idealchoicehomes.co.uk - New household registration

New household registration

You need to submit this form within 30 minutes otherwise your details will not be saved and you will need to start again

New household registration

Household details

Personal details

Title:*

First name:*

Surname:*

Any Previous Surnames:

Date of Birth:* (dd/mm/yyyy)

Gender:*

National Insurance Number:

Nationality:*

Ethnic origin:*

Religion:

Other (state):

How would you define your sexual orientation?

Do you identify yourself as transsexual? i.e. someone who intends to undergo, is undergoing or has already undergone gender re-assignment:

Are you subject to immigration control and do not have access to public funds:*

If you are unsure please contact a member of the Ideal Choice Homes team on (01524) 582005, before you complete an online social housing application.

You may need to provide documentation which confirms your Immigration status.

Please note we may undertake checks with the Border Agency to confirm your immigration status.

Current address details

Address 1:*

Address 2:*

Address 3:

Address 4:

Address 5:

Post code:*

Date moved into this address:* (dd/mm/yyyy)

Home telephone number:*

Work telephone number:

Mobile telephone number:

Email address:

Current landlord

Who is your current landlord? Please leave blank if they are not on the list:

Memorable Date

You need to set a memorable date to use when you log in next.

Please make sure you remember your new memorable date as you will need it when you log in next

Enter your new memorable date:* (dd/mm/yyyy)

Enter your new memorable date again:* (dd/mm/yyyy)

Contact address

Same as current address? yes no

If yes, then please ignore the following address fields

Description:*

Address line 1:*

Address line 2:*

Address line 3:

Address line 4:

Address line 5:

Postcode:*

Email: