Barrhead Housing Application Form

1. Information about you

If you are applying for a house with someone else, you must put the details of this person in the 'joint applicant' section. If you are applying on your own, please leave the 'joint applicant' section blank.

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* Applicant Details

Full Name

Date of Birth

National Insurance Number

Email Address

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* Previous Names (e.g. Maiden name)

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* Contact Numbers

Mobile

Home

Work

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* Current Address

Address

Address 2

City/Town

ZIP/Postal Code

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* Correspondence Address (if different from above)

Address

Town

Postcode

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* Landlord's Name & Address (if you own your own property please enter "owner")

Name

Address

Town

Postcode

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5% of survey complete.