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CONSULTATION - REVIEW OF SCOTTISH DIGITAL INCLUSION POLICY

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Appendix Two
RESPONDENT INFORMATION FORM - REVIEW OF SCOTTISH DIGITAL INCLUSION POLICY

This form is also available in Rich Text Format (RTF) and Portable Document Format (PDF). How to respond to this consultation.

Please complete the details below and return it with your response. This will help ensure we handle your response appropriately. Thank you for your help.

Name:

Address:

Email Address:

1. Are you responding:

a) as an individual

  • YES (If YES go to Q2a/b and then Q4)
  • NO

b) on behalf of a group/organisation

  • YES (If YES go to Q3 and then Q4)
  • NO

INDIVIDUALS

2a. Do you agree to your response being made available to the public (in Scottish Executive library and/or on the Scottish Executive website)?

  • YES (go to 2b below)
  • NO, not at all. We will treat your response as confidential.

2b. Where confidentiality is not requested, we will make your response available to the public on the
following basis ( please circle one of the following options).

  • Yes, make my response, name and address all available
  • Yes, make my response available, but not my name or address
  • Yes, make my response and name available, but not my address

ON BEHALF OF GROUPS OR ORGANISATIONS

3. The name and address of your organisation will be made available to the public (in the Scottish Executive libary and/or on the Scottish Executive website. Are you also content for your response to be made available?

  • YES
  • NO. We will treat your response as confidential.

SHARING RESPONSES/FUTURE ENGAGEMENT

4. We will share your response internally with other Scottish Executive policy teams who may be addressing the issues you discuss. They may wish to contact you again in the future, but we require your permission to do so. Are you content for the Scottish Executive to contact you again in the future in relation to this consultation response?

  • YES
  • NO

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Page updated: Wednesday, November 16, 2005