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1. Organisation Details

Tell us about your organisation and it's aims: Select the Cause that most closely represents the work of your organisation: Select the Pilar that most closely represents the activities of your organisation: Groups Structure: If Other please describe: The Geographical area you operate in: Electoral Area of your main base: Number of people involved in your organisation: Year Established: Facebook Page:
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2. Main Address For Correspondence

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3. Main Contact Details

Are you the Main Contact for this Organisation?


Will you be the representative or the alternative for your organisation in relation to the PPN?:
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4. Alternative Details

Alternate First Name: Alternate Surname: Alternate Mobile: Alternate Email:

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  • Before or at the time of collecting personal information, we will identify the purposes for which information is being collected.
  • We will collect and use of personal information solely with the objective of fulfilling those purposes specified by us and for other compatible purposes, unless we obtain the consent of the individual concerned or as required by law.
  • We will only retain personal information as long as necessary for the fulfillment of those purposes.
  • We will collect personal information by lawful and fair means and, where appropriate, with the knowledge or consent of the individual concerned.
  • Personal data should be relevant to the purposes for which it is to be used, and, to the extent necessary for those purposes, should be accurate, complete, and up-to-date.
  • We will protect personal information by reasonable security safeguards against loss or theft, as well as unauthorized access, disclosure, copying, use or modification.
  • We will make readily available to customers information about our policies and practices relating to the management of personal information.
  • We are committed to conducting our business in accordance with these principles in order to ensure that the confidentiality of personal information is protected and maintained.