Applicant's name: Partner's name: This declaration must be signed by the applicant's partner and not by a representative or other person acting on their behalf.  It must be sent to the Home Office with the applicant's documents.  If you fail to do so, the application may be refused. I confirm that (tick relevant box)   
I am a British citizen 
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I am settled in the UK (I have indefinite leave) 
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I have leave to remain in the UK as a refugee / or as a person requiring humanitarian protection Tick the following to confirm which applies to you    
Spouse/civil partner I confirm that I am the spouse or civil partner of the applicant. I declare that we are still married/in civil partnership and that we are living together as partners and intend to live together permanently in UK. 

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Fiancé(e)/proposed civil partner/unmarried partner  
I confirm that I am the proposed civil partner/ fiancé(e)/ unmarried partner of the applicant. I declare that we are living together in a relationship akin to marriage and that we intend to live together permanently in the UK. I understand that the information relating to me that is contained in this application and any supporting documentation will be handled according to the privacy policy at www.visas-immigration.service.gov.uk/privacyPolicy. I am aware that it is a criminal offence, to make a statement or representation which I know to be false or do not believe to be true, or otherwise to help someone to obtain leave to remain in the United Kingdom by means which include deception