2022 Foreshore Clock Permit Application

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Email *

Title *

First Name *

Surname *

Address Line 1 *

Address Line 2

Town *

County *

Postcode *

Mobile Phone Number

Landline Number

Please provide the registration numbers for up to two vehicles in which the clock permit will be used. If the permit is for use by carers, please indicate this in the 'Vehicle 1' box below.

Vehicle 1 Registration *

Vehicle 2 Registration

We will use your data to verify your eligibility for a clock permit, to contact you in relation to the scheme, including sending a reminder of when the permit's due for renewal and to make representations to Eastleigh Borough Council in regards to enforcement (on your own and our behalf). *

Please tick here if it's ok to contact you about other services the Parish Council offer

Please tick here if you DO NOT want the Parish Council to contact you about other services offered

Required

DECLARATION *

By clicking here I confirm that I am eligible to receive a clock permit and that the information I have provided is accurate.

Required

A copy of your responses will be emailed to the address you provided.

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