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EHIC Application Form

Each person you're applying for will need to provide details of their full name, date of birth and National Insurance Number. If you do not know the dependent child's National Insurance Number, please provide that of the main applicant.

Main Applicant















Spouse / Partner Details








First Dependent Child Details








Second Dependent Child Details








Third Dependent Child Details








Fourth Dependent Child Details







I have read and agree to the website Terms of Service.

I understand there will be a charge of £14.95 payable to EHIC.uk.com

I would like to receive periodic news and EHIC renewal updates.