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 garage tenancy granted could be terminated. I / we are aware that I / we have a duty to notify Golden Gates Housing of any change in circumstances that may effect my / our application for a garage. 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 Golden Gates Housing to obtain or release information relating to my / our application to other professional housing or public bodies where necessary. I / we accept that if offered a garage by Golden Gates Housing, my / our date of registration will be disclosed. This is to ensure garages are let in a fair, transparent and equitable way. I / we accept the above terms and conditions.
Password * Repeat Password *
Name *
Address * Postcode * Telephone * Mobile Email address
Date Of Birth 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st January February March April May June July August September October November December 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901
Ethnic Origin * Select Ethnic Origin White (British)White (Irish)White (Other)Mixed (White & Black Caribbean)Mixed (White & Black African)Mixed (White and Asian)Mixed (Other)Asian or Asian British (Indian)Asian or Asian British (Pakistani)Asian or Asian British (Bangladeshi)Asian or Asian British (Other)Black or Black British (Caribbean)Black or Black British (African)Black or Black British (Other)Chinese Other Ethnic GroupRefusedUnknown
Tenancy Type * - Please Select - GGH tenant Housing Association Private Landlord Owner / Occupier Other
Reason for Application * - Please select - Store own car Store other person's car Store other items
