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Mutual Exchange Appliciation Form External tenants

This form should only be completed by a tenant of a qualifying landlord.

Please note your landlord will be contacted for a reference before this exchange can be permitted to proceed.

Address of Swan property: *

Name of person you wish to exchange with: *

Address: *

Home phone:

Mobile phone:

Email address:

Name of landlord: *

Address of landlord: *

Housing Officer:

Information about the lead tenant must be filled in

Mixed

7. White & Black Caribbean 8. White & Black African 9. White & Asian 10. Other

Asian or Asian British

11. Indian 12. Pakistani 13. Bangladeshi 14. Other

Black or Black British

15. Caribbean 16. African 17. Other

Black or Black British

18. Chinese 19. Other

I do not wish to give this information

Please give details of any other ethnic origin

Faith of household

Name	Type of disability, special need or mental health condition

Yes: No:

If yes please give details: