Application For Permission to ResidePlease enable JavaScript in your browser to complete this form.Tenant Name *FirstLastAddress *Address Line 1Address Line 2CityState / Province / RegionPostal CodeContact Phone Number *Contact EmailDate of ApplicationDetails Of Person Moving InName of Person Moving In *FirstLastSex of Person Moving InMaleFemalePrefer Not To SayDOB of Person Moving InNI Number of Person Moving InRelationship to TenantEconomic Status of Person Moving InEmployed (Full Time)Employed (Part-Time)Employed (Self)UnemployedStudentOtherIncome Details Of Person Moving InOccupation/Benefit TypeHours Worked Per Week (if applicable)Employers Full Name and Address of Person Moving InTenant Agreement StatementI/we understand that a member of staff from Cunninghame Housing Association will contact me within 7 days to discuss my application and I/we will be asked to confirm two security questions. If I/we fail to make contact my application will be refused and I/we would need to make a further application. I/we understand that the Association will formally respond to the application in writing within one month of the application being made confirming if the request has been granted or refused. Do you agree with the above Terms and Conditions? *YesCompletion of this application form does not mean consent has been granted. You should not make any changes to your tenancy until you receive a letter from the Association advising of the outcome including any conditions relevant to your application. I hereby confirm that the information provided on this form is correct and that any false or misleading information or the withholding of any relevant information may result in the application being cancelled or if it has been approved that this will be revoked. I agree that Cunninghame Housing Association Limited can make necessary enquiries to confirm the details provided are correct. I agree to the above statement *YesAs a tenant, you must understand that by receiving permission for the someone to live with you, you may be liable for a non-dependency charge and your housing benefit may be amended in line with this. You agree to make sure that the non-dependency charges are paid to your rent account. You understand that if you fail to pay as agreed, the Association’s Arrears Policy and Procedure will be carried out. Tenant Signature *By typing your name in this field you are digitally signing and agreeing to the above statement.DateSignature of Proposed Person Wishing to Reside: *By typing your name in this field you are digitally signing and agreeing to the above statement.DateSubmit