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First Name
Surname

Emails do not match. Please ensure you have entered the correct email address.

Personal Contact Number
Company
What town do you live in?
To help us with planning, please tell us when you want to start working from home? If you do not yet know, please leave this blank.
date_range
What is the LCS asset number of the PC at work that you are connecting to from home?
What is the LCS asset number of the company laptop?

Using the Internet Speed Calculator at the bottom of this page, please populate the following information. 

Note: This must be completed from home whilst connected to your home internet.

Download Speed ↓ (Mbps)
Upload Speed ↑ (Mbps)
I confirm I have completed this form from home

Note: This must be completed from home whilst connected to your home internet.

Anything else you would like to add?
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