TD112 (Rev12))

Revision 12

Home Office
Travel
Document
Application
Form

In addition to this application form, you will also need to obtain

the documents named below if you don’t already have them:

HOME OFFICE TRAVEL DOCUMENT GUIDANCE BOOKLET

(TD112 Rev 12) AND TRAVEL DOCUMENT PHOTOGRAPH
GUIDANCE FOR HOME OFFICE TRAVEL
DOCUMENT APPLICATIONS.

You can download these from www.bia.homeoffice.gov.uk or

request them by telephone from 0870 241 0645.

THE ADDRESS TO WHICH YOU MUST POST YOUR

TRAVEL DOCUMENT APPLICATION FORM TD112
(COMPLETE WITH ALL NECESSARY DOCUMENTS,
FEES, AND BY RECORDED DELIVERY) IS:
Border and Immigration Agency
Travel Documents FPU
Home Office
Lunar House
40 Wellesley Road
Croydon
CR9 2BY

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 GUIDANCE ON COMPLETING PAYMENT DETAILS
The Fee
Leave to enter/remain Type of Adult Adult Child Child
in the United Kingdom Document Document Document Document Document
- Fees - Validity - Fees - Validity
Refugee Convention £66 10 years or in £45 5 years or in line
Travel line with leave with leave
Document
(blue)
Stateless person Stateless £66 10 years or in £45 5 years or in line
Persons’ line with leave with leave
Document (red)
Indefinite leave to Certificate of £210 Normally valid £130 Normally valid for
enter/remain (without Identity (brown) for 5 years 5 years
refugee status)
Limited leave to Certificate of £210 Normally valid £130 Normally valid in
enter/remain Identity (brown) in line with leave line with leave

HOW CAN YOU PAY? 3. Date of birth (day/month/year- e.g. 3 January

1980 should be written 03011980- no spaces
You can pay by any of the following methods: between).
Cheque 4. Home Office reference (if you have one).
Postal Order 5. The address of the person named in 1
Credit card (Visa or MasterCard only)
Debit card (Maestro*, Switch or Delta) PAYER’S CONTACT DETAILS (6-7)
Banker’s draft
We need the details of the person to contact if we have a
* Please note that we can only accept Maestro cards question about the payment. The contact may be different
issued in the UK. from the name given in 1 if an immigration advisor or other
person is making the payment. Complete 6 to 7 as shown
We do not accept any other form of payment other than below only if the payer’s name and address are different
those listed above. Please do not send cash. from those of the applicant.

If submitting more than one application form at the same 6. Name of contact
time, you must make a separate payment for each form. 7. The address of the person named in 6

CHEQUES AND POSTAL ORDERS METHOD OF PAYMENT (8 TO 16)

You must make the cheque or postal order payable to the 8. Tick the box if paying by postal order
“Accounting Officer Home Office” and cross the cheque or 9. Tick the box if paying by cheque; enter the
postal order A/C payee only. cheque number, account number and bank
sort code.
Please write the full name, nationality and date of birth of 10-16. Complete only if paying by card
the applicant on the back of each cheque or postal order. 10. If paying by card, tick one of the 5 boxes to show
You should keep the stubs of the postal orders. the type of card
11. Circle the applicable fee
Please make sure that the date and the amount (words 15. The card security number is a three-digit
and figures) are correct and that the cheque is signed security code known as the card verification
properly. value (CVV). It consists of the last three
numbers on the signature strip on the back
If applying by post, please attach your cheque or postal of the card as shown below
order to the front of the application.

COMPLETING THE PAYMENT DETAILS PAGE

3456 123
To ensure your payment is processed without delay,
please follow the guidance below when completing the 123
next page.

APPLICANT DETAILS (1 TO 5)
CVV
1. Full name (of applicant) 16. It is the person named on the card who must sign
2. Nationality (of applicant). If more than 20 letters, and date.
please abbreviate.

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 PAYMENT DETAILS: FORM TD112 - please see guidance before completing

Please state which document you are applying for by ticking one of the boxes below.
Please read the guidance before completing this section.

