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East Accrington Masterplan - Hyndburn Borough Council" width="208" height="300" />
Office Use Only Application No. Application Date Band Status Application Form Your Details Applicant 1 Applicant 2 Title First Name Surname Any Previous Surnames Date of Birth Male or Female Do you consider yourself to be disabled? Relationship to Applicant N. I. Number What is your first spoken language? If English isn’t your first language do you need translation services? Nationality Telephone Number Mobile Email What is your preferred method of communication? (please tick) Yes No Yes No Yes No Yes No Letter Braille Telephone Audio Email Large Print Other, please state If you need any help with the Choice Based Lettings Scheme, please tick A member of staff will contact you to discuss the process and any guidance required 1
