General Details

Address (required)

Name of current tenant (required)

Length of time at property (required)

Email Address (required)

Phone Number

Contact Preference
PhoneEmailLetterFace to Face

Occupants wishing to remain if joint tenancy granted (Name, Date-of-Birth, National Insurance Number, Relationship) (required)

Property Details

Property Type (required)
Please SelectHouseFlat / BedsitBungalowMaisonette

Number of bedrooms (required)

Any adaptations in property (required)

Details of proposed joint tenant

Name (required)

Date of Birth (required)

National Insurance Number (required)

Ethnicity (required)

Were you born in the UK? (required)
YesNo

Do you hold any other tenancy with Bron Afon? (required)
YesNo

Telephone number (required)

Date you intend to move in / date moved in (required)

Previous address (required)

Please list any addresses you have resided in over the last 2 years, including start and end dates:

Are you registered with HomeSeeker?
YesNo

Are you registered with HomeSwapper?
YesNo

How would you describe your ethnic origin?

Please list any other considerations that you would like us to take into account when assessing the sole tenancy application (required)

Current tenant signature (required)

Print Name (required)

Proposed joint tenants signature (required)

Print Name (required)