Housing Application Form - Adactus Housing Group Ltd

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Adactus Housing Association LtdRegistered Office: Turner House, 56 King Street, Leigh, Lancashire WN7 4LJEmail: info@adactushousing.co.ukWebsite: www.adactushousing.co.ukChief Executive: Paul F Lees BA (Hons) FCIHRegistered in England under the Industrial and Provident Societies Act 1965 Registration No: 16668R Housing Corporation Reg No: LH0131Housing Application FormApplication No: (Office use only)This document isavailable in other languages,larger text and on audiocd or cassette.Title: ■ Mr ■ Mrs ■ Miss ■ MsFirst Name(s): . Last Name. Full Address: . Postcode. Tel. No: (home/work/mobile) . Email.

• Page 2 and 3: PART ONE - Personal Detailsa) Your
• Page 4 and 5: PART THREE - Continuedj) Does any m
• Page 6 and 7: PART SIX - ContinuedPlease explain
• Page 8 and 9: PART ELEVEN - Applicant Declaration
• Page 10 and 11: ADDITIONAL INFORMATION
• Page 12: Please return this form to:Adactus