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Please read the following notes before completing this form Please fill in all sections of this form and make sure it is signed and dated. Incomplete forms will not be accepted. Then take the completed form in person to any issuing office.

Application for a Young Person’s PhotoCard Please use block capitals Title (Tick box)

Mr

Miss

Proof of age

Family name (Enter one letter in each box)

Please provide one proof of identity and age e.g. Birth Certificate, NHS Medical Card or Passport and a recent full-faced passport size colour photograph.

Declaration First names (Leave a blank box between each name)

Address (Leave a blank box between each section)

I wish to apply for a Metro Young Person’s PhotoCard and certify that the details given herein are correct and agree that I shall comply, in every respect with the Conditions of Use, and agree to abide by the Code of Conduct.

Signature: Date: D D M M Y Y Y Y

For office use only Fee received, eligibility verified and permit issued by: Name of issuing office:

Postcode Date of birth (Day/Month/Year)

D D M M Y Y Y Y

Expiry date of permit issued: D D M M Y Y Y Y

Email (Optional) Serial number of permit issued:

Mobile (Optional) The above will be used to keep you informed of further offers. 11. www.wymetro.com

Metro processes all personal data in accordance with the principles of good information handling contained in the Data Protection Act 1998. We will not sell this information to any other persons or organisations. However, the data collected may be used to provide you with information about the services offered by Metro or public bus and rail operators or other persons or organisations working in partnership with Metro. If you wish to receive such information please tick this box.

www.wymetro.com 12.


YPA