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Name
Address
Home Phone No
Mobile Phone No
Email
Date of birth
I held a Professional Jockeys Licence
From
To
The trainers that I worked for included:
Trainer 1 - Name
From
To
Trainer 2 - Name
From
To
Trainer 3 - Name
From
To
Trainer 4 - Name
From
To
Family Details
Single
Married
Separated
Number of Children
Number of Children under 18 years
Name of Spouse/ Partner
Sources of income/financial support:
State support €
Employer €
Jockeys Accident Fund €
Jockeys Pension €
Other income €
The Drogheda Memorial Fund €
Total per week €
My financial outgoings include:
Please enter details in this box
My medical conditions include:
Please enter details in this box
Welcome
Trustees
Friends of IJT
Who is covered
What is covered
Causes of cover
Needs assessment
A new work life
Other Assistance
