| * (required) |
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Title |
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Mr
Mrs
Ms
Miss
Other
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First name * |
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Surname * |
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Your address * |
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Postcode * |
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Telephone No. * |
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Email * |
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| 1 |
Are you in receipt of a state retirement pension? |
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Yes No |
| 2 |
Are you disabled? |
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Yes No |
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If yes, what assistance would you require to maintain an allotment? |
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| 3 |
Date of birth |
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(e.g. dd/mm/yyyy) |
| 4 |
How long have you been a resident in the Borough? (Allotments are only available to Wandsworth residents) |
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| 5 |
Do you hold an allotment garden or agricultural land (excluding private garden)? |
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Yes No |
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If yes, from whom? |
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Extent of land held? |
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Are you quitting the land? |
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Yes No |
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If yes, when? |
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| 6 |
Plots are available at the following sites. Please choose one. * |
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| Plot |
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| Beatrix Potter site, Magdalen Road, SW18 |
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| Garratt Park, Siward Road, SW17 |
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| Herlwyn Gardens, SW17 |
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| King George's Park, Burr Road, SW18 |
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| Putney Vale, Stag Lane, SW15 |
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| Morden, Arthur Road, Morden |
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| Ravenslea Road, SW12 |
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| Sailor Prince site, Duntshill Rd, SW18 |
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