Birmingham self-build register About you Are you the applicant, or are you acting on behalf of the applicant(s)? Required Applicant Acting on behalf of the applicant(s) Are you an individual, or are you an association or group of individuals? Required Individual Association or group of individuals Title Select a title Mr Mrs Miss Ms Mx Other First names Required If you are applying on behalf of an association or group, tell us the name of the lead contact person Last name Required Email address Required Telephone number Required Alternate telephone number Address Required Postcode Lookup Enter the full address Required Preferred method of contact Email Letter Telephone Alternate telephone Are you aged 18 years or over? Required Yes No Date of birth Required This is required by legislation. Are you a British citizen, a national of an EEA State other than the United Kingdom, or a national of Switzerland? Required Yes No Nationality Required Are you seeking to acquire a serviced plot of land in Birmingham to build a house as your sole or main residence? Required Yes No Have you lived in Birmingham for the past 2 years? Required Yes No Do currently have part-time or full-time work in Birmingham? Required Yes No Do you have any family members who reside in Birmingham? Required Yes No Are you or your spouse in the regular Armed Forces of the Crown, or did your or your spouse cease service within the last five years? Required Yes No I confirm that I (If applicable) and all members applying to the self and custom build register meet at least one of the conditions of the local connection. Required Yes No I (If applicable) and all members applying to the self and custom build register agree to supply evidence to demonstrate my/their/our local connection when requested by Birmingham City Council. If you agree to the condition set out above please select yes, if you do not agree to the condition select no.
