Application registration

General information

*

Required fields

Gender *

Male

Female

Neutral

Your name *

Your first name *

Home address

Street *

The requested address is the one listed in your household composition.

Number *

Postal code *

City *

Mailing address

Street *

The requested address is the one listed in your household composition.

Number *

Postal code *

City *

Your email address *

Please ensure you provide your full email address to receive registration confirmation.

Your phone number *

In case of a phone number change, it is imperative to contact the AIS to update your contact information.

Your place of birth *

Your date of birth *

Your nationality *

Your national registry number *

Your occupation *

Your means of transport *

Disability

In case of disability, a certificate is required when submitting the application.

Yes

No

Save and continue

Cancel

Spouse/Cohabitant

*

Required field

Do you have a spouse? *

Yes

No

Save and continue

Back to the previous step

Cohabitating children

*

Required field

Do you have children? *

Yes

No

How much?

Child #1

Child

Gender *

Male

Female

Neutral

Name *

First name *

Date of birth *

Child care *

In the case of alternating custody, a judgment or a certificate of amicable agreement is required.

Exclusive

Shared

Disability *

In case of disability, a certificate is required when submitting the application.

Yes

No

Save and continue

Back to the previous step

Animals

*

Required field

Do you have any pets? *

Yes

No

How much?

Which ones? *

Please provide as much information as possible about the animal (age, size, breed, etc.).

Save and continue

Back to the previous step

Housing – Candidate preferences

*

Required field

Save and continue

Back to the previous step

Housing – Candidate preferences

*

Required field

Accommodation : *

Family situation : *

Force majeure : *

Other comments: *

Other social housing registrations

La Sambrienne *

Yes

No

If yes, number of points *

Other housing organizations *

Yes

No

If so, which ones? *

Save and continue

Back to the previous step

Required documents

*

Required field

Address history of adults in the household *

Please upload the address history of the adults in the household in this field. Limited to 10 MB.
Allowed file types: txt, docx, doc, ppt, pdf, jpg, jpeg, png.

Household composition *

Please upload your household composition in this field. Limited to 10 MB. Allowed file types: txt, docx, doc, ppt, pdf, jpg, jpeg, png.

Proof of income *

Please upload your proof of income in this field. Limited to 10 MB. Allowed file types: txt, docx, doc, ppt, pdf, jpg, jpeg, png.

Copies of identity cards of persons applying for accommodation *

Please upload copies of the identity cards of the adults in the household in this field. Limited to 10 MB. Allowed file types: txt, docx, doc, ppt, pdf, jpg, jpeg, png.

Proof of last 3 months’ rent *

Please upload proof of rent for the last 3 months in this field. Limited to 10 MB. Allowed file types: txt, docx, doc, ppt, pdf, jpg, jpeg, png.

Proof and amounts of family allowances and alimony *

Please upload proof and amounts of family allowances and alimony/child support in this field. Limited to 10 MB. Allowed file types: txt, docx, doc, ppt, pdf, jpg, jpeg, png.

Save and continue

Back to the previous step

General information

Spouse/Cohabitant

Cohabitating children

Child #1

Animals

Housing – Candidate preferences

Housing – Candidate preferences

Other social housing registrations

Required documents

Other documents