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Additional Documents
If possible please provide a certified copy of your:
Passport or
Birth Certificate
If not then you will be required to provide one at a later date.
Are you able to upload copies of these certified documents?
Are you able to upload copies of these certified documents? mandatory field
Yes
No
Personal Details
First Name
mandatory field
Last Name
mandatory field
Are you male or female
Are you male or female mandatory field
Male
Female
Date of Birth
mandatory field
Day
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Month
Month
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Address Line 1
mandatory field
Address Line 2
mandatory field
Address Line 3
Address Line 4
Postcode
mandatory field
Home Phone Number
Mobile Phone Number
Work Phone Number
Email Address
mandatory field
Tax Details
National Insurance Number
mandatory field
Tax Payer
Tax Payer mandatory field
Yes
No
I am Legally Entitled to Work in the UK
I am Legally Entitled to Work in the UK mandatory field
Yes
No
Student Loan Details
Do you have a Student Loan which is not fully repaid?
Do you have a Student Loan which is not fully repaid? mandatory field
Yes
No
Are you repaying your Student Loan direct to the Student Loans Company by agreed monthly payments?
Are you repaying your Student Loan direct to the Student Loans Company by agreed monthly payments? mandatory field
Yes
No
Student Loan Plans
What type of Student Loan do you have?
What type of Student Loan do you have? mandatory field
Plan 1
Plan 2
Did you finish your studies before the last 6 April?
Did you finish your studies before the last 6 April? mandatory field
Yes
No
Bank Details
Name of Bank/Building Society
mandatory field
Account Number
mandatory field
Sort Code
mandatory field
Building Society Roll Number
(If Applicable)
Work Preferences
Presiding Officer
Poll Clerk
Count Supervisor
Count Assistant
Canvasser
(please only tick if you have already submitted an Electoral Canvasser Application)
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