Mutual Exchange Application Form

Name *

First

Last

Email Address *

Phone Number *

Which area your current tenancy in? *

Please enter your door number *

Select your street in Talywain *

Select your street in Blaenavon *

Select your street in Pontnewynydd *

Select your street in Abersychan *

Select your street in Garndiffaith *

Select your street in Tranch *

Select your street in Varteg *

Select your street in Wainfelin *

Select your street in Pontypool *

Select your street in Trevethin *

Select your street in St Cadocs *

Select your street in Penygarn *

Select your street in Blaendare *

Select your street in New Inn *

Select your street in Sebastopol *

Select your street in Griffithstown *

Select your street in Thornhill *

Select your street in West Pontnewydd *

Select your street in Pontnewydd *

Select your street in Upper Cwmbran *

Select your street in Northville *

Select your street in Southville *

Select your street in Croesyceiliog *

Select your street in Ponthir *

Select your street in Oakfield *

Select your street in Llantarnam *

Select your street in Llanyravon *

Select your street in Llanfrechfa *

Select your street in St Dials *

Select your street in Greenmeadow *

Select your street in Two Locks *

Select your street in Coed Eva *

Select your street in Fairwater *

Select your street in Old Cwmbran *

Select your street in Hollybush *

Select your street in Ty Canol *

Select your street in Henllys *

Property Type *

How many bedrooms? *

Current Household Members *

Landlords Name *

If you have made any adaptions to the property please let us know here.

Please let us know the adaptions you have (if any) to the property.

Which area is the exchange tenancy in? *

Please enter the door number *

Select the street in Pontnewynydd *

Select the street in Tranch *

Select the street in Abersychan *

Select the street in Garndiffaith *

Select the street in Wainfelin *

Select the street in Pontypool *

Select the street in Trevethin *

Select the street in St Cadocs *

Select the street in New Inn *

Select the street in Varteg *

Select the street in Penygarn *

Select the street in Blaendare *

Select the street in Sebastopol *

Select the street in Griffithstown *

Select the street in Thornhill *

Select the street in West Pontnewydd *

Select the street in Southville *

Select the street in Pontnewydd *

Select the street in Northville *

Select the street in Upper Cwmbran *

Select your street in Croesyceiliog *

Select the street in Blaenavon *

Select the street in Ponthir *

Select the street in Oakfield *

Select your street in Coed Eva *

Select the street in Fairwater *

Select your street in Hollybush *

Select your the in Henllys *

Select the street in Llanfrechfa *

Select the street in Llantarnam *

Select the street in Llanyravon *

Select the street in Greenmeadow *

Select the street in Old Cwmbran *

Select the street in St Dials *

Select the street in Talywain *

Select the street in Two Locks *

Select the street in Ty Canol *

Property Type *

How many bedrooms? *

Current Household Members *

Landlords Name *

If you have made any adaptions to the property please let us know here.

Please let us know the adaptions you have (if any) to the property.

Tenant 1 Signature *

Declaration *

I / we declare that the information given on this form is true.

Joint Tenant Signature *

Declaration *

I / we declare that the information given on this form is true.

Date / Time

Date

Time

Notes for applicants

It is recommended that you seek your own independent legal advice in relation to mutually exchanging your home

Please note that if you do not provide Bron Afon with the full facts, provide false information or do not tell the office about important changes in your situation between your application and the time a decision is made, this could result in your application being refused and/ or action being taken against your tenancy.

Use of personal information: By signing this application, you are agreeing for Bron Afon Community Housing to store and share the information you have provided with any relevant partners as part of the assessment process.

If you have any additional notes please put them below.