Application Number (staff use only): Section 1: Your details You Joint Applicant NAME & CONTACTS Mr, Mrs, Miss, Ms, Dr etc. First name Surname or family name Previous names (if applicable) Daytime telephone Mobile telephone Work telephone Email address Address including postcode Time living at current address Name, address and telephone of your Name: Name: current landlord, agent or housing Address: Address: association. We will contact them for a reference. Telephone: Telephone: Email: Email: What is your current housing Council tenant Council tenant situation (please underline your Housing association tenant Housing association tenant selection) Private tenant Private tenant Owner occupier Owner occupier Living with family/friends Living with family/friends Other: Other: Your relationship to joint applicant You Joint Applicant PROPERTY OWNERSHIP Do you own any property in the UK or abroad? Yes No Yes No If yes, give details: You Joint Applicant PERSONAL DETAILS Date of birth Age Gender National Insurance number First language
Application Number (staff use only): Section 1: Your details NAME & CONTACTS You Joint Applicant Mr, Mrs, Miss, Ms, Dr etc. First name Surname or family name Previous names (if applicable) Daytime telephone Mobile telephone Work telephone Email address Address including postcode Time living at current address Name, address and telephone of your current landlord, agent or housing association. We will contact them for a reference. Name: Address: Telephone: Email: Name: Address: Telephone: Email: What is your current housing situation (please underline your selection) Council tenant Housing association tenant Private tenant Owner occupier Living with family/friends Other: Council tenant Housing association tenant Private tenant Owner occupier Living with family/friends Other: Your relationship to joint applicant PROPERTY OWNERSHIP You Joint Applicant Do you own any property in the UK or abroad? Yes No Yes No If yes, give details: PERSONAL DETAILS You Joint Applicant Date of birth Age Gender National Insurance number First language
Housing-Registration-Form-Sept-2016.docx