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APPLICATION FORM Editable

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BOGNOR REGIS TOWN COUNCIL
Town Hall
Clarence Road
Bognor Regis
PO21 1LD
01243 825535
E.mail lynettegill@bognorregis.gov.uk
APPLICATION TO BE PLACED ON THE WAITING LIST FOR AN ALLOTMENT
NAME: ……………………………………………………………………………………………………..
ADDRESS: ……………………………………………………………………………………………….
……………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………..
TELEPHONE NUMBER: ……………………………………………………………………………..
EMAIL: ………………………………………………………………………………………………………
Thank you for applying for an Allotment plot from Bognor Regis Town Council. Your
privacy is important to us and in line with UK law on data protection we need your
consent to hold your information and to contact you to offer you a plot when one
becomes available. Please give your details and confirm your consent below. You
can withdraw or change your consent at any time by contacting the Council offices.
Signed: ………………………………………………………………Dated:…………………….
I consent to the Town Council holding and processing my information for
the purpose of offering me the tenancy of an allotment plot.
I consent to the Town Council contacting me by:
Telephone
Email
Post
You can grant consent to all means of communicaon, one or none. Without consent to hold your details or to be able to
contact you we will not be able to hold your details and you will not be able to join the waing list for an allotment.
Your informaon will be used only to place you on the waing list for an allotment and will not be used for any other purpose
or shared with any other organisaon.
You can withdraw or change your consent at any me by contacng the Town Council at the address at the top of this applica-
on form. Please note that all processing of your personal data will cease once you have withdrawn consent other than
where this is required by law, but this will not aect any personal data that has already been processed prior to this point.
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Completed 9 July 2020

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