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Loream Ipsum
Loream Ipsum

Tenant Application

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    Name *

    Email *

    Mobile Number *

    Date of Birth

    National Insurance Number *

    Gender *

    Your Current Address *

    Support Needed *

    Are you Claiming Benefits? *


    Which Area or Post Codes are you willing to live in Birmingham? *

    Type of HMO


    Subject to availability, Please tick which HMO you are willing to live in. Please note that we do not have 1 bedroom flats, our rooms are all within shared accommodation and where a 2 bedroom and 3 are limited, 4+ maybe available.


    Please tell us the current housing provider you are with *


    Are you applying as a single person or do you have friends/partner/relatives who require rooms? *


    Tick All The Benefits You Are Currently Claiming *


    Can Jahn Housing contact you when a room is available? *


    I consent to Jahn Housing storing my data in line with GDPR and the Privacy Policy.