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* Please complete the highlighted field
Surname*:
Forename*:
Email*:
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Address*:
Town*:
County*:
Postcode*:
Tel No*: (Please include STD code)

Species Seen (Scientific or Common name)*:
Location of record*:

Grid reference (6 or 8 figure)*:
How to take a grid reference

Date of record (dd/mm/yyyy)*:
  

Determiner of record (if different to above person):

Sex/Stage (e.g. Male, Juvenile, Larva, etc)

Abundance (Count of sighting)

Comments:

In sending this form to the Berks, Bucks & Oxon Wildlife Trust I understand the data provided by the recorder will be entered into a computerised database and may be passed on to their partners and will be used for nature conservation, research, education and public information purposes for the benefit of biodiversity. The wildlife information remains the property of the recorder at all times.

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