Home » User Registration ::..

Service Leavers/ex-Services

Section 1: User Details

You must supply your first and last names, and your postcode and county. If you are serving overseas please tell us your home postcode and county and your current BFPO number.

First Name:

Address 1:

Last Name:

Address 2:

Email:

Town/City:

Home Phone:

Postcode:

Mobile:

Country:

What type of accommodation do you live in?

Home Type:

County:

(If Country is not Other)

The name of the prison you are currently in

Prison Name:

(If Home Type is In prison)

Prisoner No:

(If Home Type is In prison)

Serving Overseas:

Yes

BFPO Number:

(If Serving Overseas)

Section 2: Your Services Connection

You may apply for Civvy Street membership if you have ever served in the UK Armed Forces or you are closely related to someone who has served (or is still serving.)

Please select whether you are registering on your behalf or are you closely related to someone who has served (or is still serving)

Your Services Connection:

(If Service Relationship is not self)

The Services / ex-Services Person's Details:
Their First Name	*
Their Surname	*
Date of Death (if applicable):

I served/am servingChild
Widow/widowerGrandchild
Spouse/partnerEstranged

Section 3: Service Details

Please tell us about your military service. If you are a spouse or relative of the serving person, these details relate to their record.

Service Branch:

Last Ship/Shore Base

Service Number:

Service Status:

(if other)

Enlistment Date:

Reason for Leaving:

Discharge Date:

Military Trade:

Section 4: More information about you

This information will help us to advise you on the best learning and work-related services for you.

Date of Birth: