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* I give permission for my information to be held confidentially and securely by First For Fieldwork in accordance with the latest Data Protection legislation, for the sole purpose of finding paid market research projects for me or my immediate family to take part in. First For Fieldwork is registered with the Information Commissioners Office (ICO), Reg No.ZA324473.

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I understand that I am free to withdraw my registration at any time by completing the 'Unsubscribe' form on the website, or by sending an email including my name, and adding the word 'Unsubscribe' in the subject box, or by clicking the 'Unsubscribe' link on any project email I receive.

I understand that by registering I am agreeing to the Terms & Conditions above, and the Privacy Policy set out on the First For Fieldwork website http://firstforfieldwork.co.uk/privacy-policy/

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* First Name

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* Surname

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* Are you......

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* Address

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* Date of Birth  DD/MM/YYYY

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* Which of the following best describes your employment status?

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* What is your occupation (if applicable)?
​If retired - please state previous occupation

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* What is the occupation of the head of household (if not you)?
​If retired - please state previous occupation

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* What is your Current Status?

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* Number of children living at home

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* Please state the Date of birth for each of your children living at home.
​Eg 14/3/2002, 1/4/2006

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* Do you have any children who have left home?

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* What is your ethnic background?

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