s17 Hub Data Entry form
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Client details
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Local authority
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Barking and Dagenham
Barnet
Barnsley
Bath and North East Somerset
Bedford
Bexley
Birmingham
Blackburn with Darwen
Blackpool
Bolton
Bournemouth
Bracknell Forest
Bradford
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Bromley
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City of London
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East Riding of Yorkshire
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Essex
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Isle of Wight
Isles of Scilly
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Kingston upon Thames
Kirklees
Knowsley
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Lancashire
Leeds
Leicester
Leicestershire
Lewisham
Liverpool
Luton
Manchester
Medway
Merton
Middlesbrough
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Newcastle City
Newcastle upon Tyne
Newham
Norfolk
North East Lincolnshire
North Lincolnshire
North Somerset
North Tyneside
Northamptonshire
Northumberland
Nottingham
Nottinghamshire
Oldham
Oxfordshire
Peterborough
Plymouth
Poole
Portsmouth
Reading
Redbridge
Redcar and Cleveland
Richmond upon Thames
Rochdale
Rotherham
Rutland
Salford
Sandwell
Sefton
Sheffield
Slough
Solihull
Somerset
South Gloucestershire
South Tyneside
Southampton
Southend-on-sea
Southwark
St Helens
Staffordshire
Stockport
Stockton-on-tees
Stoke-on-trent
Suffolk
Sunderland
Surrey
Sutton
Swindon
Tameside
Telford and Wreckin
Thurrock
Torbay
Tower Hamlets
Trafford
Wakefield
Walsall
Waltham Forest
Wandsworth
Warrington
Warwickshire
West Berkshire
West Sussex
Westminster
Wigan
Wiltshire
Windsor and Maidenhead
Wirral
Wokingham
Wolverhampton
Worcestshire
York
Country of origin
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Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguila
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
United States Minor Outlying Islands
Virgin Islands (British)
Virgin Islands (U.S.)
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cabo Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao 79 Delete sort
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guan
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Côte d'Ivoire
Iran (Islamic Republic of)
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia (the former Yugoslav Republic of)
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Korea (Democratic People's Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Republic of Kosovo
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Korea (Republic of)
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela (Bolivarian Republic of)
Viet Nam
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Nationality
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Afghan
Albanian
Algerian
American
Andorran
Angolan
Anguillan
Citizen of Antigua and Barbuda
Argentine
Armenian
Australian
Austrian
Azerbaijani
Bahamian
Bahraini
Bangladeshi
Barbadian
Belarusian
Belgian
Belizean
Beninese
Bermudian
Bhutanese
Bolivian
Citizen of Bosnia and Herzegovina
Botswanan
Brazilian
British
British Virgin Islander
Bruneian
Bulgarian
Burkinan
Burmese
Burundian
Cambodian
Cameroonian
Canadian
Cape Verdean
Cayman Islander
Central African
Chadian
Chilean
Chinese
Colombian
Comoran
Congolese (Congo)
Congolese (DRC)
Cook Islander
Costa Rican
Croatian
Cuban
Cymraes
Cymro
Cypriot
Czech
Danish
Djiboutian
Dominican
Citizen of the Dominican Republic
Dutch
East Timorese
Ecuadorean
Egyptian
Emirati
English
Equatorial Guinean
Eritrean
Estonian
Ethiopian
Faroese
Fijian
Filipino
Finnish
French
Gabonese
Gambian
Georgian
German
Ghanaian
Gibraltarian
Greek
Greenlandic
Grenadian
Guamanian
Guatemalan
Citizen of Guinea-Bissau
Guinean
Guyanese
Haitian
Honduran
Hong Konger
Hungarian
Icelandic
Indian
Indonesian
Iranian
Iraqi
Irish
Israeli
Italian
Ivorian
Jamaican
Japanese
Jordanian
Kazakh
Kenyan
Kittitian
Citizen of Kiribati
Kosovan
Kuwaiti
Kyrgyz
Lao
Latvian
Lebanese
Liberian
Libyan
Liechtenstein citizen
Lithuanian
Luxembourger
Macanese
Macedonian
Malagasy
Malawian
Malaysian
Maldivian
Malian
Maltese
Marshallese
Martiniquais
Mauritanian
Mauritian
Mexican
Micronesian
Moldovan
Monegasque
Mongolian
Montenegrin
Montserratian
Moroccan
Option 140
Mosotho
Mozambican
Namibian
Nauruan
Nepalese
New Zealander
Nicaraguan
Nigerian
Nigerien
Niuean
North Korean
Northern Irish
Norwegian
Omani
Pakistani
Palauan
Palestinian
Panamanian
Papua New Guinean
Paraguayan
Peruvian
Pitcairn Islander
Polish
Portuguese
Prydeinig
Puerto Rican
Qatari
Romanian
Russian
Rwandan
Option 171
Salvadorean
Sammarinese
Samoan
Sao Tomean
Saudi Arabian
Scottish
Senegalese
Serbian
Citizen of Seychelles
Sierra Leonean
Singaporean
Slovak
Slovenian
Solomon Islander
Somali
South African
South Korean
South Sudanese
Spanish
Sri Lankan
St Helenian
St Lucian
Stateless
Sudanese
Surinamese
Swazi
Swedish
Swiss
Syrian
Taiwanese
Tajik
Tanzanian
Thai
Togolese
Tongan
Trinidadian
Tristanian
Tunisian
Turkish
Turkmen
Turks and Caicos Islander
Tuvaluan
Ugandan
Ukrainian
Uruguayan
Uzbek
Vatican citizen
Citizen of Vanuatu
Venezuelan
Vietnamese
Vincentian
Wallisian
Welsh
Yemeni
Zambian
Zimbabwean
Ethnicity
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Black
Asian
Hispanic
White
Mixed race
Please specify any disabilities in the family below (tick as many as apply)
Physical disability
Mental health condition
Intellectual impairment
Autism spectrum disorder
Visual impairment
Deaf or hard of hearing
Employed?
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Yes
No
Immigration status
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LLR (NRPF)
LLR (with recourse)
Zambrano carer
Overstayer/undocumented (no outstanding application)
Overstayer/undocumented (outstanding application)
Refused asylum seeker
EEA national
EEA family member
Student
Student dependent
Tier 2
Tier 2 dependent
Discretionary leave
Visitor
ILR
Refugee
Asylum seeker
British
Other
Children's ages
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0-1
2-5
6-10
11-15
16-18
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