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Mobile Phone Request Form

Date: …………………………

FIR free mobile telephone scheme provides support to asylum seekers and newly arrived Refugees to ensure they have access to legal advice and FIR services, training activities and reconnecting into the community.

It is important that you complete all sections of the form.

APPLICANT:

 

Name: ………………………………………

 

 

Address: ……………………………………

 

……………………………………………….

 

 

Borough: …………………………………..

 

..

 

Contact Number: …………………………

 

Email address: ……………………………

 

………………………………………………

 

 

 

 

Please tick all applicable to the applicant:

NOTE: Priority will be given to people meeting all or some of the following criteria’s:

  1. Identify as BAMER ☐
  2. Identify as Iraqi, Kurdish or Middle Eastern
  3. Newly arrived in the UK
  4. Seeking asylum in the UK
  5. Living in a Home Office sponsored hotel or hostel
  6. Living in a detention centre