Sites for Change - Tower Hamlets East of the Borough Area Action Plan

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1. Personal information
Page 1 of 8

Part 1
 
This form is to be used to provide information in response to the Sites for Change consultation. This is open from 11 July 2019 to 23 August 2019.
 
The form is in two parts. Please provide all the information requested in part 1 and as much information as possible in part 2. The more information you are able to provide, the more accurate an assessment can be undertaken.
 
Please refer to the guidance notes to help you fill in the form as this explains the criteria. The guidance note also covers the data protection requirements.
 
The equalities monitoring section needs only to be filled out once if you are submitting more than one site.

1. Title:

 

2. First name: *

 

3. Surname: *

 

4. Job title (where relevant)

 

5. Company:

 

Home Address (including postcode):

 

6. Telephone contact number: *

 

7. Email

 

8. Title: