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Apply For Housing
Declaration
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Do you have a personal connection with anyone who is a committee / staff member of Housing Association
Yes
No
I have a personal connection with
The nature of the connection is
I/We certify that the information given in this application is a true record of my/our present circumstances.
I consent to Housing Association making any enquiries, as may be necessary, to verify the information provided in this application.
I/We understand any false or misleading information, or relevant information being withheld, may result in:
a) The application being cancelled and removed from the Housing List
b) An offer of a tenancy being immediately withdrawn
c) Legal proceedings being taken for repossession of the tenancy if a tenancy has already been granted
I/we agree to notify the Association of any change in my / our circumstances described in this application.
I/We give our consent to processing of personal data, including sensitive personal data, in this application form and fully understand the Association will process the information contained in this application form, and any other relevant information it obtains in connection with the application, as per current data protection legislation and regulations.
Tick to indicate you have read and agree to the statements shown above:
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