National Security Framework

Section 1: Personal Information

Full Current Name

Date of Birth

Nationality

Current Address

Phone Number

Email Address

British Passport Number

Passport Expiry Date

Section 2: Proof of Birth

Yes

Section 3: Eligibility Criteria (Tick all that apply)

I am requesting a Private Deed Poll due to:

Difficulty leaving a religion

Difficulty leaving a military organisation

Difficulty leaving a criminal organisation

Impossibility of leaving my family

Impossibility of leaving the pornographic industry or prostitution

Impossibility of leaving a gay community

Abuse of jurisdiction preventing regular name change

Serious concerns regarding healthcare system or GP

Other recognized personal risk (please specify below)

Section 4: Legal and Financial Status

Do you have any pending criminal trials?

Yes

Do you have any outdated criminal records?

Yes (please provide details)

Do you have any current financial obligations (e.g., bankruptcy)?

Yes (please provide details)

Section 5: Supporting Documents

Please upload copies of the following (if submitting electronically):

British Passport
British Birth Certificate or Naturalisation Certificate + Foreign Birth Certificate
Proof of Address (e.g., utility bill, tenancy agreement)
Any additional supporting documents (optional)

Upload documents

Section 6: Declarations

I understand that by proceeding, I will forfeit my previous identity and associated certificates, licenses, and legal documents.

I confirm that all information provided is true, complete, and accurate to the best of my knowledge.

I consent to the confidential processing of my information under the conditions outlined.

Signature (Type your full name as signature)

Date

Application Form