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Details in bold and marked with an asterisk (*) must be completed. For help and data protection information on a field simply click the question mark icon next to it.

Personal details:

Title

Other (Title)

Title

What do I need to do?
Enter your title (e.g. Mr, Mrs, Miss, Ms, Dr)
Is this information mandatory?
No

Who will see this information?
Public servants involved in delivering the services you have requested. Contact the scheme for further information.
Why do they need to see it?
The data may be distributed to other organisations involved in the delivery of services you have requested. If you have given your express permission, the data may also be passed to sources outside of the card scheme.
What will it be used for?
So they can assist you with any queries you may have and facilitate the delivery of the services you have requested.
When will it be deleted?
As soon as the service that requires it is removed from your requests.

Forename * Forename is required

Forename

What do I need to do?
Enter your forename
Is this information mandatory?
Yes
What is the maximum amount I can enter?
Maximum allowed field length is 35

Middle Name

What do I need to do?
Enter your middle name
Is this information mandatory?
No
What is the maximum amount I can enter?
Maximum allowed field length is 35

Surname * Surname is required

Surname

What do I need to do?
Enter your full surname
Is this information mandatory?
Yes
What is the maximum amount I can enter?
Maximum allowed field length is 35

Display Name * Display Name is required

Display Name

What do I need to do?
Shows your name as it will be printed on your card. This field cannot be changed.
Is this information mandatory?
Yes
What is the maximum amount I can enter?
Maximum allowed field length is 35

Date of Birth * Date of Birth is required

/ /

Date of Birth

What do I need to do?
Enter your date of birth in the format dd mm yyyy
Is this information mandatory?
Yes

Gender

Other (Gender)

Gender

What do I need to do?
Select your gender
Is this information mandatory?
No

Enter your contact details (you must complete at least one field of the 3 below):

Home Number

Home No

What do I need to do?
Enter your home phone number
Is this information mandatory?
No
What is the maximum amount I can enter?
Maximum allowed field length is 16

Work/Daytime Number

Work/Daytime No

What do I need to do?
Enter your work telephone number
Is this information mandatory?
No
What is the maximum amount I can enter?
Maximum allowed field length is 16

Mobile Number

Mobile No

What do I need to do?
Enter your mobile telephone number
Is this information mandatory?
No
What is the maximum amount I can enter?
Maximum allowed field length is 16

Please enter your email address. This will be used to create you a login to this portal. If you attempt to use an email address which is already registered to another user then this will flag up as a duplicate, and may freeze both accounts. If this happens, please try another email address. If someone else has used your email account to register, or if you are still experiencing problems then please get in touch via bluebadgeteam@slough.gov.uk.

Email Address * Email Address is required

Email Address

What do I need to do?
Enter your email address
Is this information mandatory?
Yes
What is the maximum amount I can enter?
Maximum allowed field length is 50

Please enter a password that will allow you to login and manage your application:

Password * Password is required

Password Rules...

The password should conform to the following rules:

It must be at least 8 characters in length
It must contain at least one alphabetic character
It must contain at least one numeric character
It must contain at least one non alpha/numeric character
It must be changed every 6 months

Confirm Password * Confirm Password is required

Password

What do I need to do?
Choose a password for accessing your data on the website
Is this information mandatory?
Yes
What is the maximum amount I can enter?
Maximum allowed field length is 25

Original Record Id

What do I need to do?
The original SCC Record ID
Is this information mandatory?
No
What is the maximum amount I can enter?
Maximum allowed field length is 10

Who will see this information?
No data protection information available for this field.
Why do they need to see it?
No data protection information available for this field.
What will it be used for?
No data protection information available for this field.
When will it be deleted?
No data protection information available for this field.

Email address * Email address is required

Email address

What do I need to do?
Please enter the email address you wish to use to login to your account.
Is this information mandatory?
Yes
What is the maximum amount I can enter?
Maximum allowed field length is 50