Names list for the visit to Springfields
This information is required to comply with security and safety regulations
Name of School/Organisation:
Date of visit:
Members of Staff / Adults:
Forename
Surname
Nationality if not British
Forename
Surname
Nationality if not British
Students:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
Names list continues on next page
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Forename
Surname
Nationality if not British
22
23
24
25
26
27
28
29
30
32
32
33
34
35
36
37
38
39
40
I
confirm that the above are all British
Nationals (or have received security clearance), are known to me and attend the above
named school /organisation.
Signed:
Position:
Signature not required if form is emailed
Mobile phone number (if available):
See confirmation letter regarding maximum number of visitors and number of adults required per visit.
Please return to:
Community Relations, Springfields Fuels Ltd., FREEPOST, Springfields, Salwick, PRESTON, PR4 0XP
or fax to: 01772 762155
or email to: deirdre.p.williams@springfieldsfuels.com.
Springfields Fuels Ltd will hold these names on a database. This is to generate the paperwork for the Site visit.
The information will not be given to outside bodies.
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