HM REVENUE AND CUSTOMS (HMRC) - CHILD BENEFIT OFFICE CLAIM FORM CH2 - SUMMARY & GUIDANCE STRUCTURE SECTION 1: ABOUT YOU (PRIMARY CLAIMANT) - National Insurance Number: [XX XX XX XX X] - Title: [Mr. / Mrs. / Miss / Ms.] - Surname: [SURNAME] | First Name(s): [FIRST NAME] - Date of Birth: [DD/MM/YYYY] - Address: [Address, City, Postcode] - Contact Telephone: [+44 XX XXXX XXXX] - Marital Status: [Married / Civil Partner / Single / Cohabiting] SECTION 2: ABOUT THE CHILD Child 1: - First Name(s): [Child First Name] | Surname: [Child Surname] - Date of Birth: [DD/MM/YYYY] | Sex: [Male / Female] - Birth Certificate System Number: [Certificate Number] - Has this child lived with you continuously since birth? [Yes / No] SECTION 3: NATIONALITY & IMMIGRATION STATUS - Have you lived outside the UK in the past 12 months? [Yes / No] - Your Nationality: Georgian - Do you have Indefinite Leave to Remain / British Citizenship / Exempt from immigration control? [Yes / No] SECTION 4: BANK ACCOUNT PAYMENT DETAILS - Bank / Building Society Name: [Barclays / Lloyds / Monzo / NatWest] - Account Holder Name: [Your Full Name] - Sort Code: [XX - XX - XX] - Account Number: [XXXXXXXX] - Frequency: Every 4 weeks (standard) DECLARATION: I declare that the information I have given on this form is correct and complete. Signature: ____________________________________ Date: [DD/MM/YYYY] POST APPLICATION WITH ORIGINAL CERTIFICATES TO: Child Benefit Office (GB), Washington, Newcastle upon Tyne, NE88 1ZD.