Housing Benefit Clam Form And Council Tax Reduction Page 38

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Page 38
Monitoring
Newham Council is committed to a policy of Equal Opportunities. To promote and
monitor this policy, it is necessary to collect certain key information such as ethnic origin,
gender and disability. We will use this information only to promote and monitor the
Council's Equal Opportunities Policy and for statistical purposes. We may share this
information with other Council departments for the same purpose only.
This information will be held and processed in accordance with the Data Protection Act
1998. The Data Controller is the London Borough of Newham.
You do not have to tell us about your ethnic origin, or whether you are disabled,
if you would prefer not to. It will not affect your entitlement to Housing Benefit or
Council Tax Reduction
What is your ethnic group?
Choose ONE section from A to F, then tick ONE appropriate box to indicate your
cultural background. Please also write in more detail on your background below.
A. White
D. Black or Black British
British
Caribbean
Traveller of Irish heritage
Somali
Your preferred
Other Irish
Nigerian
spoken language
Kosovan
Other Black African
If English is not your first
Other Eastern European
Any other Black
language, please give your
background
preferred spoken language in
Gypsy or Roma
(please write in)
the space below.
Turkish or Turkish Cypriot
Other White background
E. Chinese or other ethnic
(please write in)
group
Your country of
Chinese
origin
B. Mixed
Any other
White and Black
(please write in)
Please give your country of
Caribbean
origin in the space below
White and Black
African
F. Other ethnic backgrounds
White and Asian
Afghan
Any other mixed
Filipino
background
(please write in)
Kurdish
Iranian
Iraqi
C. Asian or Asian British
Other middle-eastern
Indian
Disability
background
Pakistani
South or central American
Bangladeshi
Please tick the description that
Any other ethnic group
you think describes you best.
Sri Lankan Tamil
(please write in)
I am registered disabled
Vietnamese
Any other Asian
I consider myself
background
disabled
(please write in)
I am not disabled

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