Online Housing Application

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Mandatory fields are marked with *

About You

Main Applicant

Title *

Forename *

Surname *

Sex

Date of Birth (dd/mm/yyyy) *

Place of Birth

Nationality

(If you are not a British or Irish citizen, please provide your settled status or right to rent share code in Section 14)

National Insurance No.

Previous Names

Joint Applicant

If you want your spouse/partner/co-habitee to be re-housed with you, you must enter their details here and complete all the relevant Joint Applicant sections.

Title *

Forename *

Surname *

Gender

Date of Birth (dd/mm/yyyy) *

Relationship to first applicant:

Place of Birth

Nationality

(If you are not a British or Irish citizen, please provide your settled status or right to rent share code in Section 14)

National Insurance No.

Previous Names

Contact Details

Main Applicant

Address line 1*Address line 2*Address line 3Address line 4

Post Code *

Date moved into current address (dd/mm/yyyy)

Home Phone

Work Phone

Mobile

Your reason for applying *

Joint Applicant

Tick here if same address as main applicant.

Address line 1Address line 2Address line 3Address line 4

Post Code

Date moved into current address (dd/mm/yyyy)

Home Phone

Work Phone

Mobile