Register as Family Registration Form For Family Policy (Somali) | Policy (English) Select Title*Please selectMrMrsMsMissDrNationality *Phone Number*Email address*House/Flat No*Road/Street*Post Code*Husband's / Wife's Name*Surname*Next kin / Emergency Contact Name*Next kin / Phone Number*Child1Child2Child3Child4Child5Child6Child7Child8Carruurta foomkan ku qoran Ma Adiga ayaa dhalay dhamaantood ? Are you all the parent of the childrens on this form? *YesNoHadii jawaabtu Tahay No Waxaad halkan ku qortaa waxaad u tahay Ilmahaa ! If the answer is no, then write here what your relationship is to those children.Carruurta foomkan ku qoran dhamaantood ma wax barasho Ayey ku jiraan ? Are all the children on this form in education? *YesNo , Haddii jawaabtu Tahay No Ilmaha aan wax barasho ku jirini Foom kale ayaa loo buuxinayaa . If the answer is no, then that child shall fill in their own form.Foomkan Ma Adiga Ayaa Buuxsaday? Did you fill this form yourself? *YesNoHalkan ku qor Qofka buuxshay Magaciisa ! Please write the name of the person who filled in this form .Full name and Mobile number Ma akhrisay xeerka Iskaashiga Umma ? (Have you read the rules?)*YesNoDadka ku qoran foomkan qof ka mida dhakhtarka ama guriga xanuun ma u jiifaa? (Are any of the applicants in this form currently hospitalised or housebound (bedridden)?)YesNoDadka ku qoran foomkan dhamaantood ma haysatan degenaashada UK ee ah (Settled Status)? (Do you and all applicants mentioned in this form have a Settled Status?)YesNoFoomkan wixi khalad ah ee ka yimada ma adiga ayaa masuul ka ah? (Are you responsible for any mistakes found in the form?)*YesNoDadka ku qoran foomka dhamaantood Hada ma deganyihiin UK? (Are all of the applicants mentioned in this form currently residing in the UK?)YesNoAdigu ma British badtahay? Mise deganasho ayaad haysata? (Are you a British or have a UK residency?)BritishResidentFeesFeesFamily £50 / YearlyWaxaad soo racisaa proof of address lixbilood ee u dambeeyey mid ka mida (Upload a proof for one of the following for the last six months):Driving LicenceCouncil TaxBank StatementUtility BillChild Tax CreditFile Upload Proof of Address **UploadStart Date (start date for payments)Signature*SendThis field should be left blank
