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* First Name

* Last Name

* Have you ever been known by any other names, including maiden names?

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* Date of Birth

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* Children

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* THANK YOU FOR TAKING THE TIME TO FILL OUT YOUR APPLICATION FORM.

By submitting this application you agree that we may share the information supplied herein with members of our production team, the professional production psychologist (where applicable) and the commissioning broadcaster of the programme. Optomen Television and the broadcaster will use the personal details supplied only for the purposes of considering this application and administration associated therewith. Personal information will not be passed to anyone except where necessary to develop and produce the programme or where we are obliged to do so. The information will be kept securely and in accordance with the Data Protection Act 2018 and other applicable legislation
 
If you have granted permission for us to store your details in our Contributor Database we will retain those details for two (2) years from the date of submission. You have the right of access to the information held and used by Optomen.  If at any point you decide that you no longer want Optomen to hold, use or process any of your personal information or you want to update your contact details please email our Data Controller at otv@optomen.com marking your email “Data Protection Request” and we will amend or remove your personal information from our records.
For more information on how we process your data please see our Contributor Privacy Notice https://www.optomen.com/privacy-policy

You explicitly consent to the processing of your special category data (for example data relating to your health or ethnicity) for the purposes set out above.

Where you have supplied us with information about other members of your household or family, you confirm that you have their explicit consent to do so.

Have you read and agreed to the above?

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