PPS Number Application For Kinore Clients

To apply for a PPS number, we need some more information about the individuals that need a PPS number. Please fill in the information below for individuals you want us to apply for a PPS Number for. Please note that this form is for clients for Kinore.

Company/Business Name*

Company/Business Name

Number of PPS Number applications*

Please give us the number of individuals you want us to apply for a PPS number for

1st PPS applicant

Name of 1st Individual*

First Name Surname

Birth First Name and Surname if different from current name

First Last

Email for 1st Individual*

1st Individual - Mother's birth surname*

Mother's birth surname

1st individual - Are you Married?

Yes
No

1st Individual - If you’re married, in a civil partnership or cohabiting, from what date?

1st Individual - What Country were you born?*

Country

1st Individual - What county were you born in?*

1st Individual - ID documents to submit with your application*

Drop files here or

Max. file size: 50 MB.

Please upload a picture or scanned version of your birth certificate as well as a copy of your passport or drivers licence

1st Individual - ID documents to submit with your application*

Drop files here or

Max. file size: 50 MB.

Please upload a picture or scanned version of your Passport or copy of Drivers Licence which must be accompanied by a Birth Certificate

1st Individual - ID documents to submit with your application*

Drop files here or

Max. file size: 50 MB.

Please upload a picture or scanned version of your Passport

1st Individual - Former country of residence*

Name of the most recent country (before the Republic of Ireland) in which you were employed, educated, registered or from which you were receiving a pension, benefit payment or allowance?

1st Individual - What was your social security, personal or registration number in that country?*

1st Individual - Did you live or work in the Republic of Ireland up to 1979?*

Yes
No

1st Individual - What was your Irish National Insurance Number at that time?*

1st Individual - If you previously lived in Ireland, please state your address at that time:

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

2nd PPS Applicant

Name of 2nd Individual*

First Name Surname

Birth First Name and Surname if different from current name*

First Last

Email for 2nd Individual*

2nd Individual - Mother's birth surname*

Mother's birth surname

2nd Individual - Are you married?

Yes
No

2nd Individual - If you’re married, in a civil partnership or cohabiting, from what date?

2nd Individual - What Country were you born?*

Country

2nd Individual - What county were you born in?*

2nd Individual - ID documents to submit with your application*

Drop files here or

Max. file size: 50 MB.

Please upload a picture or scanned version of your birth certificate as well as a copy of your passport or drivers licence

2nd Individual - ID documents to submit with your application*

Drop files here or

Max. file size: 50 MB.

Please upload a picture or scanned version of your Passport or copy of Drivers Licence which must be accompanied by a Birth Certificate

2nd Individual - ID documents to submit with your application*

Drop files here or

Max. file size: 50 MB.

Please upload a picture or scanned version of your Passport

2nd Individual - Former country of residence*

Name of the most recent country (before the Republic of Ireland) in which you were employed, educated, registered or from which you were receiving a pension, benefit payment or allowance?

2nd Individual - What was your social security, personal or registration number in that country?*

2nd Individual - Did you live or work in the Republic of Ireland up to 1979?*

Yes
No

2nd Individual - What was your Irish National Insurance Number at that time?*

2nd Individual - If you previously lived in Ireland, please state your address at that time:*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

3rd PPS Applicant

Name of 3rd Individual*

First Name Surname

Birth First Name and Surname if different from current name*

First Last

Email for 3rd Individual*

3rd Individual - Mother's birth surname*

Mother's birth surname

3rd Individual - Are you married?

Yes
No

3rd Individual - If you’re married, in a civil partnership or cohabiting, from what date?

3rd Individual - What Country were you born?*

Country

3rd Individual - What county were you born in?*

3rd Individual - ID documents to submit with your application*

Drop files here or

Max. file size: 50 MB.

Please upload a picture or scanned version of your birth certificate as well as a copy of your passport or drivers licence

3rd Individual - ID documents to submit with your application*

Drop files here or

Max. file size: 50 MB.

Please upload a picture or scanned version of your Passport or copy of Drivers Licence which must be accompanied by a Birth Certificate

3rd Individual - ID documents to submit with your application*

Drop files here or

Max. file size: 50 MB.

Please upload a picture or scanned version of your Passport

3rd Individual - Former country of residence*

Name of the most recent country (before the Republic of Ireland) in which you were employed, educated, registered or from which you were receiving a pension, benefit payment or allowance?

3rd Individual - What was your social security, personal or registration number in that country?*

3rd Individual - Did you live or work in the Republic of Ireland up to 1979?*

Yes
No

3rd Individual - What was your Irish National Insurance Number at that time?*

3rd Individual - If you previously lived in Ireland, please state your address at that time:*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country