Convention Travel Document - Adult - £66 Convention Travel Document - Child - £45
Stateless Persons’ Document - Adult - £66 Stateless Persons’ Document - Child - £45
Certificate of Identity Document - Adult - £210 Certificate of Identity document - Child - £130
You do not need to send any additional money for postage and packing. Paying more or less than the listed amounts will delay the consideration of your application.
If you are unsure how much you need to pay, please call 0870 606 7766.
The Home Office does not refund the fee if your application is rejected, refused or withdrawn.
Do not make any arrangements to travel until you are in possession of your Travel Document.

Please complete this page in block capitals and black ink.

APPLICANT’S DETAILS

1 Full Name

2 Nationality
Day Month Year
3 Date of Birth

Home Office
4 Reference
Applicant’s
5 Contact Address

Postcode

PAYER’S DETAILS - complete 6-7 only if payer is not the applicant.

6 Contact Name

7 Contact Address

Postcode

METHOD OF PAYMENT

8 Postal Order

9 Cheque Cheque Number

Account Number Sort Code

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CARD PAYMENT DETAILS: FORM TD112 - please see guidance before completing

If you are paying by credit or debit card please complete this section. Please remember to circle the amount.

10 Please Debit my: Visa MasterCard Delta Switch Maestro

11 Amount (please circle) £66 £45 £210 £130

12 Name on Card

13 Card Number

Valid From Expiry Date Issue No

14 Card Details (where available)

Card Security
15 Number

16 Signature (of card holder) Date

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Which Travel Document are you applying for?
TD112 (Rev12))
Convention Travel Document - Adult Child

Stateless Persons’ Document - Adult Child

Please provide
your Home
Certificate of Identity Document - Adult Child Office
reference
number. This
will usually be
SECTION 1 Applicant’s details All applicants must complete this section. given on your
Home Office
status letter. If
Reference you do not
Number have a Home
Office
reference
Title (Mr, Mrs,
number, please
Miss, Other)
state your port
reference.
Surname/
Family Name

Forename &
Middle Names
If your name is
Maiden Name different from
(before that on your
marriage)
birth certificate/
previous
If your name when you entered the United Kingdom was different from your present passport, you
name give your: must enclose
an official
marriage/
Name when
divorce
entered the UK
certificate,
adoption order,
deed poll or
Reason for change (e.g. : marriage, adoption, statutory declaration or deed poll)
statutory
declaration.
Copies are not
accepted
Day Month Year
Date of Birth

Country &
Place of Birth

Present
Nationality

SECTION 2 All applicants must complete this section.

How long have you lived in the United Kingdom?

Years Months

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 TD112 (Rev12))
SECTION 3 All applicants must complete this section.

Present address
House number/ Please inform
name, street the Travel
Documents
Section
Town immediately if
you change
your address
County

Postcode

Daytime
telephone

Home
telephone
(if different)

The address you would like the Travel Document sent to if different from your home address
(solicitor, representative etc):

Name

House number/
name, street

Town

County

Postcode

Telephone
number

Representative’s
reference

SECTION 4 All applicants must complete this section.

Marital status

Single Married Legally separated

Divorced Widowed

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If married,
please give: TD112 (Rev12))
Full name of
husband/wife

His/her name
before marriage
(if different)

Husband’s/wife’s
Home Office
reference

Day Month Year

Husband’s/wife’s
Date of Birth

Details of sponsor: If you have

been
Name of sponsor sponsored to
come to the
United
Relationship to Kingdom,
sponsor please provide
details of your
Sponsor’s sponsor here.
Home Office
reference

Sponsor’s Day Month Year

Date of Birth

Please submit
SECTION 5 All applicants must complete this section. originals of
these
Please give details of your last Passport, Travel Document or any other document that you documents if
still have, and enclose it with this form. Please note it is not permitted to hold both a national you have them:
passport and a Home Office Travel Document.
-Expired or
Have you ever held a National Passport from your country of origin? about to expire
travel
Yes No
documents.
If you are submitting more than one document, please give details on a separate page.
-Foreign
Passport /
Type of document Travel
Document that
Document number includes
children who
Place of issue are applying for
(Town and
a separate
Country)
document.

