This application, signed by me, is true to the best of my knowledge and belief and has been made in the knowledge that I shall be liable for prosecution if I have wilfully stated anything which I know or believe to be untrue. I declare that I have read and agree with the conditions set out in our terms and conditions.
I understand that failure to complete this form correctly could delay my application.
I, the applicant hereby agree to comply with the terms and conditions set out in this application which has been or will be issued me the applicant and indemnify Colas Ltd and Portsmouth City Council against all claims or proceedings arising out of such application.