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Please select single or joint application
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    First Applicant   Second Applicant
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Title      
Name      
Address      
     
     
How long have you been at this address?  
If less than 3 years, please give your previous address
   
     
     
     
Home Phone      
Work Phone      
Mobile      
Email      
Date of Birth?      
In which Local Authority area do you live?      
Are you a British or EU citizen?      
Is your passport stamped with "indefinite leave to remain in the UK"?    
What size of property do you require?    
Please give details of all the people who will live with you in your new home:
Name Age Relationship Occupation (over 16) male/female
Is anyone in the household disabled?        
Is anyone in the household a wheelchair user?      
EMPLOYMENT DETAILS
Occupation      
Part time / Full time      
Are you permanently employed?      
Are you on a fixed contract?      
If yes contract end date?      
Are you self employed?      
Name & Address of Employer / Business  
     
     
Who should we contact for a reference? Please give contact number
     
How long have you worked for this employer / been self employed?
     
What local authority area do you work in?
     
FINANCIAL DETAILS
Gross annual Income      
Any bonus / profit share      
Net monthly income      
Approximate monthly overtime income      
Other regular monthly income e.g. family allowance, pension, maintenance, housing benefit - please state
     
Child tax credit      
Working tax credit      
MONTHLY OUTGOINGS
Rent / Mortgage      
Bank loans / credit cards / HP / catalogues      
Council tax / utility bills / phone bills      
Other monthly outgoings      
e.g. maintenance payments - please state      

If you have ever defaulted on a loan agreement (e.g. credit or store card) OR if you have any County Court Judgements registered against you, OR if you have arrears in rent/mortgage payments, please give details below. Newlon Housing Trust or its agents may carry out a credit reference before any offer of a home is made, and you may have problems in obtaining a mortgage.

SAVINGS / ASSETS

Please give details of any savings your have

     
Savings institution:     

If you have no savings but will be able to raise money from other sources (e.g. family loan) please give details here:

     

If you currently own a property (within or outside the UK), please give details below:

Address:     
Approximate value:     
Outstanding Mortgage:     

If you will be sharing any equity from this property with another owner (e.g. a former spouse)

How much of the equity will be yours?:     
Who presently lives in this property?:     
PRESENT HOUSING CONDITIONS

At your present address are you:

A council tenant:     
A housing association tenant:     
Renting privately:     
Living with family / friends:     
An owner occupier:     
Other (please state):     
CURRENT PROPERTY DETAILS
Type of property e.g. house / flat:     
If a flat, what floor?:     
Number of bedrooms:     

Are any facilities shared with other residents who are not members of your household? If so, which facilities?

     

If renting, please provide the name and address of your landlord.

     
Are you registered on your local authority housing list?      
Registration Number     

We operate in the following London Boroughs - please tick the ones you would consider living in:




PLEASE GIVE YOUR REASONS FOR APPLYING TO THIS PROPERTY.
Your application may not be considered if you do not complete this section.

Make sure you let us know about any circumstances which you have not told us about elsewhere on the form, e.g. overcrowding, health, financial issues etc.

HOW DID YOU HEAR ABOUT THE PROPERTY YOU ARE APPLYING FOR?



If Newspaper / magazine (which publication)

If Other (please state)
EQUAL OPPORTUNITIES
Newlon Housing Trust aims to ensure that all applications are considered for housing fairly and equally regardless of ethnic or national origin, age, religion, disability, gender or sexuality. To ensure this policy is implemented, please complete the information below to assist us in monitoring the ethnic origin of applications / purchasers.
HOW WOULD YOU DESCRIBE THE ETHNIC ORIGIN OF YOUR HOUSEHOLD?
White: 


Mixed: 


Asian or Asian British: 



Black or Black British: 


Chinese or other ethnic group: 

Question Refused: 
 
DATA PROTECTION ACT 1998

Newlon complies with the requirements of the above act and provides the following information in connection with it:

  • The names of the Data Controllers are Newlon.
  • Data is collected from applicants for Home Ownership and rented accommodation and processed by the Sales & Marketing department in connection with their application for Home Ownership.
  • Applicants are entitled to receive a copy of any data held about them including the source of information. They do not have a right to see information that has been provided by a third Party (unless that party consents) or information that is sent to one.
  • Applicants who require this information should request it in writing from the Head of Property Sales & Marketing at Newlon. The information will be supplied within 40 days of the request being made.
  • Applicants should inform Newlon immediately if any of their personal details change, in order that records can be kept up to date.
  • In connection with our commitment to provide a quality service to its customers, we may occasionally supply personal data held to THIRD PARTIES - for example in connection with approval and prioritisation of applicants. Information will be passed to the Local Authority and may be passed to other Low Cost Home ownership organisations, or the Housing Corporation.

I understand that this data will only be used for the purpose of Home Ownership or rental approval and records. It will only be disclosed to other such bodies as is necessary for that purpose.

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