Applicants Details

Applicants Housing Circumstances

Additional or Special Housing Design Needs

Family Employment

Please include all persons to be housed and provide supporting documentation*

Supporting documents

Applicants Checklist

Before submitting these applications, please ensure that the form has been completed correctly and that all documents are attached. Below is a checklist that may assist you:

Note: To update you address you must complete a change of membership roll details form, which is provided by MLALC upon request.

Declaration

To the best of my knowledge and belief, I certify that the information on this form and the attached documents are true and correct

In signing this form, I consent to the information in this application being provided to the Aboriginal Housing Office (AHO). I also consent the Metropolitan Local Aboriginal Land Council releasing my information to the New South Wales Aboriginal Housing Office. The release of such information would normally breach section 18 and 19 of the Privacy and Personal Information Protection Act 1998. I give authority and grant permission without breaching sections 10, 18 and 19 of the Privacy and Personal Information Protection Act 1998. I further agree to provide additional information to AHO, as necessary to confirm my eligibility under the Housing Aboriginal Communities Program.

Other Adult Members of the Applicants family

Parent/Guardian Consent

being provided to the AHO. I also consent to the releasing of information to the Metropolitan Local Aboriginal Land Council and the New South Wales Aboriginal Housing Office. The release of such information would normally breach section 18 and 19 of the Privacy and Personal Information Protection Act 1998. I give authority and grant permission without breaching sections 10, 18 and 19 of the Privacy and Personal Information Protection Act 1998. I further agree to provide additional information, to AHO, as necessary to confirm my eligibility under the Housing Aboriginal Communities Program.