Territorial Army Enquiry Form
What are you enquiring about?
Who are you?
Title
Please select Mr Mrs Miss Ms Doctor Professor Other
(if other please give details)
First name
Surname
Gender
Nationality
Date of Birth
DD 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 MM Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec YYYY 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 * (please select)
About you?
How many hours exercise do you do a week?
select hours 0 1-3 4+ *
Have you ever been a member of a youth or military organisation?
please select Yes No *
Have you ever had a friend or relative in the Armed Forces?
please select Yes No *
Are you in, or do you intend to go into further education?
please select Yes No *
If yes, in what year do you think you will complete your education?
select year 2005 2006 2007 2008 2009 2010 *
Where are you?
House name/number
Street name
Town
County
Select County Non - UK address Aberdeenshire Angus Argyll and Bute Ayrshire and Arran Avon Banffshire Bedfordshire Berkshire Berwickshire Borders Bristol Buckinghamshire Cambridgeshire Caithness Central Cheshire City of Aberdeen City of Belfast City of Glasgow City of Dundee City of Londonderry Clackmannan Cleveland Clwyd Cornwall County Antrim County Armagh County Down County Fermanagh County Londonderry County Tyrone Cumbria Derbyshire Devon Dorset Durham Dumbartonshire Dumfries and Galloway Dyfed East Lothian East Riding of Y'shire East Sussex Essex Fife Gloucestershire Grampian Greater London Greater Manchester Gwent Gwynedd County Hampshire Herefordshire Hertforshire Highland Humberside Inverness Isle of Wight Isles of Scilly Kent Kincardineshire Lanarkshire Lancashire Leicestershire Lincolnshire Lothian Merseyside Mid Glamorgan Middlesex Midlothian Moray Nairn Norfolk North Yorkshire Northamptonshire Northumberland Nottinghamshire Orkney Oxfordshire Perth and Kinross Powys Renfrewshire Ross and Cromarty Roxnurgh,Etterick,Lauderdale Rutland Shetland Shropshire Somerset South Glamorgan South Yorkshire Staffordshire Stirling and Falkirk Strathclyde Suffolk Surrey Sutherland Stewarty of Kirkcudbright Tayside Tweeddale Tyne and Wear Warwickshire West Glamorgan West Lothian West Midlands West Sussex West Yorkshire Western Isles Wigtown Wiltshire Worcestershire SELECT> *
Country
Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia (local Name: Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-bissau Guyana Haiti Heard and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic Of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic Of Korea, Republic Of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia, The Former Yugoslav Republic Of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Moldova, Republic Of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia (Slovak Republic) Slovenia Solomon Islands Somalia South Africa South Georgia and The South Sandwich Islands Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province Of China Tajikistan Tanzania, United Republic Of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates Please Select United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Yugoslavia Zaire Zambia Zimbabwe
Postcode
Telephone number
Mobile phone number
E-mail Address
Do you have a driving licence?
Licence type held
Car HGV LGV PCV None Please select *
What is your current occupation? *
Have you any skills that you would like to use in the TA?
Do have any previous military experience?
Where did you hear of this website?
Please tell us where you heard of this web site:
Please select Club Asia Scottish Soldier ASCAR Race Advertising Coupon Directory Enquiries Local Press National Press National Magazines Job Centre Letter Enquiry Library Referred By Friend Referred By Regular Army TV - National AD SKY TV Thompson Local Directory Not Known Advert on Vehicle Radio - National Radio - Local Radio - Forth 1 , Clyde 1 Radio - Radio Tay, Radio - North Sound Radio - Moray Firth Radio - Kingdon FM Radio - Beat 106 White Pages - Telephone Book Yellow Pages Not Stated use your NVQ website Other website Internet search Other (if other please give details)
Data protection and freedom of information
From time to time, the Territorial Army may wish to contact you about various aspects of TA life. By completing this form you are requesting further information from us but under the rules of the Data Protection Act you also have to indicate if you will allow us to contact you again in the future. If you would like to receive further information, please tick here: Click here if you would like to know more about our privacy policy .
