When travelling to/from Falmer do you require use of a car for other reasons, eg taking children to school, care responsibilities?

yes
no

Do you hold a blue disability badge?

yes
no

If yes, please quote badge number

Are you required to travel to other sites regularly, in order to perform your job? If so, approximately how many business miles do you travel each week?

less than 20
between 20 & 50
more than 50

And how many journeys are made?

less than 5
between 5 & 10
more than 10

Please provide any other relevant information to support your application here or on a continuation sheet.

I certify the information provided is, to the best of my knowledge, truthful and accurate.

your email address
(optional)

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