DATE STAMP

(FOR OFFICE USE ONLY)

Departme
nt of Justi
Equality
Law Reform
DEPARTMENT
OFcJe,
USTICE
AND Eand
QUALITY
Irish
ation &&Immigration
Service
IRISHN
Naturalis
ATURALISATION
IMMIGRATION SERVICE

Application for Residence Permission

2016-05

for Spouse/Civil Partner of an Irish National

This form is to be completed by the spouse of an Irish National applying for permission to remain in the State on the basis of
Marriage/Civil Partnership to an Irish National as set out in Policy Document on Non-EEA Family Reunification available at
INIS website http://inis.gov.ie. This form should be completed by a person that is unable to register with the Garda
National Immigration Bureau as the spouse of an Irish National.

This form must be completed in BLOCK CAPITALS. Where indicated, please place a tick ( ) in the appropriate box.
All sections must be completed as required. Both declarations in Section 6 must be signed. Incomplete applications cannot be processed
and will be returned. Please refer to the explanatory leaflet when completing the form and submitting documents.
Please note that certain documents are required to be submitted with this form. Please refer to the checklist in Section 5 of this form. All
documents should be submitted as originals accompanied by photocopies. Original documents (passports, birth certificates, marriage
certificates will be returned once recorded).
If you are presently unable to provide any of the information or details requested in any of the relevant sections, please explain the reasons
in Section 4 of application form.
A decision will be taken on the application no later than twelve months from the date of receipt of a fully completed application form with
the relevant supporting documentation.
While your application is being processed at this office, the onus is on you, the applicant, to advise this office of any cha nge in your
circumstances (including change of residence or change in activities of the Irish spouse). You must submit new supporting documentation
as appropriate.

Section 1

Applicant Details

1.1 Surname / Family name (as in passport)

1.2 Forename(s) (as in passport)

1.3 Other name(s) (maiden name, name at birth, any other names by which you are or have been known)

1.4 Date of Birth

Day

1.5 Gender (please tick)

Month

Year

Male

1.6 Marital Status

Female

1.7 INIS Person ID Number (if applicable)

1.8 Private Medical insurance (please tick)

Yes

No

1.9 Current Residential Address in Ireland

SOIN Form (2016-04) - Page 1 of 10

1.10 Contact Telephone Number

1.11 Email Address

1.12 Passport Number

1.13 Old Department Reference Number (if applicable)

6 9
1.14 GNIB Registration Number (if applicable)

1.15 Country of Birth

1.16 Nationality

1.17 Date of Marriage/Civil Partnership

1.18 Civil Status before Marriage (single / divorced)

1.19 Country of Marriage/Civil Partnership

1.20 Location/Venue of Marriage/Civil Partnership

1.21 Date of arrival in the State

Day

Month

Year

1.22 Place of arrival in the State

1.23 Status on arrival in the state (please tick)

Asylum-seeker

Visitor / (C-Visitor Visa)

Student

Employment Permit or Green Card Permit

Spouse of Irish National

Other

If "Other", please give details:

1.24 Have you previously resided in the State?

Yes

No

(If "yes", please give details)

SOIN Form (2016-04) - Page 2 of 10

1.25 Have you been convicted of any criminal offence in the State or abroad?

Yes

No

(If "yes", please give details)

1.26 Are there any charges pending against you in the State or abroad?

Yes

No

(If "yes", please give details)

1.27 Have you ever been deported from the State?

Yes

No

1.28 Are you currently subject to a Deportation or Transfer Order made in Ireland?
(If "Yes", please specify)

Section 2

Yes

No

Deportation
Order

Transfer
Order

Details of Irish National of whom the applicant is a Spouse/Civil Partner

2.1 Surname / Family name (as in passport)

2.2 Forename(s) (as in passport)

2.3 Other name(s) (maiden name, name at birth, any other names by which you are or have been known)

2.4 Current Residential Address in Ireland

2.5 Date of Birth

Day

Month

2.6 Gender (please tick)

Male

Year

2.8 Country of Birth

2.7 PPS Number

Female

2.9 Date of arrival in the State (if applicable)

Day

Month

2.10 Passport Number

2.11 Department Reference Number (if applicable)

2.12 Contact Telephone Number

6 9
2.13 Email Address

SOIN Form (2016-04) - Page 3 of 10

Year

Section 3

Current activity of the Irish National in the State

3.1 Type of activity (please tick)

(A) Employment

(B) Self-employment

(C) Study

(D) Involuntary unemployment

(E) Residing with sufficient resources and/or Receipt of Social Protection

Please fill out Parts (A - E) below as applicable to the current activity of the Irish National in the State.
NOTE: It is important to provide accurate contact details for employer/college as they may be contacted to verify the information provided.

