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* 1. Name

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* 2. Date of birth

Date

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* 3. Home address

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* 4. Please confirm which area of Stoke-on-Trent you live in.

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* 5. Telephone number

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* 6. Those already involved with Staffordshire Police cannot apply. Are you:

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* 7. Email address

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* 8. Job title

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* 9. Employer name and address

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* 10. Privacy statement

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* 11. Residence

T