Please provide your name and address details below:
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We are committed to providing fair and equal access to services, and as part of this process we have a duty to make sure our services do not discriminate. In order to achieve this, we need to ask some questions relating to your background which we would be grateful if you could answer for us - this is entirely optional and will not be directly linked to the information you are submitting or in any way influence the outcome. All personal information will be completely confidential and held in accordance with the Data Protection Act 1998.
^The definition of disability according to the Disability Discrimination Act 1995 is: "A physical or mental impairment which has a substantial and long-term adverse effect on his or her ability to carry out normal day to day activities".
