DORAS REGISTRATION FORM Please complete this form so that we can assist you. Doras Registration Form Name * Name First First Last Last Address * Email * Phone * Date of Birth PPS Number Country of Origin Gender Legal Status [eg. Stamp 4, Asylum Seeker] Person ID Advice/Information Required __________________________________________________________________________________________ Data Protection and Privacy Doras is committed to ensuring everyone’s safety and privacy. With that in mind, we process, store and dispose of all personal data in accordance with the Doras Data Protection Policy, available on request. Data Recording * Yes 1. I agree to Doras recording and processing the above information in order to provide ongoing support and to collate statistics on the organisations work. No personal information will be shared outside the organisation without the explicit consent of the individual concerned. Contact Yes 2. I give my consent for Doras to add my email address to their mailing list. This is used to gather feedback relating to their services and other work, and to provide regular updates about Doras’s work, policy changes and current events. __________________________________________________________________________________________ By clicking 'submit', you are agreeing to have your details recorded and processed by Doras. If you are human, leave this field blank. Submit