I am interested in Dunstan Court, Cambridge Moorland Court, Melbourn Richard Newcombe Court, Cambridge Applicant's detailsTitle* Mr Mrs Ms Miss Name* First Middle Last Gender Male Female Date of birth* MM slash DD slash YYYY National Insurance Number Joint partnerTitle* Mr Mrs Ms Miss Name* First Middle Last Gender Male Female Date of birth* MM slash DD slash YYYY National Insurance Number Email Enter Email Confirm Email Best contact informationWould you like to arrange a visit around our Housing with Care scheme? If so, please tick this box and we'll be in touch Tell us a bit more about your enquiry and how we can helpYour data*Data Protection Statement: In order to assess your enquiry and help us deliver efficient services, we need to collect relevant personal details. We comply with Data Protection legislation when dealing with personal data. This means that your personal data will be processed in accordance with the law and will be kept safe and secure. Please note we may share personal data with relevant departments within the organisation; sometimes we collect personal data for one service and need to use it to give you another service. We may also use it for prevention and detection of fraud. We will not share it with other organisations without your knowledge, unless we are required by law to do so. By ticking this box I confirm that I understand and agree to all of the above. Date MM slash DD slash YYYY
