London Living Rent Application Form

Your application for London Living Rent

1 Moving in

Which development are you interested in? *

Safiya Court, Edgware

Sterry Court, Northolt

Samuelson House, Southall

Is your move date flexible?

Yes

Is there a specific date you need to move by? Please enter the date in the format DD/MM/YYYY

How much notice must you give your current landlord? *

Is this a joint application?

Yes

What is your total gross household income? *

What is your total amount of household savings? *

5 Residency - applicant 1

Are you a British or EU or EEA citizen?

Yes

If applicable, do you have indefinite leave to remain in the UK?

Yes

If applicable, when does your leave to remain (visa) in the UK end?

5 Residency - applicant 2

Are you a British or EU or EEA citizen?

Yes

If applicable, do you have indefinite leave to remain in the UK?

Yes

If applicable, when does your leave to remain (visa) in the UK end? Please enter date in format DD/MM/YYYY

7b Your household - Additional Person 1

Surname *

First name *

Gender

Male

Female

Date of birth * Please enter date of birth in format DD/MM/YYYY

Will there be another person in the household?

Yes

7c Your household - Additional Person 2

Surname *

First name *

Gender

Male

Female

Date of birth * Please enter date of birth in format DD/MM/YYYY

Will there be another person in the household?

Yes

7d Your household - Additional Person 3

Surname *

First name *

Gender

Male

Female

Date of Birth 5 * Please enter date of birth in format DD/MM/YYYY

Will there be another person in the household?

Yes

7e Your household - Additional Person 4

Surname *

First name *

Gender

Male

Female

Date of birth * Please enter date of birth in format DD/MM/YYYY

8 Declaration of interest - applicant 1

Network Homes is not normally permitted to grant benefits to its employees and Committee/Board members or other close relatives as prescribed by Schedule 1 of the Housing Act 1996.

Are you or your partner related to anyone who is, or has been in the last 12 months, a member of Network Homes' Boards, Committees or Staff?

Yes

8 Declaration of interest - applicant 2

Network Homes is not normally permitted to grant benefits to its employees and Committee/Board members or other close relatives as prescribed by Schedule 1 of the Housing Act 1996.

Are you or your partner related to anyone who is, or has been in the last 12 months, a member of Network Homes' Boards, Committees or Staff?

Yes

Disability - Applicant 1

Do you or a member of your household consider yourself disabled? This question is voluntary and is for the benefit matching you to suitable accommodation. If you don't provide the information it would affect matching you to accommodation suitable to your mobility needs.

Yes

Prefer not say

Are you or a member of your household registered disabled?

Yes

Are you or member of your household a wheelchair user?

Yes

Disability - Applicant 2

Yes

Prefer not to say

10 Confirmation - applicant 1

Tick the box to confirm that all the information you have provided is true and correct

I agree the information is true and correct

Disclaimer

Please note, once you submit your details, we will need to share your contact details and housing preferences with our partner Agent who looks after the development your interested in. Please see our Privacy Statement for information on how we process your personal data.

Form not submitting?

If this form will not submit please check you have completed all required sections. Any sections in red will need to be completed before the form can be submitted.

Confirmation - Applicant 2

Tick the box to confirm that all the information you have provided is true and correct *

I agree this information is correct