Application

Assessment Form

Date : 2019-10-16
Ref: hs/on16 Oct19

Please fill up the form: If you are not sure anything about the form or the information is not handy please leave it blank. You can provide this information at the time of property inspection. Field with Asterisk (*) is mandatory.

SECTION A : Name of applicant/ Who is the Application for?

Applicant #1






(Click this button to add more applicant.)

SECTION B : Details of the Sponsor







SECTION C: Property to be occupied









Habitable Rooms: Please measure all rooms except Kitchen, Hall, Stairs and Bathroom or Store rooms.

Living Rooms :

Rooms

Size (in feet or in Meter)

Current Occupant

Relationship with applicant e.g. Husband, Wife, Son, Daughter.

DOB

Gender

1. Living Room

2. Dining Room

3.

4.

Bedrooms - where located, e.g. ground floor/ 1st or 2nd floor, front, middle/rear

1. Bed Room

Add More Bedroom

Other Rooms - not kitchens or bathrooms, where located and what used for

1.

2.

3.

Data Protection Act 1998
The Data Controller is M&S Green Property.
The data you provide will ONLY be used to process and determine your request for a property assessment report for immigration purposes.

SECTION E : Declaration

In accordance with Section 335 of the Housing Act 1985, I declare that the statement of the number, ages and sexes of the persons sleeping in the house is accurate.

Signed :
Date :
Print Name :