I / we declare that the information provided to be correct and complete to the best of my / our knowledge and accept it is an offence under the Housing Act 1996 to give false or misleading information. I / we understand that if I / we have supplied false information, any tenancy granted could be terminated by a Court Order. I / we are aware that I / we have a duty to notify Shropshire HomePoint of any change in circumstances that may effect my / our application for housing. I / we understand that the information will be held on computer and that this information is subject to the Data Protection Act 1998. I / we give consent to Shropshire HomePoint obtaining or releasing information relating to my / our application to other professional housing or public bodies where necessary for the prevention and detection of crime. I / we accept that if offered a property by Shropshire HomePoint, my / our date of registration will be disclosed. This is to ensure we let our homes in a fair, transparent and equitable way. I / we accept the above terms and conditions.

I have read and agree to comply with the above terms and conditions     Yes No