(A) Employment

(or vocational training)

3.2 Name of employer

3.3 Employer's contact telephone number

3.4 Number of hours worked each week

3.5 Employers email address

3.6 Address of workplace

(B) Self-employment
3.7 Name of business

3.8 Nature of business

3.9 Address of business

3.10 Business telephone number

(C) Study
3.11 Name of College

3.12 Address of College

3.13 College telephone number

SOIN Form (2016-04) - Page 4 of 10

(D) Involuntary unemployment

3.14 Name of last previous employer

3.15 Address of last previous employer

3.16 Last previous employer's contact telephone number

3.17 Date employment ceased

Day

3.18 Total duration of all previous employment in the State

Years

Months

Month

Year

3.19 Registered as job-seeker (please tick as applicable)

Employment Services

Department of Social Protection

(E) Residing with sufficient resources and/or Receipt of Social Protection

3.20 Details of financial resources

3.21 Private Medical insurance (please tick)

Yes

Section 4

No

Additional Information

Please provide any other information that you consider relevant to this application. Please be advised that if you
are unable to provide any of the information or details requested within this form then please provide an
explanation indicating the reasons for this.

SOIN Form (2016-04) - Page 5 of 10

Section 5

Document Checklist

Please provide original and photocopies of the documents requested below. It is advisable to send your application form
and documentation by registered post
Evidence of identity
Passport of Irish National

Passport of applicant

Two passport-size photos of

applicant and Irish National

Evidence of Marriage/Civil Partnership of applicant to Irish National

Please provide supporting evidence of your marriage as selected on Section 1.6 of this form.
Notification of Marriage/Civil
Partnership (if applicable)

Marriage/Civil Partnership Certificate

Birth Certificate(s)
(For applicant and spouse)

(For Civil Partner)

Relationship and Wedding photographs

Detailed relationship timeline/history

Evidence of residence in the State

If Renting
Letter from landlord/agency, rental contract, rent book, subletting agreement or tenancy agreement
Letters of Registration of Tenancy from the Private Residential Tenancies Board
Utility bills in the names of both the applicant and the Irish National, also bank statement showing rent payments

If Home-owning
Letter from mortgage provider, local authority or County Council
Title or deeds (as applicable)
Utility bills in the names of both the applicant and the Irish National, also bank statement showing mortgage payments
Other evidence of residence (if necessary). Please specify on separate sheet.

Evidence of current activity of Irish national in the State

Please provide supporting documents for the current activity as per Section 3, Parts (A - E).
(A) Employment
Current letter from employer setting out terms, conditions and hours of employment
AND/OR Signed contract of employment
Two recent payslips & previous 3 years P60s
Bank statements for you and your spouse for the last six months

(B) Self-employment
Agreed Tax Assessment from the Revenue Commissioner for the last financial year (if applicable)
OR Letter of Registration for Self-Assessment (Income Tax) from the Revenue Commissioner
Bank statements of the business for the last six months
Bank statements for you and your spouse for the last six months

(C) Study
Letter from college/course provider including course description, start date and completion date
Evidence of Private Medical Insurance (for Irish National and applicant )
Bank statements AND/OR other evidence of financial resources

(D) Involuntary Unemployment

Letter from Department of Social Protection with details of current welfare payment
Letter from Employment Services Office acknowledging registration as a jobseeker if applicable
Letter from previous employer outlining circumstances of end of employment
P60s for prior two years of employment and P45 from last employment
Bank statements for you and your spouse for the last six months

(E) Residing with sufficient resources and/or Receipt of Social Protection

Evidence of financial resources and corresponding bank statements (minimum 6 months)
Letter from Department of Social Protection with details of current welfare payment (or stating that there are no
payments)
Evidence of Private Medical Insurance (for Irish National and applicant )

