ELLC

Sunday, 01-Aug-2010

> New household registration

New household registration

Important Please Read

This registration form is for people who are tenants of one of our current partners (Barking and Dagenham Council, Hackney Council, Havering Council, Redbridge Council, Newham Council, Waltham Forest Council, London and Quadrant Housing Association, Family Mosaic Housing Association and East Homes Housing Association), but who do not have a current registration number and wants to sign up for mutual exchange.

If you have a login number already, please use that to register your property for mutual exchange.

If you wish to join one of our partners housing registers please contact them directly - this is not a way of joining a local authority's or housing association's housing registers.

New household registration

Details

Title:*

Surname:*

First name:*

Date of birth:* (dd/mm/yyyy)

Address line 1:*

Address line 2:

Address line 3:

Address line 4:

Postcode:*

Home telephone:

Work telephone:

Mobile telephone:

Email address:

National insurance number:*

Gender:*

Ethnic origin:

Preferred language:

Current landlord

Which local authority do you live in?*

Who is your current landlord?*

You can only take part in this Mutual Exchange scheme if your current landlord is in the drop down list above

Contact address

Same address as main applicant: yes no

If yes, then please ignore the following address fields

Address line 1:*

Address line 2:

Address line 3:

Address line 4:

Postcode:*