Application Form for Standard Licence for Re Use of Public Sector Information
Please ensure you have read the Standard Licence before filling in this form. You
must agree to the terms and conditions before a licence can be granted.
If you prefer you can print out the pdf version of this form and fill it in and post it back
to:
The Data Protection Officer
Horsham District Council
Parkside
Chartway
Horsham
RH12 1RL
Tel: 01403 215571
Fax: 01403 262985
Application Form for Licence for re-use of Public Sector Information
Part 1 - Personal Details
Your full name:
Postal address:
The organisation you
represent (if any)
Your position in this
organisation [optional]
Your e-mail address:
Telephone number where
we can contact you during
UK working hours:
The Data Protection Act 2018. The data you have entered on the screen will be used to
process your application for a Licence. Your personal details will be kept electronically
(and in hard copy) for the Licence period plus one year for administrative and/or statistical
purposes and will only be used in accordance with the Council's registration under the Data
Protection Act 2018.
/legal/freedom of information./web pages/application form for licence
Part 2 - About the Material
Full description of the
material to be covered by
this Licence:
Please be as specific as
you can. If you want to use
content from our website,
give the full web address
(URL):
If the material comes from a
printed publication, include
the title and date of
publication (if any):
Short description of your
intended use of the
material:
If you intend to use the
Material on a website,
please include the address
of your site. Give the full
web address (URL):
Part 3 - Your Agreement
I have read the terms and conditions of the Standard Licence and agree to abide
by those terms and conditions.
/legal/freedom of information./web pages/application form for licence
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