SOIN Form (2016-04) - Page 6 of 10

Section 6

Declarations

Applicant
This declaration should be signed and dated by the applicant.
I hereby apply for residence permission for myself. The information I have given is complete and is true to the best of my
knowledge. I also declare that the photographs submitted with this form are a true likeness of me. I confirm that if, before
my application is decided, there is a material change in my circumstances or new information relevant to this application
becomes available, I will inform the Spouse of an Irish National Section of the Department of Justice and Equality in writing
immediately. I understand that any false or misleading information or fraudulent supporting documentation submitted will
result in the refusal of this application.
I understand that, under Section 8 of the Immigration Act 2003 the data in this application may be disclosed to other Irish
Government Departments, Government Agencies and/or An Garda Sochna for purposes connected with this or any other
application. I consent to INIS making enquiries to confirm any of the details or documents provided by me in this application,
including my participation in an interview process.
I am aware that a person who asserts an entitlement to any rights on the basis of information which he or she knows to be
false or misleading in a material particular shall be guilty of an offence and shall be liable on summary conviction to a fine not
exceeding 5,000 or to a term of imprisonment not exceeding 12 months, or both.
Signed by applicant

Date

Day

Month

Year

Irish National
This declaration should be signed and dated by the Irish National.
The information given in this form is complete and is true to the best of my knowledge. I also declare that the photographs
submitted with this form are of a true likeness of me. I confirm that if, before the application is decided, there is a material
change in my circumstances or new information relevant to this application becomes available, I will inform the Spouse of an
Irish National Section of the Department of Justice and Equality in writing immediately. I understand that any false or
misleading information or fraudulent supporting documentation submitted will result in the refusal of this application.
I understand that, under Section 8 of the Immigration Act 2003 the data in this application may be disclosed to other Irish
Government Departments, Government Agencies and/or An Garda Sochna for purposes connected with this or any other
application. I consent to INIS making enquiries to confirm any of the details or documents provided by me in this application,
including my participation in an interview process.
I am aware that a person who asserts an entitlement to any rights on the basis of information which he or she knows to be
false or misleading in a material particular shall be guilty of an offence and shall be liable on summary conviction to a fine not
exceeding 5,000 or to a term of imprisonment not exceeding 12 months, or both.
Signed by Irish National

Date

Day

Month

Year

Submission of incomplete forms or failure to submit all requested documentation will

result in the automatic return of your application.
Please return completed forms and documents via registered post to:
Spouse of Irish National Unit
Residence Division
Irish Naturalisation and Immigration Service
PO Box 12695
Dublin 2

SOIN Form (2016-04) - Page 7 of 10

Department
of Justi
EqualitAND
y and
Law Reform
DEPARTMENT
OFce,
JUSTICE
EQUALITY
Irish
Naturalisation &Immi
grationService
IRISH
NATURALISATION
& IMMIGRATION
SERVICE

Explanatory Leaflet
APPLICATION FOR A RESIDENCE PERMISSION FOR SPOUSE/CIVIL PARTNER OF AN IRISH NATIONAL
04/16
1. Who should apply?
This form is to be completed by the spouse of an Irish National applying for permission to remain in the State on the basis of
Marriage/Civil Partnership to an Irish National as set out in Policy Document on Non-EEA Family Reunification available at
INIS website

http://inis.gov.ie. .

This form applies only to persons that do not have current permission in the State

2. Making sure your application is complete

Your application will not be accepted if it is incomplete.

This form must be completed in BLOCK CAPITALS. Where indicated, please place a tick ( ) in the appropriate box.

Please note that certain documents are required to be submitted with this form. Please refer to the checklist in Section 5 of this
form. All documents should be submitted as originals accompanied by photocopies. Original documents (passports, birth
certificates, marriage certificates will be returned once recorded).

If you are presently unable to provide any of the information or details requested in any of the relevant sections, please explain
the reasons in Section 4 of application form.

All sections must be completed as required. Both declarations in Section 6 must be signed. Incomplete applications cannot be
processed and will be returned.

