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Inquilab Tenant?
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Contact Details
Salutation
Cllr
Dr
Lord
Master
Miss
Mr
Mrs
Ms
Prof
Rt Hon
Other
First Name
Last Name
E-mail Address
Mobile Phone
Home Phone
Business Phone
Personal Details
Ethnicity
Asian or Asian British: Bangladeshi
Asian or Asian British: Chinese
Asian or Asian British: Indian
Asian or Asian British: Other
Asian or Asian British: Pakistani
Black or Black British: African
Black or Black British: Caribbean
Black or Black British: Other
Gypsy/Romany/Irish Traveller
Mixed: Other
Mixed: White & Asian
Mixed: White & Black African
Mixed: White & Black Caribbean
Other Ethnic Group: Arab
Other Ethnic Group: Other
Refused
White: Eng, Scot, Welsh & N Irish
White: Irish
White: Other
Disabled?
No
Yes
Gender
Male
Female
Address
Address 1
Postcode
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