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ALL FIELDS MARKED WITH A * ARE REQUIRED ENTRIES
Household Voter Registration Form

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Household Voter Registration Form
Use this form if you have moved house, will soon be 18 years old or just absent from the electoral register.
 PLEASE CLICK  HERE TO READ THE NOTES ON HOW TO COMPLETE THIS FORM.

If you need help filling in this form, please phone 01983 823200 or email [email protected]
Current Address
* Building/house name/number
* Street address
* Town Name
County
* Postcode
 Telephone Number
(include area code)
Email address
You do not have to give your telephone number or email address but it may help us resolve any queries quickly.
Previous Address
Building/house name/number
Street address
Town Name
County
Postcode
Date of move
Please give name and address (if known) of your previous Council

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