Please provide the information requested below... once we have received this, you will be sent an application form (via SMS and Email) to apply for a bike.

Bike Applications can either be for an individual, or a family.

Please provide the information requested below... - these details should relate to YOU, not the person who would like to receive a bike - once we have received this, you will be sent an application form (via SMS and Email) to submit a Bike Application on their behalf.

Bike Applications can be made for an individual, or a family.

First Name

Last Name

Mobile ✆

Please enter a unique mobile phone number we can use to contact you about this bike application.

Bike Collection Location

Please confirm that - if you are invited to attend a Bike Collection appointment - you will be able to travel to the location provided above

Yes, confirmed

Please confirm that the person(s) you are applying for will be able to travel to collect a bike from the location provided above

Yes, confirmedPlease note - it will not possible for you to collect a bike on their behalf.

Please confirm that - if your application is successful - you will be able to store your bike where you live (we will provide a lock to help with this)

Yes, confirmed

Please confirm that the person(s) you are applying for will be able to store their bike(s) where they live (we will provide a lock to help with this)

Yes, confirmed

Please confirm that the person(s) you are applying for is currently seeking asylum in the UK, or has been granted refugee status (or a positive decision on their asylum claim) in the UK, within the last 2 years

Yes, confirmed

Please confirm that you are currently seeking asylum in the UK, or have been granted refugee status (or a positive decision on your asylum claim) in the UK, within the last 2 years

Yes, confirmed