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Mutual Exchange Application Form Swan tenants

This form should only be completed when you have found someone to exchange with. The person(s) you wish to exchange with should also complete one. Both forms should be sent back together if possible.

You must NOT make any arrangements to move until you receive authorisation from Swan, this will take no more than 6 weeks from receipt of this application.

Part 1 - Your current address

Your Address (including postcode): *

Telephone no:

Mobile no:

Email address:

Part 2 - About your household

Information about the lead tenant must be filled in

Title	Surname	First name(s)	Date of birth	Relationship to lead tenant	National Insurance number

Your ethnic origin (please tick box below):

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

Does any member of the household have a disability (physical or learning) special need or mental health condition?

Name	Type of disability, special need or mental health condition

Do you have any pets living with you?

Yes: No:

If yes please give details:

Do you have a clear rent account?

Yes: No:

If no please give details:

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