1. Full name & National Insurance Number of present tenant(s):
2. Address: Daytime Telephone Number:
3. Details of any adaptions to the house:
4. House size and type:
5. Full name & National Insurance number of proposed tenant(s):
6. Address:
7. How long has the applicant lived with the present tenant? 8. What is the applicant's relationship to present tenant? 9. Does the applicant have any special needs?
10. Details of the applicant's family:
11. Details of previous addresses:
12. Details of applicant's pets:
13. Is the applicant on the Council's waiting list? Yes No Points level:
14. Reason for wishing a joint tenancy:
15. Choose your nearest One Stop Shop
I/We have read the guidance notes above and declare that the information given on this form is correct. I/We also understand that to give false information at any time may result in the change of tenancy being cancelled and/or legal proceedings being intitiated to terminate the tenancy.