Name
Address & Postcode
London Borough
Telephone
Gender
Male
Female
Do you consider yourself to have a disability?
Yes
No
Data Protection
The London Development Agency will use the information collected on this enrolment to produce reports to a variety of interested parties in a statistical format only, which will not include your name or personal contact details. Organisations with which the London Development Agency will share statistical information will include the London Development Agency’s European Programme Management Unit, the Department for Work and Pensions, Department for Innovation Universities and Skills, the Greater London Authority, London Borough Councils, to provide answers to questions from the London Assembly, and for other purposes closely connected with the project.
Ethnicity
White
White - British
White - Irish
White - Other (please specify)
Mixed
Mixed - White & Black Caribbean
Mixed - White & Asian
Mixed - White & Black African
Mixed - Other (please specify)
Asian or Asian British
Asian or Asian British - Indian
Asian or Asian British - Pakistani
Asian or Asian British - Bangladeshi
Asian or Asian British Other (please specify)
Black or Black British
Black or Black British - Caribbean
Black British - African
Black or Black British - Other (please specify)
Other ethnic group
Chinese
Other(please specify)
Prefer not to say
VALIDATION: (please type what you see in this picture)
