New tenant registration form New tenant registration form New tenant sign up form Step 1 of 11 9% About youI confirm that I have read the tenancy agreement. I fully understand the tenancy obligations that I will be entering into by signing this agreement I confirm Did you bid for this home on the waiting list, or are you completing a mutual exchange I bid on the waiting list I am doing a mutual exchange Title(Required)MrsMissMsMrFull name(Required) Email address Main telephone number(Required)Telephone number 2National insurance number(Required) Do you know anyone who works for us or is on our board Yes No How do you know this person? The address of the property you have been offered ?(Required) Your identificationPlease upload two identification documents. Proof of Address (bank statement or utility bill no more than 3 months old) and proof of photo Identification (passport, driving license or birth certificate) If you can’t find both, please upload what you can and bring the other(s) with you when you come to sign the tenancy agreement.Please upload a photo or photocopy of your passport, photo driving licence or other document showing your name and a photograph of you(Required) Drop files here or Select files Accepted file types: jpg, gif, png, pdf, wpd, doc, docx, csv, svg, tif, avi, flv, m4v, mkv, mov, mp4, mpg, webm, wmv, ppt, pptx, xls, xlsx, vsd, psd, heif, dwg, vtx, psd, mpp, mpx, Max. file size: 120 MB. Please upload a photo or photocopy of a letter (not from us) addressed to you in the last two months showing your name and current address(Required) Drop files here or Select files Accepted file types: jpg, gif, png, pdf, wpd, doc, docx, csv, svg, tif, avi, flv, m4v, mkv, mov, mp4, mpg, webm, wmv, ppt, pptx, xls, xlsx, vsd, psd, heif, dwg, vtx, psd, mpp, mpx, Max. file size: 120 MB. Please upload any other supporting documents Drop files here or Select files Accepted file types: jpg, gif, png, pdf, wpd, doc, docx, csv, svg, tif, avi, flv, m4v, mkv, mov, mp4, mpg, webm, wmv, ppt, pptx, xls, xlsx, vsd, psd, heif, dwg, vtx, psd, mpp, mpx, Max. file size: 120 MB. Additional needsIf you need an interpreter or text translated, please tell us which language? Do you need help with reading written communications?(Required) Yes No If you would prefer written communications in large print or Braille please choose one below Large print Braille Do you have any physical or mental health conditions or illness lasting or expected to last for 12 months or more? Vision – e.g. blindness or partial sight Hearing – e.g. deafness or partial hearing Mobility – Wheelchair user. difficulty walking short distances or climbing stairs Stamina or breathing or fatigue Learning/understanding or concentrating Memory Mental health Neurodiversity – e.g. autism (ASD), ADHD etc. Other None Not including any joint tenantsIf you have selected any of the above please provide further information where you feel it necessary(Required) Are you supported by any other agency? If yes please provide information below Are you a care leaver? Yes No If you have a support worker please provide their name and contact details below Is anybody in the household pregnant? Yes No Tenant prefers not to say Employment and incomeYour employment(Required) Prefer not to say Full time (30+ hours a week) Part time (less than 30 hours a week Government training/ New deal Job seeker Retired Not seeking work Full-time student Unable to work due to long term sickness or disability Child under 16 Other How often does the household receive income?WeeklyMonthlyAnnuallyWhat is your household's net weekly income (after tax deductions) including earning and benefits(Required) Are you in receipt of any benefits please select below which benefits your receive(Required) No Universal Credit housing element Pension or pension credit Housing Benefit Other What date each month do you receive your Universal Credit payment? How much of the household's income is from Universal Credit, state pensions or benefits? All Some None Don’t know Are you affected by the benefit cap? Yes No Not sure Is your Universal Credit claim joint or sole? Joint Sole If you are not currently claiming Universal Credit will you be making a claim once you have moved? Yes No Have you advised either Housing Benefit or the DWP about your change of circumstances? Yes No Emergency contactPlease tell us who we should contact if we can’t get hold of you. We will only contact this person in emergencies. If you choose ‘joint tenant’ please proceed to the next sectionWho would you like us to contact in an emergency? Relationship to you Will this person hold a key to the home? Yes No Email address Main telephone numberPhone number 2Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Country Equality and Diversity monitoring sectionWhat is your gender? Female Male Prefer not to say Non-Binary Do you identify as transgender? Yes No Prefer not to say What is your ethnicity Asian or Asian British – Bangladeshi Asian or Asian British – Chinese Asian or Asian British – Indian Asian or Asian British – Pakistani Asian or Asian British – other (please describe in ‘other’ box below) Black or Black British – African Black or Black British – Caribbean Black or Black British – other (please describe in ‘other’ box below) Middle Eastern and North African – Arab (Middle Eastern) Middle Eastern and North African – Arab (North African) Mixed Heritage – Please describe in ‘other’ box below White – English, Northern Irish, Scottish, Welsh White – Irish Gypsy or Irish Traveller White – Other (please describe in ‘other’ box below) Prefer not to say Other Ethnic origin is not about nationality, place of birth or citizenship. It is about the broad ethnic group to which you think you belong.What is the