you for your cooperation. Date of birth (dd/mm/yyyy) / / Female Male Prefer not to say Please show which group best describes your ethnic origin or descent by ticking ONE of the boxes below. The groups are derived from the 2001 census categories, as recommended by ACAS. Asian or Asian British Any other Asian Bangladeshi Indian Pakistani background, please write in box Black or Black British Any other Black background, African Caribbean please write in box Chinese Chinese Any please write in box Mixed heritage and Any other mixed and and Black background, Asian Black African Caribbean please write in box Any other White British English Irish Scottish Welsh background, please write in box Other ethnic group Any other ethnic group, please write in box Decline to specify Do you consider yourself to have a disability? No Yes RFCA 2018–19
you for your cooperation. Date of birth (dd/mm/yyyy) / / Female Male Prefer not to say Please show which group best describes your ethnic origin or descent by ticking ONE of the boxes below. The groups are derived from the 2001 census categories, as recommended by ACAS. Asian or Asian British Bangladeshi Indian Pakistani Any other Asian background, please write in box Black or Black British African Caribbean Any other Black background, please write in box Chinese Chinese Any please write in box Mixed heritage and Asian and Black African and Black Caribbean Any other mixed background, please write in box British English Irish Scottish Welsh Any other White background, please write in box Other ethnic group Any other ethnic group, please write in box Decline to specify Do you consider yourself to have a disability? No Yes RFCA 2018–19
RFCA-application-form-2018-19.docx