Housing application

Please do not use your browsers back or forward buttons during this application as it may cause you to lose all your entered information. Please use the next and previous buttons at the bottom of each page.

Mandatory fields are marked with *

Main applicant - Personal details

Title *

Forename *

Surname *

Sex

Date of Birth (dd/mm/yyyy) *

Place of Birth

Nationality *

Share Code

(If you are not a British or Irish citizen, please provide your settled status or Right to Rent Share Code)

National Insurance No. *

Previous Names

Main applicant - Contact details

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

Post Code *

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

Mobile

Home Phone

Work Phone

Your reason for applying *

Joint applicant - Personal details

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. If you are applying as a single applicant, please do not complete any joint applicant fields