CANDIDATES’ SUBMISSION DETAILS FORM LORD CHANCELLOR’S DIRECTIONS APPENDIX 4A

CANDIDATES’ INFORMATION BOOKLET PLEASE READ CAREFULLY OPEN COMPETITION FOR
CANDIDATES’ SUBMISSION DETAILS FORM LORD CHANCELLOR’S DIRECTIONS APPENDIX 4A
MUNICIPAL CANDIDATES’ PRIMARY ELECTION PETITION COMPLETE ALL INFORMATION ON




Candidates’ submission details form

CANDIDATES’ SUBMISSION DETAILS FORM LORD CHANCELLOR’S DIRECTIONS APPENDIX 4A

Candidates’ submission details form

Lord Chancellor’s Directions, Appendix 4A

  



Name of Bench:

     

Date of appointment submission:

     


No.

Title

Name

Gender

DOB

Age

Ethnicity

Actual occupation

Undertaking & Declaration Y/N

Consent
Y/N

Concerns or conflicts?

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     

  

     

     

     

     

  

     

     

     


 

Candidates’ submission details form (07.13) 2





Tags: appendix 4a, details, appendix, directions, submission, chancellor’s, candidates’