part-time?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
Your pensions
\par
}
}{
\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Have you received, or are you likely to receive, any payments made as part of th
e Armed Forces Compensation Scheme?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}
\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Do you receive a pension now, or expect to receive one in the next three years?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
Current benefits
\par
}
}{
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Do you currently receive any benefits or help with mobility?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
Potential benefits
\par
}
}{
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Are you waiting to hear about any benefits you\rquote ve claimed?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
Previous benefits
\par
}
}{
\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Have you made any other benefit claims before (other than those you are currentl
y receiving or waiting to hear about)?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}
\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Have you been on jury service in the last 12 weeks?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
Caring
\par
}
}{
\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Are you a carer for someone else?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}
\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0

Do you have a carer?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
Carer\rquote s Allowance
\par
}
}{
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Have you stopped receiving Carer\rquote s Allowance in the last three months?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
Your living arrangements
\par
}
}{
\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Do you rent and/or own the place where you are living?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Neither
}
}

0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
What are your living arrangements?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Parents
}
}
0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Are you liable for paying the mortgage?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}
0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Are you liable for paying the rent on the whole
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}
\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0



property?

\clpadfr3 \clbrdrb \clbrdrr \ql

Have you moved house in the last 12 months?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
About the rent/mortgage
\par
}
}{
\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Is your mortgage paid off?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}
0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Who is liable for paying the rent and/or mortgage?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Title : Mrs
\par
}
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
}
First name : Husna
\par
}
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
}

Surname : Begum
\par
}
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
}
}
0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
What is your relationship to the person paying the rent and/or mortgage?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Parent
}
}
\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Are they liable for the rent, the mortgage or both?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Mortgage
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
Savings, investments and other income
\par
}
}{
\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
How have you supported yourself in the last 12 months?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Family
\par
}
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
}
}
0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Do you have any National Savings Certificates?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}
0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Apart from your main home, do you own any property or land in this country or ab
road, even if it is on a mortgage?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}
0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Does anyone owe you any money?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0

No
}
}
0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Does anyone pay you rent for rooms or property?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}
0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Do you get any payments from a credit insurance policy?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}
0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Does anyone pay money to someone else on your behalf?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}

0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Do you get any maintenance payments?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}
0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Do you receive any other money from any source?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}
\cellx4520 \ql
\cellx9040 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Have you received any financial assistance towards the costs of a course of educ
ation which ended in the last three months or is still current?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
Savings, investments and other income - shareholdings
\par
}
}{
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Do you own any shares?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
Capital
\par
}
}{
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Do you have any of the following types of capital?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Bank account - savings? : No
\par
}
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
}
Cash? : No
\par
}
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
}
Premium bonds? : No
\par
}
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
}
Bank account - current? : Yes
\par
}
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0

}
National Savings account? : No
\par
}
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
}
Building society account? : No
\par
}
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
}
Post Office account? : No
\par
}
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
}
Unit trusts, ISAs, PEPs, TESSAs or other investments? : No
\par
}
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
}
Money from the sale of a house? : No
\par
}
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
}
Money saved for something? : No
\par
}
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
}
Money from a redundancy payment? : No
\par
}
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
}
Income bonds or capital bonds? : No
\par
}
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
}
Money or property held in trust - including any trusts set up for your child(ren
)? : No
\par
}
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
}
Other savings? : No
\par
}
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
About your capital: Bank Account - Current
\par
}
}{
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
What is the value of this capital?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
\u163\'3f0
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
Personal injury payments
\par
}
}{
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Do any of the savings and investments you have include a lump sum from any perso
nal injury payment received by you within the last 52 weeks?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
Education subsidies
\par
}
}{

