the applicant’s full name F2...;

except in the case of an application being made in pursuance of a service declaration or an overseas elector’s declaration, the address in respect of which the applicant applies to be registered and at which they are resident on the date of the application;

any address at which the applicant has ceased to reside within 12 months before the date of the application and, where that address is not in the United Kingdom F25and the application is not being made in pursuance of an overseas elector’s declaration, an indication of whether the person was registered in pursuance of an overseas elector’s declaration during this period;

F26except in the case of an application being made in pursuance of an overseas elector’s declaration, an indication of whether the applicant is resident at any other address, including at any address in respect of which the applicant is currently registered as an elector and in respect of which the applicant claims to be entitled to remain registered;

the applicant’s date of birth or, if they are not able to provide that information, the reason why they are not able to do so and a statement as to whether the applicant is under 18 years old or F3aged 76 or over;

the applicant’s national insurance number or, if they are not able to provide that information, the reason why they are not able to do so;

in the case of a relevant EU applicant, an indication as to whether the applicant meets the requirements set out in section 203B of the 1983 Act;

except in the case of a person applying to be registered in pursuance of an overseas elector’s declaration, the applicant’s nationality or nationalities or, if they are not able to provide that information, the reason why they are not able to do so;

an indication of whether the applicant requests that their name and address are omitted from the edited version of the register;

in the case of an applicant whose application is accompanied by an application for an anonymous entry, that fact;

a declaration by the applicant that the information provided in the application is true; and

the date of the application.

under the age of 16,

aged 16 or 17, or

aged 18 or over.

a statement that the information provided in the application will be processed in accordance with F11the data protection legislation and as to what information will appear on the electoral register;

a statement that persons without lawful immigration status are ineligible to register to vote, that registration officers may request checks in relation to an applicant’s immigration status against Home Office records, and that, for persons applying to register as EU citizens with retained rights only, this may include checks in relation to historical immigration status;

a statement that registration officers may require the applicant to provide additional information in relation to nationality, may carry out checks against Government records, and that, for persons applying to register as EU citizens with retained rights only, this may include checks in relation to historical nationality;

a statement that, for applicants in Wales, the application requirement under paragraph (1)(fa) is relevant only in relation to eligibility to vote in PCC elections and not in relation to entitlement to register under section 4 of the 1983 Act;

a statement that it is an offence to provide false information to the registration officer, together with a statement of the maximum penalty for that offence;

a statement that failure to provide an address at which the applicant has ceased to reside within 12 months before the date of the application or any other mandatory information required on the form may delay the registration process;

space for a bar code, local authority reference number and security code unique to each form;

space for the email address and telephone number or numbers of the applicant and an explanation that provision of this information is not mandatory;

space for the applicant to provide their most recent previous name (if they have one) and an explanation that provision of this information is not mandatory but may assist the registration officer in verifying the applicant’s identity, and that if the information is not provided then additional personal information may be required;

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

space for the registration officer to include local authority information and details of how the registration officer may be contacted;

an indication of whether the applicant wishes to be able to cast an absent vote;

an explanation of what the edited register is, using the short version of the form of words prescribed by regulation 45 of and Schedule 3 to the Representation of the People (England and Wales)(Description of Electoral Registers and Amendment) Regulations 2013; and

the web site address of the digital service.

instead of the information required in paragraph (1)(b), request the applicant’s correspondence address or British Forces Post Office Number;

in the case of an application in pursuance of a service declaration on the grounds that the applicant is a member of the forces (within the meaning of section 59(1) of the 1983 Act) or the spouse or civil partner of a member of the forces (within the meaning of section 59(1) of the 1983 Act), also include a statement that the applicant must renew their application for registration every 5 years but may cancel it at any time;

F27in relation to the registration of local government electors in Wales, not include space for the information mentioned in paragraph (3)(eb).

instead of the statement required in paragraph (3)(ba) F37to (bc), include a statement that, in relation to an applicant’s nationality, registration officers may require the applicant to provide additional information or may carry out checks against Government records, and

include space for the address at which the applicant can be contacted.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

provide the applicant with an explanation of what the edited register is, using the short version of the form of words prescribed by regulation 45 of and Schedule 3 to the Representation of the People (England and Wales)(Description of Electoral Registers and Amendment) Regulations 2013; and

transfer the information provided by the applicant into an application in writing.

an applicant makes an application in pursuance of an overseas elector’s declaration, and

the applicant is unable to provide a national insurance number in accordance with paragraph (1)(f),

any copy documentation provided by the applicant in accordance with paragraph (9B) or (9C);

the applicant’s email address and telephone numbers (if provided); and

a reference number unique to that application.

may send the registration officer that application without the national insurance number, and

where the Secretary of State does so, must indicate to the registration officer that a national insurance number was included when the application was made by the applicant.