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14 Adams Close, Long Itchington
3 Nightingale Close, Great Alne
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Register of Interest Form
Register of Interest Form
Data consent / Holding your information: Please confirm that you consent to emh group ltd obtaining and holding your information
*
As per
our privacy policy
. You can remove consent by contacting us
dataprotection@emh.co.uk
Main applicant's title (Mr, Mrs etc.)
*
Main applicant's forenames
*
Main applicants surname
*
Joint applicant's title (Mr, Mrs etc.)
Joint applicant's forenames
Joint applicant's surname
Number of children in the household
0
1
2
3
4
5
6
Address name/number
Street
Village
County
Postcode
Main applicant's Telephone number
Main applicant's Email address
*
Main applicant's Date of birth
Joint Applicant Date of Birth
Main Applicant Ethnicity
White: English/Scottish/Welsh/Northern Irish/British
White: Irish
White: Other
Mixed: White & Black Caribbean
Mixed: White & Black African
Mixed: White & Asian
Mixed: Other
Asian: Indian
Asian: Pakistani
Asian: Bangladeshi
Asian: Other
Black: Caribbean
Children's home or foster care
Black: Other
Chinese or other ethnic: Chinese
Chinese or other ethnic: Other
Refused
White: Gypsy/Irish Traveller
Chinese or other ethnic: Arab
Joint Applicant Ethnicity
White: English/Scottish/Welsh/Northern Irish/British
White: Irish
White: Other
Mixed: White & Black Caribbean
Mixed: White & Black African
Mixed: White & Asian
Mixed: Other
Asian: Indian
Asian: Pakistani
Asian: Bangladeshi
Asian: Other
Black: Caribbean
Children's home or foster care
Black: Other
Chinese or other ethnic: Chinese
Chinese or other ethnic: Other
Refused
White: Gypsy/Irish Traveller
Chinese or other ethnic: Arab
Village applying for
*
Alcester
Baginton
Barford
Bearley
Bishops Tachbrook
Brailes
Brinklow
Broom
Church Lawford
Claverdon
Coughton
Earlswood
Ettington
Fenny Compton
Great Alne
Great Wolford
Halford
Hampton in Arden
Harborough Magna
Harbuy
Hatton
Hatton Station
Henley in Arden
Ilmington
Kineton
Little Compton
Long Compton
Long Itchington
Loxley
Long Lawford
Middle Tysoe
Norton Lindsey
Priors Marston
Radford Semele
Ryton on Dunsmore
Shipston on Stour
Snitterfield
Southam
Stockton
Stoneleigh
Stourton
Stratford
Stretton on Fosse
Studley
Tanworth in Arden
Ullenhall
Upper Tysoe
Wellesbourne
Weston under Wetherley
Whatcote
Wootton Wawen
Local Connection Criteria
*
To be placed on our register of interest, the Association does require applicants to meet a strict section 106 local connection criteria. Please select from the following options your connection to the village you are applying for;
I currently live in the Village/Parish
I used to live in the Village/Parish
I work in the Village/Parish
I have close relatives in the Village/Parish
Please give further details regarding your connection to the village e.g. How long you have lived/worked in the Village/Parish, any close relatives who live in the Village/Parish.
*
Do you wish to rent or buy?:
*
Rent
Buy
Number of bedrooms required
1
2
3
4
Type of property required
Flat
House
Bungalow
Current tenure
(eg. renting with a social housing provider, private renting, living with family etc)
Why are you applying for housing?
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