Care Worker Tier 2 Suitability Check Application Form
H-ROCE Care Worker Tier 2 Suitability Check Application Form 
Email *
HOCE Care Worker Tier 2 Suitability Check Application Form 
Full Name
Any previous names?
Gender as known on passport or travel document
What is your relationship status?
Full Address (town/city, province/region/state, postal code, country).
How long have you lived in the above address
What is the ownership status of your home?
Is this address also your correspondence address? (required)
If no, please provide the full address of you correspondence address below
How long have you lives at your correspondence address?
What is the ownership status of your correspondence address? 
Visa Application Submission Form Method
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Email Address 
Who does the email address above belong to?
Additional email addresses (please state below). 
Which email address would you prefer to be contacted with? 
Phone Number
Select whether the phone number provided is your home, mobile or work phone number.
Clear selection
Are you able to be contacted via text message and telephone call?
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Do you have a Certificate of Sponsorship (COS) number? 
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If yes to the previous question, please state your Certificate of Sponsorship (COS) number.
Passport number or Travel document number.
Issuing authority
Issue date
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DD
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YYYY
Expiry date
MM
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YYYY
Do you have a valid National Identity Card?
Clear selection
Country of Nationality
Date of Birth
MM
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DD
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YYYY
Place and Country of Birth
Do you currently hold, or have you ever held any other nationality or citizenship? 
Clear selection
If yes to the above question, please state more information.
Have you passed IELTS/OET (English Test)?
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Do you hold a degree certificate? 
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Please state your ILETS/OET Exam date.

When was the last time you took the exam or your upcoming test date if you already booked the IELTS / OET? (USA, CANADA, AUSTRALIA, NZ & CARIBBEAN are not required to take ENGLISH TEST)

What was your LOWEST score in you IELTS/OET? For example, if you got W-7, S-6, R-8, then your lowest score was 6. 
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Please state your most recent score in Writing, Listening, Speaking and Reading.
Please state your Qualifications below. 
What year did you first Qualify for the previously stated Qualifications? (YYYY)
Do you have a Spouse?
Clear selection
Please state the following details of your spouse: Given names, Family name, DOB, Country of Nationality, Do they currently live with you?, Will they be travelling with you?
If your spouse will be travelling with you, state their passport number below. 
Does anyone rely on you for financial support? Include both those travelling with you and those who are not (required if yes).
What is this person's relationship to you? 
State this persons given name, family name, DOB below. 
Does this person currently live with you? 
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Is this person travelling with you to the UK? 
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Do you have any family in the UK?
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If yes to the above question, what is their relationship to you?.
State the given name, family name, country of nationality of your family in the UK.
What permission do they have to be in the UK? (required)
Will you be travelling to the UK as part of an organised group?
Will you be travelling to the UK with someone who is not your partner, spouse, or dependant?
Do you know where you will be staying in the UK? (If yes, enter a UK Postcode below)
Will you be staying anywhere else other than the address stated above? (If yes, please state the full name and full address including the postcode)
Please state your Arrival and Departure dates
Have you been to the UK in the past 10 years? 
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How many times have you been to the UK in the past 10 years? 
Why were you in the UK?
State the date you arrived in the UK and how long you stayed in the UK for.
Have you been issued with a UK VISA in the past 10 years? (If yes, state date of VISA issue in the format MM YYYY)
How many times have you visited the following places in the last 10 years? 

Australia
Canada
New Zealand 
USA
Switzerland 
European Economic Area (DO NOT include travel to the UK)
Have you been to any other countries not stated above in the past 10 years? (required)
When did you enter and leave this country
State the date you plan to arrive in the UK. 
MM
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DD
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YYYY
For the UK or any other other country, have you ever been: 

Refused a VISA
Refused entry at the border 
Refused permission to stay or remain 
Refused asylum 
Deported 
Removed
Required to leave
Excluded or banned from entry 

(If yes, give details of what happened)
If yes, state when this immigration problem happened and give more details. State in MM YYYY (required)
Have you ever: 

Entered the UK illegally?
Remained in the UK beyond the validity of your visa or permission to stay?
Breached the conditions of your leave, for example, worked without permission or received public funds when you did not have permission?
Given false information when applying for a VISA, leave to enter or leave to remain?
Breached UK Immigration law in any other way?
At any time have you ever had any of the following in the UK or in another country?

A criminal conviction?
A penalty for a driving offence, for example - disqualification for speeding or no motor insurance?
An arrest or charge for which you are currently on, or awaiting trail?
A caution, warning, reprimand or other penalty?
A civil court judgement against you, for example for non-payment of debt, bankruptcy, proceedings or anti-social behaviour?
A civil penalty issued under UK Immigration law?

In either peace or war time have you ever been involved in, or suspected of involvement in, war crimes, crimes against humanity, or genocide?
Have you ever been involved in, supported or encouraged terrorist or extremist activities in any country?
Have you ever been a member of, or given support to, an organisation which has been concerned in terrorism or extremism? 
Have you, as a part of your employment or otherwise, undertaken paid or unpaid activity on behalf of a Non-UK government which you know to be dangerous to the interests or national security of the UK or its allies?
Is there any other information about your character or behaviour in which we would need to be made aware of?
Have you ever worked for any of the following pes of organisation? (required) Include information for any unpaid or paid work. 

Armed forces (career or compulsory national/military service)
Government (including public or civil administration and non-military compulsory national service)
Intelligence services 
Security organisations (including police and private security services)
Media organisations 
Judiciary (including work as a judge or magistrate)
State your Sponsor Licence Number and Sponsor's Address. 
Are you currently studying at a school, higher education institution or as a care worker under a sponsor?
Is this the site where the majority of your study will take place/where you will currently work? 
Have you completed your Job Application with us? (State yes/no and Interview date, time, and the outcome of the interview)
Are any of the maintenance funds required for any dependant application in your account?
Will you require your COS provider to certify your maintenance fund?
Are all of the maintenance funds required for this application in a bank account with your name on it? 
If you need to add more information about your application but were unable to, you may write it here.
A copy of your responses will be emailed to .
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