HAR 3

APPLICATION FOR REGISTRATION OF A HOUSING ASSOCIATION

Registered Name of Association:
Date of Registration under the
Industrial and Provident
Societies Acts 1969 and 1976:
Register No:
Registered Office:
Tel No: Fax No: email address:
Correspondence Address (if different from above):
Tel No: Fax No: email address:
Activities of the Association (tick as appropriate):
The provisions by : New Build ___ and/or
Acquisition/Conversion/improvement ___
Housing for letting ___
Hostels ___
for the needs of ______
______
______
Associations Financial Year End:
Has the Association gained charitable status from The Charity Commission? Yes/No
If yes please give Charity Commission number ______

MEMBERS OF THE COMMITTEE/BOARD

Name, address and qualifications / Occupation/profession and name of employer.Positions of public responsibility.
Membership of other Housing Associations.Other voluntary memberships. / Value of Shares held in the Association.
£

We apply, on behalf of the Housing Association, for registration under Article 14 of the Housing (Northern Ireland) Order 1992 and enclose:

(1)a certified copy of the Governing Instrument;

(2)copies of minutes and audited accounts for the last three financial years (or since inception;

(3)the supporting information requested in the Appendices to this Form.

We hereby agree:

(i)to observe at all times the requirements set out by the Department in the letter of registration;

(ii)to allow the Department access to the Association books of account and records, to its offices and to its housing schemes at all reasonable times;

(iii)to validate or substantiate any information provided on the application form and to furnish any other additional information required;

(iv)to authorise the Associations auditors, bank, solicitors and any other consultants or advisors to disclose such information as the Department may require;

(v)to submit within six months of the financial year end a copy of the Association accounts and the report of the auditor thereon;

(vi)to submit an annual return to the Department in such form as the Department may determine;

(vii)to notify the Department of any proposed changes to the Rules of the Association and within four weeks of any changes in the membership of the Committee of Management;

(viii)to the maintenance at all times of a complete register of all properties in which the Association has an interest.

We certify that, to the best of our knowledge and belief, the information given in this Form and Appendices to this Form is correct.

Signature and name of each member of the Committee and Secretary

Chairman ______

Secretary ______

Member ______

Member ______

Member ______

Member ______

Member ______

Member ______

Member ______

Member ______

Member ______

Member ______

Member ______

Member ______

Member ______

Member ______

Date______

Appendix 1

STAFF OF ASSOCIATION

Name / Professional Qualifications / Position in Association / Full or Part-Time

Appendix 2

DISCLOSURE OF INTERESTS

Name / Directorships/Partnerships

Appendix 3

APPOINTMENTS, ADVISERS ETC

BANKERS:
Branch Address and Sort Code:
Name of Account and Account Number:
AUDITORS/ACCOUNTANTS:
Address:
SOLICITORS:
Address:
OTHERS (please specify)

Appendix 4

PARENT ORGANISATIONS/ SUBSIDIARIES ETC

Are there any associated, subsidiary and/or parent organisations (registered or unregistered to which your Association is connected, either formally as reflected in the governing instrument, or informally through shared membership, committee membership, resources etc?

Yes/No (delete as appropriate). If yes please complete below.

Name of Organisation:
Address:
Registration No: Registrar of Credit Unions _____
Registrar of Companies _____
Number of Committee Members common to both Organisations ____
Same chair? Yes/No
Has the Association made any donations to the Organisation? Yes/No
If yes, was the donation made from the Common Fund as operated by the Association? Yes/No
______
Name of Organisation:
Address:
Registration No: Registrar of Credit Unions _____
Registrar of Companies _____
Number of Committee Members common to both Organisations ____
Same chair? Yes/No
Has the Association made any donations to the Organisation? Yes/No
If yes, was the donation made from the Common Fund as operated by the Association? Yes/No

Appendix 5

SERVICES PROVIDED FOR, BY OR SHARED WITH OTHER BODIES

Please give details of all relevant services.

Provided by other bodies: / Details:
Provided for other bodies: / Details:
Shared with other bodies: / Details: