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SECTION 1 – COMPLETE THE FORM AND NOTE THAT * DENOTES A MANDATORY FIELD











Resident of areaInterested in what is happening but live elsewhereBusinessRepresent local group, organisation or charityOther

SECTION 2 - ADDITIONAL DETAILS WHICH HELP US ENSURE THAT THE NEIGHBOURHOOD FORUM REPRESENTS ALL KINDS OF PEOPLE IN THE NEIGHBOURHOOD


MaleFemale

ETHNIC ORIGIN
I WOULD DESCRIBE MYSELF AS – PLEASE TICK THE APPROPRIATE BOX


BritishEnglishScottishWelshIrishOther - see below


IndianPakistaniBangladeshiOther - see below



White & Black CaribbeanWhite & Black AfricanWhite & AsianOther - see below


Carribbean AfricanAfricanOther - see below


ChineseOther - see below