BEXLEY BOROUGH NEIGHBOURHOOD WATCH
Registered Charity No: 1072368
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Building a community spirit, safety in numbers and working together to reduce crime and the disproportionate fear of crime in Bexley, one of London's safest boroughs.
Nominated Neighbour Registration Form
I volunteer to be a Nominated Neighbour and have the agreement of the resident below or their legal representative. I understand the role and responsibilities of a Nominated Neighbour. I confirm that I am 18 or over, have no criminal convictions and am able to carry out the role of a Nominated Neighbour.
Please provide the following information (* mandatory):
RESIDENT’S (THE PERSON YOU ARE VOLUNTEERING TO HELP) DETAILS:
TITLE
*
FIRST NAME
*
SURNAME
*
ADDRESS LINE 1
*
ADDRESS LINE 2
*
POSTCODE
*
TELEPHONE NUMBER
*
EMAIL ADDRESS
CONFIRM EMAIL ADDRESS
YOUR DETAILS:
TITLE
*
FIRST NAME
*
SURNAME
*
ADDRESS LINE 1
*
ADDRESS LINE 2
*
POSTCODE
*
PREFERRED TELEPHONE NUMBER
*
ALTERNATIVE TELEPHONE NUMBER
EMAIL ADDRESS
*
CONFIRM EMAIL ADDRESS
*
MESSAGE
(use this if you need to provide any further detail)
In accordance with BBNWA Privacy Policy, your details will not be released to any other third party with the exception of your local Met Police SNT who will be given your name, address and telephone details in order to support you in your role. Pressing the SUBMIT button will start the process of you becoming a Nominated Neighbour on 05/12/2024. If you do not agree to any of the statements above and do not wish to proceed, please press CANCEL.
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