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Register of Interest form for Caddington
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Register of interest form for private housing in the Central Bedfordshire area
Surname
mandatory field
First name(s)
mandatory field
Address
mandatory field
Postcode
mandatory field
Phone number
mandatory field
Email
mandatory field
Date of birth
mandatory field
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
Current accommodation
Are you currently renting a property?
mandatory field
Yes
No
Who is your current landlord?
mandatory field
Local Authority
Housing Association
Private Rented
Are you current homeowner?
mandatory field
Yes
No
Please explain why you intend to move into a rented property?
mandatory field
Where are you currently living (e.g. Dunstable, Leighton Buzzard, Kensworth,Caddington etc.,)?
mandatory field
In your current property how many bedrooms do you have?
mandatory field
1
2
3
4 or more
How long have you been living at your current address? (number of months)
mandatory field
Please supply any previous addresses you have had within Central Bedfordshire over the last five years
None
Address
Post code
Moved in
Moved out
How many bedrooms do you require in the future?
mandatory field
1 bed
2 bed
3 bed
4 bed
5+ bed
How many people will be living in the household?
mandatory field
1
2
3
4
5+
Will anyone aged under 18 live at the property?
mandatory field
Yes
No
How many under the age of 18 will be liviing at the property?
mandatory field
1
2
3
4
5+
Please provide the gender and age of all people living in the household
None
Gender
Age
Employment
Are you currently employed?
mandatory field
Yes
No
What is your employment status?
mandatory field
Employed
Self-employed
Unemployed
House person
Full/part time education
Retired
Not employed due to illness/disability
How long have you been you been employed for?
mandatory field
Less than 6 months
6 months - 1 year
1 - 2 years
2 + years
How many hours do you work per week?
mandatory field
How would you describe your job role (e.g. Teacher, Nurse, Police, Warehouse Operative, Artist)?
mandatory field
What band does your annnual household income fall into?
mandatory field
Less than £15,000
£15,000 - £25,000
£25,000 - £35,000
£35,000 - £45,000
£45,000 +
Local Connection
Do you have any local connections in the following areas e.g. families, relatives or friends in the following areas?
Dunstable
mandatory field
Yes
No
None
Relationship
Time in area
Slip End
mandatory field
Yes
No
None
Relationship
Time in area
Kensworth
mandatory field
Yes
No
None
Relationship
Time in area
Houghton Regis
mandatory field
Yes
No
None
Relationship
Time in area
Caddington
mandatory field
Yes
No
None
Relationship
Time in area
Leighton Buzzard
mandatory field
Yes
No
None
Relationship
Time in area
Chaul End
mandatory field
Yes
No
None
Relationship
Time in area
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