Aldwyck Application For Housing Page 9
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20Part 10: where you live now (continued)
If you are a tenant, please give us the name, address and phone number of your landlord.
You
Second person applying
Name
Name
Address with postcode
Address with postcode
Phone number
Phone number
Have you been asked to leave your present home within the next 28 days?
Yes
No
If yes, please contact the councils Housing Advice Team on 01438 242666.
Part 11: your current housing situation
Please use this section to tell us about the property you live in now
You
Second person
Is your home self-contained?
Yes
No
Yes
No
This means you do not have to share facilities
with other households
If your home is not self-contained, do you
Yes
No
Yes
No
share facilities with members of your family?
Is your home tied to your employment?
Yes
No
Yes
No
Is your home owned by HM Forces?
Yes
No
Yes
No
Facilities – please tell us which of the following you have. If the facility is for your household only,
tick yes. If you share them, tick shared. If you do not have them at all, tick no.
You
Second person
Kitchen
Yes
Shared
No
Yes
Shared
No
Yes
Shared
No
Yes
Shared
No
Bath or shower
Yes
Shared
No
Yes
Shared
No
Inside toilet
Outside toilet
Yes
Shared
No
Yes
Shared
No
Yes
Shared
No
Yes
Shared
No
Hot water
Yes
Shared
No
Yes
Shared
No
Cooking facilities
Garden or other play area
Yes
Shared
No
Yes
Shared
No
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