Carlisle & District Citizens Advice Bureau

Initial contact/interest form

If you feel that you (or someone you know) may be eligible for help and advice from the Royal British Legion/Royal Air Force Benevolent Fund
 project at Carlisle CAB, please complete and send this form.
 

Your title:...

Your name:

Contact address
               

Post Code

Preferred daytime phone number inc STD code
                      

Is it acceptable to you for us to leave a message on this number?
Leave message...........
Don't leave message...

Email address:  

Is it acceptable for us to reply to this email address?
Send reply...........
Don't send reply...

Age..........

The CAB/TRBL/RAFBF Advice Service is open to people who have served or are currently serving in the UK Armed Forces, and to their dependents.
The following details will help us to deal with your matter quickly. If you do not have these details to hand, please submit the form anyway, and we will confirm service later

Service Corps
or Regiment..........     

Service Number......

Date of Enlistment..

Date of discharge....
 


Please describe how we may be of assistance (450 chars max)

Please read the following Data Protection notice carefully and indicate your agreement where indicated.
It is a legal requirement to safeguard your confidentiality and also enables us to make a prompt start on
any work we do for you.

DATA PROTECTION ACT 1998

  In order to help you we need to maintain a record of your case, which may contain sensitive personal data. The law says we
  must obtain your consent to do this. Everything you tell us will be treated confidentially.
  Sensitive personal data is defined as information relating to any of the following: racial or ethnic origin, political opinions, religious
  beliefs, trade union membership, health, sexuality or sex life, offences and/or convictions.
  For the purposes of the Act the Data Controller is Carlisle & District Citizens Advice Bureau.
  I/We give my/our consent to the CAB Service to record sensitive personal information about me/us.
                 Click this box to indicate your consent....

  Carlisle & District Citizens Advice Bureau are working with the Royal British Legion (RBL) and the Royal Air Force Benevolent
  Fund (RAFBF) and will process your personal data according to the Data Protection Act 1998 as explained above.
  The information you give may also be:
  1. Audited by the Royal British Legion (RBL) and/or the Royal Air Force Benevolent Fund (RAFBF) or their
      respective representatives.
  2. Used by the RBL/RAFBF to create statistics, performance reports, or evaluations (all information shared will be anonymous). 
  I/We agree that my/our personal information can be used in this way:     
             Click this box to signify your agreement....

  We also give my/our consent to the Carlisle & District Citizens Advice Bureau corresponding on my/our behalf
  with relevant third party(s).    
                Click this box to indicate your consent....
            
                                                 
 

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