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RESPONDEE INFORMATION FORM
Please complete the details below and attach it with your response. This will help ensure we handle your response appropriately:
Name:
Postal Address:
Consultation title: Diffuse Water Pollution from Rural Land Use
1. Are you responding as: (please tick one box)
(a) an Individual [ ] (go to 2a/b)
(b) on behalf of a group or organisation [ ] (go to 2c)
2a.INDIVIDUALS:
Do you agree to your response being made available to the public (in SE library and/or on
SE website)?
Yes (go to 2b below) [ ]
No, not at all [ ]
2b. Where confidentiality is not requested, we will make your response available to the public on the following basis (please tickone of the following boxes)
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 [ ]
2c ON BEHALF OF GROUPS OR ORGANISATIONS:
Your name and address as respondees will be made available to the public (in the SE library and/or on SE website). Are you content for your response to be made available also?
Yes [ ]
No [ ]
SHARING RESPONSES/FUTURE ENGAGEMENT
3. We will share your response internally with other SE 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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