Immigration Detention Bail Application Form
Applicant Details
Full Name
Date of Birth
Nationality
Detention Centre
Home Office Reference / A-number
Legal Representative Details (if any)
Representative's Name
Firm/Organisation
Email
Phone
Bail Address
Address
City/Town
Postcode
Reasons for Requesting Bail
Please provide your reasons
Sureties (if any)
Names and Contact Details
Supporting Documents
List attached documents
Declaration
I declare that the details I have provided are true to the best of my knowledge
Signature
Date