Fillable Allotmentappgdpr Application For An Allotment (Wisbech Town Council)

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Allotmentappgdpr Application For An Allotment (Wisbech Town Council)

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Wisbech Town Council
APPLICATION FOR AN ALLOTMENT
Please print clearly
Name: ……………………………………………………………………………………………
Address: ………………………………………………………………………………………..
…………………………………………………………………………………………………….
Postcode: ……………………
Preferred contact
Tel No: (home) …………….…………….
and/or (mobile) ………………………..………..
Email: …………………………………………………………………………………………....
***Concessions apply for those over 65 – please let us know if you are eligible – proof of age will
be required when payment is made***
I wish to apply for an allotment at: - (Please indicate site preference)
Site
1
st
choice
2
nd
choice
Cox’s Lane
Dowgate
Mile Tree Lane
Southwell Road
FULL
FULL
Waterlees Road
Halfpenny Lane
Size of plots may vary and are negotiable
Signed: ……………………………………………
Date: ………………………………………………
Please note:
This application form is not an official tenancy document. There is no intention to create a legally
binding agreement with Wisbech Town Council until the appropriate Allotment Tenancy Agreement has
been completed and signed by you and a Council Officer at which time an administration fee of £5.00
will be payable.
All sites are accessed by locked gates. A deposit (refundable) of £10.00 is payable for each key
required by tenants.
Please return this form to:
Wisbech Town Council, Town Hall, 1 North Brink, Wisbech, Cambridgeshire PE13 1JR
Email info@wisbechtowncouncil.gov.uk
Data Protection: the above details will only be used by Wisbech Town Council
to contact you regarding your allotment application; they will not be used for any other purpose.
Thank you for your interest. We will contact you within 7 days of receipt of this application.
Wisbech Town Council
General Data Protection Regulations
Allotment Tenants Privacy Notice
To be signed and returned with your Allotment Tenancy Agreement: Consent to hold
Contact Information
• I agree that I have read and understood the Wisbech Town Council Privacy Notice.
• I agree by signing below that the Council may process my personal information for
providing information and corresponding with me.
• I agree that Wisbech Town Council can keep my contact information data for an
undisclosed time or until I request its removal.
• I have the right to request modification on the information that you keep on record.
• I have the right to withdraw my consent and request that my details are removed
from your database.
Name
Address
Telephone No.
Email Address
Signature
Date
For office use only:
Date
Data
received
Date consent
received and
approved for data
to be held
received as
Phone,
email, hard
Data
approved to
be shared
with the
below
Removal of
consent
received
Date data
disposed of
and method
of disposal
actioned
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Allotmentappgdpr Application For An Allotment (Wisbech Town Council)

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Completed 15 July 2020

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