While your application is being processed at this office, the onus is on you, the applicant, to advise this office of any change in your
circumstances (including change of residence or change in activities of the Irish spouse). You must submit new supporting
documentation as appropriate. Applications should be posted to:
Spouse of Irish National Unit
Residence Division
Irish Naturalisation and Immigration Service
PO Box 12695
Dublin 2
If you need to contact the Spouse of Irish National Unit regarding your application you can do so by post at the above address or by
email at inissinu@justice.ie. Please ensure that you include your name, your date of birth, your INIS Person ID number, and your
Application ID number in all correspondence.

3. Application times
Due to the large volume of applications it can take 6 to 9 months for an application to be finalised, however a decision will be taken
on an application no later than 12 months from the date of receipt of a fully completed application form. All applications are dealt
with strictly in chronological order of the date of receipt.

4. Changes in circumstances
If your circumstances change (such as a change of address, a change in family status, or a change in the activities of the Irish
National) you must inform the Spouse of Irish National Unit in writing immediately. Failure to do so may result in your application
being refused.
Please be advised that the onus is on you to keep this office updated regarding your circumstances and to resubmit any relevant
supporting documents in relation to new circumstances. It should be noted that a person who asserts an entitlement to any rights
under the Regulations on the basis of information which he or she knows to be false or misleading in a material particular, or fails to
comply with any requirement of the Regulations, shall be guilty of an offence and shall be liable on summary conviction to a fine not
exceeding 5,000 or to a term of imprisonment not exceeding 12 months, or both.

5. Data Protection notice

All information provided will be treated in confidence but may be disclosed to other government departments, agencies, the Garda
Sochna, local authorities, foreign governments or other bodies strictly for purposes connected to the application.

SOIN Form (2016-04) - Page 8 of 10

6. Financial Resources for Family Reunification

An Irish Citizen, in order to sponsor an immediate family member, must not have been totally or predominantly reliant on benefits
from the Irish State for a continuous period in excess of 2 years immediately prior to the application and must over the 3 year
period prior to application have earned a cumulative gross income over and above any state benefits of not less than 40,000, as
outlined at 17.2 Policy Document on Non-EEA Family Reunification available at INIS website http://inis.gov.ie.
A. Employment
Where the Irish National is working for an employer in the State. This may include vocational training programmes and some nonproprietary directors of a registered company.
B. Self-employment
Where the Irish National is a sole trader, engaged in a business partnership, or is a proprietary director of a registered company
operating in the State.
C. Study
Where the Irish National is engaged in a course of study with a qualifying and accredited educational institute or college in the
State, while possessing comprehensive sickness/health insurance in respect of themselves, their spouse, and any dependants.
D. Involuntary unemployment
Where the Irish National has been employed in the State for more than one year but has become involuntarily unemployed, and has
registered as a job-seeker if applicable with a relevant office of the Department of Social Protection.
E. Residing with sufficient resources and/or Receipt of Social Protection
Where the Irish National has sufficient resources to maintain themselves and any dependants in the State, while possessing
comprehensive sickness/health insurance in respect of themselves, their spouse, and any dependants. A person shall not be
regarded as having sufficient resources where they would qualify for assistance under Part 3 of the Social Welfare Consolidation Act
2005 if a claim were made by them or on their behalf and where this is their only means of resource.

7. Outline of the form

Use BLOCK CAPITALS and a black pen to complete the form

Please leave a space between each word
Complete all sections relevant to your application
Staple the completed pages of the form together before submitting the application

Section 1 - Applicant Details

This section is for the applicant details.
Section 2 - Details of the Irish National of whom the applicant is a Spouse/Civil Partner
This section is for the details of the Irish National.
Section 3 - Current activity of the Irish National in the State
This section is for the details relating to the current activity of the Irish National in the State. Section 3 is divided into five parts
(A to E). Complete only the part of Section 3 which is applicable.
Section 4 Additional Information
This section is for any other information relevant to application or to provide an explanation where the applicant is unable to
provide any of the information or details requested in the form.
Section 5 - Document Checklist
This section contains a checklist for the supporting documents which must be submitted with your application.
Section 6 - Declarations
This section is for the declarations to be signed by the applicant and Irish National affirming that the contents of the application
are truthful. Unsigned forms will be returned and will not be treated as applications.

8. Documentation to support an application for a Residence Permission

When submitting documents please note the following:
1.
2.
3.
4.
5.
6.
7.
8.

