Page 1 of 4 July 2019
Community Right to Bid
Nomination Form
If you need help completing this form, you can find more information at:
https://mycommunity.org.uk/
Privacy information
The personal information you provide within this form is required by Harlow Council to
comply with its statutory obligations to hold a register of Assets of Community Value and
in order to contact you in relation to your application.
Your personal information will only be shared internally within Harlow Council while
considering your nomination and will not be shared externally with any third parties, except
where we have a legal obligation to do so. Only the information collected in Section 3 may
be shared with the owner of the property you are nominating.
Although it is not our intention to collect any other personal information and/or sensitive
personal information (e.g. in respect of race or ethnic origin; political opinions; religious or
similar beliefs; physical or mental health or condition; sexual history or orientation; trade
union membership), you may provide information of this type inadvertently when
completing any part of this form. Any sensitive personal information collected will be kept
confidential and secure and will not be shared with any third parties unless you specifically
ask us to do so.
Where your nomination is successful, we will keep your personal data for as long as the
property remains on the Assets of Community Value register. Where your nomination is
unsuccessful or the property is removed from the Register, your personal information will
be securely deleted within 6 months of the decision being made by the Council.
For more information on how we collect, use and protect personal information generally,
as well as your rights as a data subject please view our main privacy notice on our website
by visiting https://www.harlow.gov.uk/privacy-notice
If you do not have online access, a paper copy of the information contained on the
webpages we have referred to can be provided by Contact Harlow by telephone on 01279
446655 or by writing to Harlow District Council, Civic Centre, The Water Gardens, College
Square, Harlow Essex CM20 1WG.
Page 2 of 4 July 2019
Section 1 About the property to be nominated
Please note that the property should not be residential property including
outbuildings and associated land, land licensed as a caravan site or operational
land for statutory undertakers – (Please see the Assets of Community Value
(England) Regulations 2012 schedule 1 for more detail on what cannot be listed).
Name of property:
Address of property:
Postcode:
Property owner’s name:
Address of property owner:
Postcode:
Telephone number:
Current occupier’s name:
Section 2 About your community organisation
Please note that your organisation should consist of 21 members or more who
appear on the electoral role.
Name of organisation:
Title:
First name:
Surname:
Position in organisation:
Email address:
Address:
Postcode:
Telephone number:
Mobile number:
Your role in the organisation:
Page 3 of 4 July 2019
Organisation type Parish Council Unincorporated
Community Group
Neighbourhood Forum Community Interest
Company
Industrial & Provident Society Company Limited by
Guarantee
Charity
How many members do you have (this is particularly important for unincorporated
community groups)?
Section 3 Supporting information for nomination
Any information entered in this section only may be copied and passed onto the
owner of the property you are nominating. Definition of an asset of community value can
be found in the guidance document. It should be a building or other land whose main (i.e.not
ancilliary) use furthers the social wellbeing or social interests of the local community, has
recently done so and may realistically do so in the future.
Why do you feel the property is an asset of community value? Please give as much
information as possible.
Section 4 Boundary of property
What do you consider to be the boundary of the property? Please be as descriptive as
possible (if possible, please include a plan).
Page 4 of 4 July 2019
Section 5 Attachment checklist
Copy of group constitution (if you are a constituted group)
Name and home addresses of 21 members registered to vote in nomination area (if
group is not incorporated)
Site boundary plan (if possible)
Section 6 Declaration
I can confirm that to the best of my knowledge the information contained in this nomination
form is complete and accurate.
Signed: Date:
Please submit your completed nomination form to:
Head of Community Wellbeing
Harlow Council
Civic Centre
The Water Gardens
Harlow
Essex
CM20 1WG
or alternatively email it to:
contact@harlow.gov.uk
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