ahuk registration form

Date:

Scheme applicant is interested in:

Name of applicant:

Are there any other people in your household who would be resident in your new home?

No, I am single.
Yes, I am single with child/children under the age of 18
Yes, I live with my partner/spouse.
Yes, I live with my partner/spouse with child/children under 18

If you answered that you have children, please state how many children live with you who are under the age of 18?

Child 1: Age Sex:

Child 2: Age Sex:

Child 3: Age Sex:

Child 4: Age Sex:

Are you registered with your local housing authority?

Yes No

Current postal address:

Postcode:

Home telephone number:

Daytime telephone number:

Mobile telephone number:

Email address:

Where did you hear about this scheme?

Employer
Internet
Newspaper Advertisement
Other (please specify below:)

Privacy Statement.

Affordable Homes UK will only pass on information provided on this form to third parties with your prior approval. The information will only be used for the purposes of assessing your eligibility for the scheme

Equal Opportunities.

We treat all our customers fairly regardless of their race, sex, disability or age

Applications will be dealt with on a 'First Come - First Served' basis determined by the date on which the Applicant registers an interest in the scheme with Affordable Homes UK. Registration of an interest in a scheme must be made in writing and forwarded either by post, fax or email. Expressions of interest made by telephone or in person will not be registered. No receipt of communication will be provided unless specifically requested

affordable homes UK

ahuk registration form

Privacy Statement.

Equal Opportunities.