Transcription of Application for Housing - parl.ns.ca
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Application for Housing - parl.ns.ca
Application FOR Housing EASTERN MAINLAND Housing AUTHORITY 7 Campbell s Lane New Glasgow, B2H 2H9 Tel. 902-752-1225 Fax. 902- 752-1315 Nova Scotia Coordinated Access Housing Application Section 1 - Applicant Salutation Last Name First Name Maiden Name Marital Status Date of Birth (MM/DD/YYYY) Sex Social Insurance Number (SIN) Primary Details Status in Canada Landed Immigrant Canadian Citizen Other Specify if Other Mr. Mrs. Ms. Male Female Single Divorced Common Law Married Widowed Other Middle Name Miss Student Yes No Name of School Priority Access (This pertains to all household members listed on the Application ) I/We are victim(s) of family abuse.
APPLICATION FOR HOUSING EASTERN MAINLAND HOUSING AUTHORITY 7 Campbell’s Lane New Glasgow, N.S. B2H 2H9 Tel. 902-752-1225 Fax. 902- 752-1315
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