Your Personal Details

First Name:    Second Name: 

Your age:    Sex:  Male Female   Your E-Mail address: 

Where are you from?

Town/City:    County: 

What is your favorite tipple:  Lager Bitter Cider Ale Stout White wine Red wine Alcopops Spirits Vermouths Liquires Sherry Orange juice Other

If none of these then please enter here: 

The brand of your favorite tipple: 

Your Drinking Ability

Enter your consumption of alcohol units for each day

1/2 pint, 1 short, 1 glass of wine = 1 unit

Do not exaggerate on the figures as proof will be required and you will be expected to perform to these amounts.

Monday:  Tuesday:  Wednsday:  Thursday: 
Friday:  Saturday:  Sunday: 

Further Supporting Details

Briefly explain why you consider yourself an able candidate

Tell us your best drinking story