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Sunday, 05-Feb-2012

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>New Household Registration

New Household Registration

New household registration

Details

Applicant Details

Please note that the details below relate to the main applicant only. You will be asked to provide details of other household members when completing your main application.

Title:*

First Name:*

Last Name:*

Date of birth:* (dd/mm/yyyy)

Address line 1:*

Address line 2:*

Address line 3:

Address line 4:

Postcode:*

Home Telephone:

Work Telephone:

Mobile Telephone:

Email:

NI Number:

Gender:*

Ethnic origin:*

Nationality:

Joint tenancy: yes no

Durham County Partner

Which Durham County partner do you wish your application to be processed by?*

Contact address

Name:

Same address as main applicant: yes no

If yes, then please ignore the following address fields

Address line 1:*

Address line 2:*

Address line 3:*

Address line 4:*

Postcode:*