3) Ethnic Origin (please ‘x’ one box): × Ref. I would describe my ethnic origin as: White British WB Irish WI Gypsy or IrishTraveller G Any other white background * WO Mixed White and Black Caribbean MC White and Black African MB White and Asian MA Any other mixed background * MO Asian or Asian Indian I British Pakistani P Bangladeshi B Chinese C Any other Asian background * AO Black or Black Caribbean BC British African BA Any other Black background * BO Other ethnic Arab A group Any other ethnic group OE 4) Do you consider yourself to have a disability? YES/NO (please delete as appropriate) Thank you for completing this form.
3) Ethnic Origin (please ‘x’ one box): I would describe my ethnic origin as: × Ref. White British WB Irish WI Gypsy or IrishTraveller G Any other white background * WO Mixed White and Black Caribbean MC White and Black African MB White and Asian MA Any other mixed background * MO Asian or Asian British Indian I Pakistani P Bangladeshi B Chinese C Any other Asian background * AO Black or Black British Caribbean BC African BA Any other Black background * BO Other ethnic group Arab A Any other ethnic group OE 4) Do you consider yourself to have a disability? YES/NO (please delete as appropriate) Thank you for completing this form.
PSA-equal-opportunities-monitoring-form-%20July%202017.docx