Rent to buy application

Application

This application is:*

Please select the name of the Rent to Buy scheme:*

What size property are you looking for?*

How did you hear about the scheme?*

Site signage

Social media

Pine Court Housing Association’s website

Email

Word of mouth

Other (please specify)

Please specify*

About you

Title*

First name*

Middle name/s

Last name*

Date of birth*

Current address*

Street Address Address Line 2 City County Post code

Time at this address*

Phone number*

Email address*

National Insurance number*

Spoken languages*

Written languages*

Racial origin*

Are you a UK citizen*

Yes

No

If you answered no, do you have indefinite leave to remain in the UK?*

Yes

No

What is your current living situation?*

Have you ever broken the terms of your Tenancy Agreement?*

Yes

No

If you are currently renting your home, please state the name of your landlord.*

If you are currently renting your home, please provide the phone number of your landlord.*

If you are currently renting your home, please provide the email address of your landlord.*

If we accept your application, we will need to request a reference from your landlord before we can offer you a property. We will tell you before we request a reference. Please confirm you are happy for us to request a reference.*

Yes

No

Declaration

Please read the text below and tick the box to say you have read and agree to the declaration.

We will only process the given personal data of all applicants for the purpose of processing your application for housing and will hold information in accordance with data protection laws including the General Data Protection Regulation and the Data Protection Act 2018.

We may also share this information for the same purposes with other organisations that handle public funds. The information may be used for statistical surveys, which means we may pass this information in confidence to the Department for Communities and Local Government and agencies working on our and their behalf who may contact you.

All information you give us on this form (and information resulting from contact with your Landlord and/or employer) may be shared with the same only in relation to this application.

All information will be treated in the strictest confidence. We reserve the right to take up any references relating to applicants as we consider it necessary and may also search the files of any credit reference agency which we will keep a record of any such request.

We must protect the public funds we handle and so may use the information you have provided on this form to prevent and detect fraud. Under data protection law the information may be disclosed for the purposes of crime prevention and detection. Sensitive personal data such as racial or ethnic origin, offences (including alleged offences) and physical and mental disabilities are required under the Equal Opportunities Monitoring Statute.

By ticking this box you confirm that you have read the above declaration and that all the information you have provided in your application is true and accurate.

The data we collect will only be used for the purpose of assessing your application for our Rent to Buy product to determine your eligibility. If you subsequently decide not to proceed with this application, you can contact us to have your information removed. Please refer to our Privacy Notice.

Rent to buy application

Application

About you

Employment and Financial Information

About applicant two

Applicant two employment and Financial Information

Declaration