1.  In order to be eligible for co-option as a St Stephen in Brannel Parish Councillor

you must be a British subject, or a citizen of the Commonwealth or the European Union; and on the ‘relevant date’ (i.e. the day on which you are nominated or if there is a poll the day of the election) be 18 years of age or over; and additionally able to meet one of the following qualifications set out below.

a)    I am registered as a local government elector for the parish; or

b)    I have, during the whole of the twelve months preceding the date of my co-option, occupied as owner or tenant, land or other premises in the parish; or

c)    My principal or only place of work during those twelve months has been in the parish; or

d)    I have during the whole of twelve months resided in the parish or within 3 miles of it.

Please circle which of the above applies to you.

 

2.  Please note that under Section 80 of the Local Government Act 1972 a person is disqualified from being elected as a Local Councillor or being a member of a Local Council if he/she:

a)    Holds any paid office or employment of the Local Council (other than the office of Chairman) or of a joint committee on which the Council is represented; or

b)    Is a person who has been adjudged bankrupt or has made a composition or arrangement with his/her creditors; or

c)    Has within five years before the day of election, or since his/her election, been convicted in the UK, Channel Islands or Isle of Man of any offence and has been sentenced to imprisonment (whether suspended or not) for not less than three months without the option of a fine; or

d)    Is otherwise disqualified under Part III of the representation of the People Act 1983 for corrupt or illegal practices.

Please circle if any of the above applies to you.

 

This disqualification for bankruptcy ceases in the following circumstances: –

1.    If the bankruptcy is annulled on the grounds that either the person ought not to have been adjudged bankrupt or that his/her debts have been fully discharged;

2.    If the person is discharged with a certificate that the bankruptcy was caused by misfortune without misconduct on his/her part;

3.    If the person is discharged without such a certificate.

In 1 & 2 above, the disqualification ceases on the date of the annulment and discharge respectively.

In 3, it ceases on the expiry of five years from the date of discharge.

 

Declaration

 

I (Insert Name)

Hereby confirm that I am eligible to apply for the vacancy of St Stephen in Brannel Parish Councillor, and the information given on this form is a true and accurate record.

I give consent for my personal data to be used in all matters relating to my application.

 

SIGNATURE

 

NAME

 

DATE

 

(Please click on the pdf version of this document for the supporting form)