Register at The Mill and Brook

Please fill out the form below, you will be able to sign it electronically and then download it. Once it's downloaded you can then send it to the correct electoral office. The email and address for the electoral office are provided in the next step. Please review the form before sending. If there are any inaccuracies you will be able to come back to this page, make changes and download again. The electoral services may contact you and ask about your connection to this constituency.

Your name

Have you changed your name?

Do you know your date of birth?

Date of birth

Do you know your nationality?

If you have more than one nationality, please include them all.

Do you know your national insurance number?

Your national insurance number

Have you moved house in the last 12 months?

Your contact details

Providing your contact details is optional but gives the electoral comission a quick and easy way to contact you about your application.

Do you want your details included in the Open register?

Have you submitted an application to register anonymously?

Can you vote in person?

How would you like to receive information about your registration?

Your declaration

I confirm that I am a British, Irish, European Union or qualifying Commonwealth citizen. (Qualifying Commonwealth citizens are people who have leave to enter or remain in the UK or who do not require such leave) To the best of my knowledge, the information in this form is true. I understand that the information I have given on this form will be used on the electoral register. I understand that it is an offence to knowingly give false information in this form, and that I could face an unlimited fine and/or up to six months in prison.