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Register
* Denotes Mandatory Field
ACCOUNT DETAILS
For security, please provide a password for your account
*
(this must be at least 8 characters)
Please enter password again
*
(this must be at least 8 characters)
For security - please enter your mother's maiden name
*
If you are already a tenant of Homes Plus tick the box:
PERSONAL DETAILS
Title
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Gender
*
Please Select
Dr
Miss
Mr
Mrs
Ms
Please Select
Male
Female
First Name(s)
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Surname
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Date of Birth
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National Insurance Number
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To be entered as a whole number, no spaces
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2011
2012
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2015
2016
2017
2018
2019
2020
2021
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Ethnic Origin
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Marital Status
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Please Select
African
Arab
Asian
Asian or Asian British
Bangladeshi
Black or Black British
Caribbean
Chinese
European
Indian
Irish
Mixed
Mixed White and Asian
Mixed White and Black African
Mixed White and Black Caribbean
Other
Other Ethnic Group
Pakistani
Prefer Not to Say
United Kingdom
White
Please Select
COHABITATING
DIVORCED
ENGAGED
MARRIED
OTHER
PARTNER
SEPARATED
SINGLE
WIDOWED
Special Needs
*
If you choose one of the following options, a medical form will be sent to you
Preferred Language (Spoken)
*
None
Arthritis
Blind/Partially Sighted
Breathing Difficulties
Deaf/Hearing Impairment
Diabetic
Epilepsy
Heart Condition
High/Low Blood Pressure
Hodgkins Disease
Knee Replacement
Learning Difficulties
Longterm Illness
Macular Degeneration
Mental Health Problems
Motor Neurone Disease
Multiple Sclerosis
Other Disability
Parkinsons Disease
Severe Disfigurement
Speech Impairment
Stick User
Stroke
Unable to Read/Write any Language
Visual Impairment
Wheelchair Bound
Wheelchair User
Please Select
Afrikaans
Albanian
Apache
Arabic
Aramaic
Bulgarian
Cantonese
Carib
Chinese
Czech
Danish
Dutch
Egyptian
English
Eskimo
Finnish
Flemish
French
Gaelic
German
Greek
Hawaiian
Hindi
Hungarian
Icelandic
Indonesian
Irish
Italian
Japanese
Korean
Latin
Maltese
Mongolian
Nepalese
Norwegian
Polish
Portuguese
Punjabi
Romanian
Romany
Russian
Sardinian
Serbian
Spanish
Swahili
Swedish
Thai
Turkish
Ukrainian
Vietnamese
Welsh
Zulu
Have you rented a property either from a private landlord, council or housing association in the past 6 years?
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Yes
No
Do you have access to the internet?
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Yes
No
Which of the following locations would you find most convenient to access information about our properties which are currently available?
Internet
Supermarket
Leisure Centre
Library
Post Office
Doctors Surgery
Council Office
Homes Plus Office
Other
CURRENT ADDRESS
Postcode
*
Please make sure you include a SPACE in the postcode e.g. (ST18 9AP)
Property Name
*
E.G "The Farmhouse", if your property has a number, not a name, please leave this blank and complete the Property Number below
Property Number
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Street
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Town
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County
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CONTACT DETAILS
Contact address
Same As Above Address
Postcode
*
Please make sure you include a SPACE in the postcode e.g. (ST18 9AP)
Property Name
*
If your property does not have a name please leave blank. However, in this case you must enter your property number below.
Property Number
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Street
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Town
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County
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Other Details
* You must give at least one of the following items of information:
Home Telephone
Work Telephone
Mobile Telephone
Email
If you provide an email address we will use this as a primary method of contact when processing your application. We may contact you to request further information or evidence to support your circumstances. You will also receive a weekly copy of our advertisements via email.
If you would prefer not to be contacted by email please tick the box
This process may take a few minutes.