Beyond Decent Homes

Project Partners

PLEASE NOTE THAT WHEN YOU SUBMIT THIS FORM YOU WILL BE TAKEN TO ANOTHER WEBSITE THAT CONTAINS AN ADVERT. YOU ONLY NEED TO CLICK THE CONTINUE BUTTON AT THE TOP OF THE SCREEN ONCE THE FORM HAS UPLOADED. THANK YOU FOR YOUR CO-OPERATION.

PLEASE COMPLETE THIS BOOKING FORM FOR MARCH 24th REGISTRATION

Company Name
Profession/role?
Name:
Address
Phone
Email Address:
Dietary requirements (please write in i.e. Vegetarian,Vegan, None)
We would be grateful if you would complete the following questions which will be stored by the project manager in accordance with the Data Protection Act. Only a summary of data gathered will be sent to the funding body.
Under the definition in the 1995 Disability Discrimination Act,(A physical or mental impairment which has a substantial and long-term adverse effect on the ability to carry out day to day activities).Do you consider yourself to be disabled?	Yes No Rather not say
Ethnic Origin (tick all that apply)	White Black Asian Mixed Irish British Indian Bangladeshi Pakistani Chinese Carribean African other please state below
Other Ethnic origin? (Please write in)
Are you?	Male Female
Do you live in London?	Yes No
Do you work in london?	Yes No

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