\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Do you expect to receive any financial assistance towards the costs of a course
of education?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
Student upkeep
\par
}
}{
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Do you pay towards the upkeep of a student?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
No
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
About your Jobseeker\rquote s Allowance payments
\par
}
}{
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Please provide details of the account into which you would like to receive Jobse
eker\rquote s Allowance payments
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Halifax, MR R A ALI, ****5490, 110618
}
}}
{\ri0 \i0 \ql \fs32 \cf1 \f0 \li0 \b1
How you would like to get your Jobseeker\rquote s Allowance payments
\par
}
}{
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
How would you like to be paid Jobseeker\rquote s Allowance?
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Pay into account
}
}}
{\ri0 \i0 \ql \fs36 \cf1 \f0 \li0 \b1
Thank you for submitting your application
\par
}
}
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Your application for Jobseeker\rquote s Allowance (JSA) has been submitted
\par
}
}
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
You will no longer be able to view your application online. If you need to make
any changes please contact Jobcentre Plus quoting your National Insurance Number
.
\par
}
}{
\clpadb5 \clpadfb3 \clpadl5 \clpadfl3 \clpadr80 \clpadfr3 \clbrdrt \clbrdrl \clb
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Jobcentre Plus (freephone):
}

}
0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
English:
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
0800 055 6688
}
}
0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Welsh:
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
0800 012 1888
}
}
0 \ql
0 \ql
\intbl
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Textphone:
}
l
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
0800 023 4888
}
}
\intbl




\clpadfr3 \clbrdrb \clbrdrl \clb
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0

Monday to Friday 8.00 am to 6.00 pm
}
}}
{\ri0 \i0 \ql \fs36 \cf1 \f0 \li0 \b1
Next steps: application interview and assessment
\par
}
}
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
A customer service adviser will phone or text you within two working days (Monda
y to Friday between 8:00am and 6:00pm) to arrange a \lquote new jobseeker interv
iew\rquote at your local Jobcentre Plus office. Following the interview, your a
pplication will be assessed and a decision will be sent to you in writing.
\par
}
}
{\ri0 \i0 \ql \fs36 \cf1 \f0 \li0 \b1
What to bring to your interview
\par
}
}
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
Please bring the following to the interview along with your CV, if you have one:
\par
}
}\pard \fi-360 \li {\*\pn \pnlvlblt \ilvl0 \ls1 \pnindent0 \pnf1 {\f2 \pntxtb \u
8226\'3f}}\ls1 {\pntext }
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li480 \b0
A letter from the relevant Local Education Authority (or Authorities) confirming
that they paid the course fees for your previous study
\par {\pntext }
}
}\pard \pard \fi-360 \li {\*\pn \pnlvlblt \ilvl0 \ls2 \pnindent0 \pnf1 {\f2 \pnt
xtb \u8226\'3f}}\ls2 {\pntext }
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li480 \b0
Two forms of identification for you, such as driving licence, passport, mortgage
or rental agreement
\par {\pntext }
}
}\pard
{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0
\u160\'3f
\par
}
}
{\ri0 \i0 \fs28 \cf1 \f0 \li0 \qc \b1
***** END PRINT *****
\par
}
}\sect }

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{\rtf1 \ansi

\clpadb5 \clpadfb3 \clpadl5 \clpadfl3 \clpadr80 \clpadfr3 \clbrdrt \clbrdrr \ql

{\i0 \fs24 \sa0 \ul0 \cf1 \strike0 \f0 \b0 \sb0

{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0

{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0

8am til 12pm anytime after 12pm

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\li0 \b0 \sb0 \intbl \cell \intb

\li0 \b0 \sb0 \intbl \cell \row

I have a permanent residential address

\clpadfr3 \clbrdrr \ql \cellx904

\li0 \b0 \sb0 \intbl \cell \intb

\li0 \b0 \sb0 \intbl \cell \row

hard of hearing or speech-impair

\li0 \b0 \sb0 \intbl \cell \row

\li0 \b0 \sb0 \intbl \cell \intb

\li0 \b0 \sb0 \intbl \cell \row

{\i0 \fs24 \sa0 \ul0 \cf1 \strike0 \f0 \b0 \sb0

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{\i0 \fs24 \sa0 \ul0 \cf1 \strike0 \f0 \b0 \sb0

\clpadb5 \clpadfb3 \clpadl5 \clpadfl3 \clpadr80

\clpadfr3 \clbrdrl \ql \cellx452

\li0 \b0 \sb0 \intbl \cell \intb

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{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0

{\trowd \itap0 \trleft0

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\li0 \b0 \sb0 \intbl \cell \intb

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\li0 \b0 \sb0 \intbl \cell \intb

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{\ri0 \i0 \ql \fs24 \cf1 \f0 \li0 \b0

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