-GV3.
Day Month Year
Date of issue -EU UFF.
Day Month Year
-Visa promise
Date of expiry letter.

Original
documents
are required.

Copies are
7 not accepted.
 TD112 (Rev12))
Please also give full details of any previous travel documents (Home Office Travel Documents
or National Passports) that have been lost, stolen, submitted to the Home Office, or are otherwise
unavailable. If you have not enclosed the document please state why it is not available.
If you are
asking us to
replace lost or
stolen Home
Office Travel
Documents, the
Home Office
may have to
make enquiries
before a
SECTION 6 The guidance booklet will tell you if you need to complete replacement
this section. Please read before completing. can be issued.

A full police
Explain why you cannot get a passport from your own national authorities, and submit a letter from your report should
Embassy/High Commission showing that they have formally and unreasonably refused your application be submitted
for a Passport/Travel Document. with your
application

You may have

to show that
you have an
urgent need to
travel before
you qualify for
a travel
document.
Please read the
SECTION 7 The guidance booklet will tell you if you need to complete guidance
this section. Please read before completing. booklet which
will explain if
this is the case.
If the applicant is aged 17 or under, this section should be completed by the person with parental
responsibility (Cross one box).

Relationship Father Mother

to applicant
Legal guardian Other If the applicant
is 16 or 17
years old and
Has the custody of the applicant ever been made the subject of a court order or direction, or any does not have
other formal or informal agreement prohibiting their removal from the United Kingdom? If yes, please
a parent, legal
give details on a separate piece of paper and enclose any custody papers
guardian or
Yes No other person
with parental
I agree to this application for a Travel Document and to the applicant travelling abroad. responsibility in
the United
Full Name of Kingdom who
Parent/ guardian can sign
section 7, it
Signature of should be left
parent/guardian Date blank and a full
Day Month Year
explanation
provided. This
should be sent
in with the
application.

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 TD112 (Rev12))
SECTION 8 The guidance booklet will tell you if you need to complete
this section. Please read before completing.

If the applicant
All applicants who are 16 years old or over should read this section carefully and then is aged 16 or
sign it. over, this
section should
I have submitted the exact fee - £66 be completed
and signed.
I have submitted the exact fee - £210
If the applicant
Declaration: is aged 15 or
under, this
• Apart from any document mentioned in section 5, I do not have any other Passport or section should
Travel Document. be left blank.

• I have not taken up residence in any other country, which would allow me to apply for a Travel
Document from the authorities of that country.

• I am present in the United Kingdom.

• I am aware that it is a criminal offence to provide information that is untrue.

I declare that the information provided is correct and complete.

The signature below will be scanned onto your Travel Document. Please ensure that:

• your signature is made using black ink,

• it stays within the signature box,

• you press firmly and that the signature is clear.

Signature

For official
use only
(Photograph)
Date
Day Month Year

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 SECTION 9 The guidance booklet will tell you if you need to complete
TD112 (Rev12))
this section. Please read before completing.

This section
This section should be completed by a professional person as listed in the guidance booklet. must be
completed by a
I confirm that the enclosed photographs are a true and correct likeness of… person whose
profession is
listed in the
Applicant’s details: guidance notes,
for all
Title (Mr, Mrs, applications for
Miss, Other) a first travel
document.
Full name
This section
should also be
completed
Countersignature details when the
application is to
replace a lost,
Full name stolen or
damaged
document.
Profession

Name of business/
The back of
organisation one photograph
should be
Business endorsed and
address signed, giving
the full name
and Home
Office reference
number of the
applicant.
Postcode
This section
Telephone
should not be
Number completed by a
relative of the
applicant.
Official stamp

You must provide your official

stamp in this section. It should
clearly show the name and
address of the company
or organisation you work for.

Signature Date

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 If you are unsure whether you have enclosed the correct information, please call the
Immigration and Nationality Enquiry Bureau on 0870 606 7766.

OFFICIAL USE ONLY - DO NOT MARK IN ANY WAY

Documents received - Fee received

PPT

HOTD

OTHER TD

BC

MC

IS116

OTHER

PHOTOGRAPHS X Sign:

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