WRITE NO MORE THAN THREE WORDS OR A NUMBER FOR EACH ANSWER

Questions 1 – 5: Write NO MORE THAN THREE WORDS OR A NUMBER for each answer. WESTLEY PUBLIC LIBRARY MEMBERSHIP APPLICATION FORM Example answer: NAME: Camden FIRST NAME: Peter ADDRESS: Flat 5 53 (1) _________________________________ Finsbury POSTCODE: (2) ____________________________________ DATE OF BIRTH: 8th July (3) _____________________________ HOME TEL: None MOBILE TEL: (4) ___________________________________ PROOF OF RESIDENCE PROVIDED:(5) ______________