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Full name Required Date of birth Required Format: DD/MM/YYYY Home address (street, postcode, city) Required Number of people in the household Required Total monthly rent including heating (€) Required Monthly gross income (€) Required 🔒 Stored encrypted; only used to generate your draft. Total assets (€) Required 🔒 Stored encrypted; only used to generate your draft. Real-estate value (€) Optional 🔒 Stored encrypted; only used to generate your draft. Does someone with a disability live in the household? Required 🔒 Stored encrypted; only used to generate your draft. Are you currently in paid work? Required Number of children under 18 Required

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