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Surname: Watkins First Name: Joan

A. White
British
Irish
Any other white background *
B. Mixed
White and Black Caribbean
White and Black Arican
White and Asian
Any other mi!ed background *
C. Asian or Asian British
Asian
Indian
"akistani
Bangladeshi
Any other Asian Background *
D. Black or Black British
Aro#Caribbean
Caribbean
Arican
Any other Black Background *
E. Chinese or other
Chinese
Any other *
F. Other European
$ther %uro&ean
$ther %thnic 'rou& *
* "lease s&eciy:
(our 'ender ) *ale Female
+ate o Birth: ,-./0.,1-/
+o you consider yoursel to ha2e a disability3
(es No
I yes4 &lease state the nature o your disability:
section will be detached rom your a&&lication orm and will not be used or selection &ur&oses5
67he +isability +iscrimination Act deines disability as 8someone who has a &hysical or mental
im&airment that has a substantial and long#term ad2erse eect on his or her ability to carry out
normal day#to#day acti2ities9:
City Facilities *anagement is an %;ual $&&ortunities %m&loyer5 Selection."romotion is based on the a&&licant<s
suitability or the =ob5 7o hel& us monitor this4 &lease com&lete the ollowing details by ticking one o the bo!es
below5
7his section will be detached rom your a&&lication orm and will not be used or selection &ur&oses