Housing Application Form

Please Note: Incorrect or incomplete applications will not be processed.

Please complete all fields marked *

Section 6 - Ethnic Origin and References:

The information given in this section will be treated in strict confidence and will only be used for statistical gathering. The Association is committed to ensuring all registrations are treated equally, if however you do not wish to complete this section, please be assured that your registration will not be affected

How would you describe your Ethnic Origin? *

Please provide names, addresses and contact numbers of two non-related professional people (e.g Doctor, Bank Official, Police Officer, Current or Former Landlord) for a ref.

Reference 1

Name

Full Address

Contact Number

Profession (ie Landlord)

Reference 2

Name

Full Address

Contact Number

Profession (ie Landlord)

If you are the owner/Occupier

Do you have a mortgage or own the property outright? Mortgage Own the property outright

Who is your mortgage with?

What are your monthly mortgage payments?

How much of the mortgage is outstanding?

If you are a tennant

Who is your landlord?

What is your landlord's address?

Is your landlord related to you? Yes No

What type of tennancy do you have?

How much is your weekly rent?

Are there any arreas on your rent account?

Have you ever been in breach of tennancy? Yes No

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