All documents submitted must be submitted as originals accompanied by photocopies.

Passports should be photocopied in colour, and photocopies should include all pages of the passport where stamps are
present.
Marriage certificates, divorce certificates and birth certificates should be photocopied in colour and should include any
Apostilles or legalisation stamps. Copies of translations of documents should also be supplied where appropriate.
Other documents may be submitted as colour or as black-and-white photocopies.
Photocopied pages of multiple-page documents should be stapled together.
Any documents which are not in English must be accompanied by a certified translation.
Do not submit GNIB Certificates of Registration a holder of a GNIB card is required to be in possession of it at all times.
Do not submit documents which have not been requested.

The obligation is on the applicant at all times to provide satisfactory evidence as outlined below and to notify this office of any
changes to their circumstances in accordance with Regulation 11(2) and 11(4) of the Regulations.

Required Supporting Documents

SOIN Form (2016-04) - Page 9 of 10

(a) Evidence of identity

For the

applicant:
A valid passport (colour photocopy of relevant pages)
Previous passport if current passport recently issued
Previous passport if used when entering the State
Passport-size photos of the applicant

For the Irish National:

A valid passport (colour photocopy of relevant pages)

Passport-size photos of the Irish National

(b) Evidence of Marriage/Civil Partnership with the Irish National
For Marriage to the Irish National:

The Civil Marriage certificate

Notification of Marriage (where intention to enter Marriage was registered with the HSE in the State)
For Civil Partnerships with the Irish National

The civil partnership certificate

Notification of Civil Partnership (where intention to enter Civil Partnership was registered with the HSE in the State)
(c) Evidence of residence of applicant and Irish National in the State
If renting, copies of the following documents should be provided:

Letter from landlord/agency or tenancy agreement

Letters of Registration of Tenancy from the Private Residential Tenancies Board

Utility bills in the names of both the applicant and the Irish National, also bank statement showing rent payments
If home-owning, copies of the following documents should be provided:

Letter from mortgage provider, local authority or County Council

Title or deeds as applicable

Utility bills in the names of both the applicant and the Irish national, also bank statement showing mortgage
payments
Other evidence of residence may be considered if deemed satisfactory. If you are not renting or a homeowner, then
the person you are living with should provide the above documents with a written declaration of your residence from
the landlord or homeowner in addition to any other evidence of your residence.
(d) Evidence of current activities of the Irish National in the State
If the Irish National is in employment, copies of the following documents should be provided:

Current letter from employer setting out terms and conditions of employment OR signed contract of employment

Two recent payslips and previous 3 years P60s

Bank Statements for applicant and Irish National for the last 6 months
If the Irish National is self-employed, copies of the following documents should be provided:

Agreed Tax Assessment from the Revenue Commissioner for the last financial year (if applicable) OR Letter of
Registration for Self-Assessment (Income Tax) from the Revenue Commissioner

Bank statements of the business for the last six months

Companies Registration Office certificates (if applicable)

Bank Statements for applicant and Irish National for the last 6 months
If the Irish National is studying, copies of the following documents should be provided:

Current letter from college/course provider including start date and expected completion date

Letter from private medical insurance provider for Irish National and Spouse

Evidence of financial resources and corresponding bank statements for 6 months

If the Irish National is involuntarily unemployed and/or in receipt of social protection, copies of the following documents
should be provided:

Current letter from Department of Social Protection with details of current welfare payments

Current letter from Employment Services Office acknowledging registration as a jobseeker if applicable

Letter from previous employer outlining circumstances of redundancy

P60s for last 2 years of employment

P45 for last employment

Bank Statements for applicant and Irish National for the last 6 months
If the Irish National has sufficient resources, copies of the following documents should be provided:

Evidence of financial resources and corresponding bank statements

Current letter from Department of Social Protection, with details of current welfare payments, or stating that there
are no welfare payments (as applicable)

Letter from private medical insurance provider for Irish national and Spouse
Note: If for any reason you cannot supply some or all of the required documentation above, you should provide an
explanation in Section 4 of application form. Provision of some or all of the above documentation is not a guarantee of a
successful application.

SOIN Form (2016-04) - Page 10 of 10