London Assembly Candidate Application Form

First Name*

Last Name*

Full name to appear on ballot paper*

Membership Number*

Assembly Seat*

The below drop down list will show all the current London Assembly seats currently open for candidate selection. If you wish to stand for the ‘list’ please select this from the drop down menu

Do you have at least 12 months continuous membership?*

YES
NO

Please be aware that it is a requirement for all applicants to have at least 12 months continuous membership.

Are you a member of a trade union?*

YES
NO

Please be aware that it is a requirement for all applicants to be a member of a trade union.

Which trade union are you a member of?*

Which CLP do you currently reside in?*

Have you participated or are currently participating in one of the following??*

Current Occupation*

Phone

Email

Address

Street Address Post Code City County Country

Please list all current and past social media channels

This should be a link or a handle to the social media account in question.

London Assembly Candidate Application Form

London Assembly Candidate Application Form

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IMPORTANT NOTIFICATION