lead tenant’s nationality United Kingdom Republic of Ireland European Economic Area (EEA) country, excluding Ireland Afghanistan Ukraine Tenant prefers not to say Other What is your sexual orientation Bisexual Gay/Lesbian heterosexual/Straight Prefer not to say Other What is your religion or belief Buddhist Christian Hindu Jewish Muslim Rastafarian Sikh Prefer not to say No religion Other Your previous housingWhat were the main reasons you left your last settled home?Was the reason for leaving to prevent being affected by the bedroom tax? No Yes How long has your household continuously lived in the local authority area where the property is located? Just moved to the area Less than a year Between 1 and 2 years Between 2 and 3 years Between 3 and 4 years Between 4 and 5 years More than 5 years Don’t know How long has the household been on the local authority waiting list for the new letting? Under 1 year 1 year but under 2 years 2 years but under 3 years 3 years but under 4 years 4 years but under 5 years 5 years or more Don’t know UK Armed ForcesDoes anybody in the household have links to the UK armed forces? No Yes, as a regular Yes, as a reserve Yes – person is a spouse or civil partner of a UK armed forces member and bereaved or separated within the last 2 years. Prefer not to say If they ever served as a regular, did they leave … ? Up to and including 5 years ago More than 5 years ago Are still serving Prefer not to say Has anyone in your household been seriously injured or ill as a result of their time and activities serving as a regular or reserve? Yes No Prefer not to say Your householdFull name Employment status Full time – more than 30 hours a week Part time – less than 30 hours a week Government training or new deal Job seeker Retired Not seeking work Full-time student Unable to work – long term sickness or disability Child under 18 Other adult Prefer not to say What relation is this person to you? Would you like to add another person after this one?(Required) No Yes Occupant 1Full name Employment status Full time – more than 30 hours a week Part time – less than 30 hours a week Government training or new deal Job seeker Retired Not seeking work Full-time student Unable to work – long term sickness or disability Child under 18 Other adult Prefer not to say What relation is this person to you? Would you like to add another person after this one?(Required) No Yes Occupant 2Full name Employment status Full time – more than 30 hours a week Part time – less than 30 hours a week Government training or new deal Job seeker Retired Not seeking work Full-time student Unable to work – long term sickness or disability Child under 18 Other adult Prefer not to say What relation is this person to you? Would you like to add another person after this one?(Required) No Yes Occupant 3Full name Employment status Full time – more than 30 hours a week Part time – less than 30 hours a week Government training or new deal Job seeker Retired Not seeking work Full-time student Unable to work – long term sickness or disability Child under 18 Other adult Prefer not to say What relation is this person to you? Would you like to add another person after this one?(Required) No Yes Occupant 4Full name Employment status Full time – more than 30 hours a week Part time – less than 30 hours a week Government training or new deal Job seeker Retired Not seeking work Full-time student Unable to work – long term sickness or disability Child under 18 Other adult Prefer not to say What relation is this person to you? Would you like to add another person after this one?(Required) No Yes Occupant 5Full name Employment status Full time – more than 30 hours a week Part time – less than 30 hours a week Government training or new deal Job seeker Retired Not seeking work Full-time student Unable to work – long term sickness or disability Child under 18 Other adult Prefer not to say What relation is this person to you? Would you like to add another person after this one?(Required) No Yes Occupant 6Full name Employment status Full time – more than 30 hours a week Part time – less than 30 hours a week Government training or new deal Job seeker Retired Not seeking work Full-time student Unable to work – long term sickness or disability Child under 18 Other adult Prefer not to say What relation is this person to you? Would you like to add another person after this one?(Required) No Yes Occupant 7Full name Employment status Full time – more than 30 hours a week Part time – less than 30 hours a week Government training or new deal Job seeker Retired Not seeking work Full-time student Unable to work – long term sickness or disability Child under 18 Other adult Prefer not to say What relation is this person to you? Would you like to add another person after this one?(Required) No Yes Occupant 8Full name Employment status Full time – more than 30 hours a week Part time – less than 30 hours a week Government training or new deal Job seeker Retired Not seeking work Full-time student Unable to work – long term sickness or disability Child under 18 Other adult Prefer not to say What relation is this person to you? Permission to contact youFinally, we’d like to ask for your permission to contact you occasionally about things we feel will be helpful to you. You’ll be able to change your preferences at any time.Additional services and events Yes, I am happy for you to contact me occasionally about additional services or events that might benefit me No thank you Confirmation messageBy submitting this form, you are confirming that all information you have supplied is true and accurate. Thank you again for accepting our offer to rent one of our properties.EmailThis field is for validation purposes and should be left unchanged. Δ
