Shoreline Housing Partnership

My ethnic origin is:

White

Black or Black British

White British

Caribbean

White Irish

African

any other White background

any other Black background

please state

Mixed

Asian or Asian British

White and Black Caribbean

Indian

White and Black African

Pakistani

White and Asian

Bangladeshi

Chinese

any other Mixed background

any other Asian background

please state

Any other ethnic group

any other ethnic group

Prefer not to state

Garage Application Form
First name:
Last name:
Your previous name (if applicable):
Your address:
Your postcode:
Your preferred telephone number:
Your email address:
Your date of birth:
Your National Insurance number:
Area required - 1st choice:
Area required - 2nd choice:
Are you a Shoreline tenant?	Yes	No
Please give details of the properties you have lived at in the last 10 years:
Please give details of any previous Shoreline garages you have rented:
Have you ever held a North East Lincolnshire Council tenancy?	Yes	No
If yes, please give details

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