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Please complete this form as fully as possible. You must respond to all sections marked with * in order to submit the form

We will get back to you as soon as we can, which may be up to 10 working days during busy times. Thank you for your patience.

Your name *

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Your postcode *

Your phone number *

Are you seeking advice - *

For yourself

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When will you be available? *

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If you are seeking advice for another person, please read the guidance here. Complete this form with details of the person you seek advice for, not yourself.

Please read our guidiance on acting on behalf of someone else here:

Advice

Please tell us more about your situation. You can choose "prefer not to say" for any of the sections, if you wish.

Which of these best describes your household type?

What is your housing situation?

What is your employment status?

What is your age range

Please describe your concern(s) in as much detail as possible so we can help you. *

By submitting this form you are confirming that you are consenting to Dalkeith & District Citizens Advice Bureau holding and processing your personal data in accordance with the Data Protection Act 2018. Please read our Privacy Policy to find out how we will use your data and keep it secure.

If you no longer want Dalkeith CAB to process your personal data, contact us. Processing will cease once you have withdrawn consent, other than where this is required by law. It will not affect any personal data that has already been processed prior to this point.

I would like to be kept informed of Dalkeith CAB's activities and services. I understand my details will be used only for this purpose, not shared outside the organisation, and if I wish updates to stop, I can contact the CAB. Please contact me by:

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