Application

Assessment Form

Date : 2021-01-16
Ref: hs/on16 Jan21

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

Name :
Relationship with sponsor (e.g husband, wife, Partner, son, daughter) :
Name of high commission (if known) :

Date of birth :
Passport number :

(Click this button to add more applicant.)

SECTION B : Details of the Sponsor

Name :
Date of Birth :
Address:

Passport number :
Contact number:
Email:

SECTION C: Property to be occupied

House/ Building Number :

Address Line 1:

Address Line 2:

Address Line 3:

Post Code:

Country:

Tenure: Is the house (Please tick appropriate box):

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 :