RESTRICTED
Exhibit Fifteen to Statement made on behalf of: Mark Bennett Witness: Mark Bennett Statement No: 1 Date Statement Made: February 2020
THE GRENFELL TOWER PUBLIC INQUIRY
Witness: Mark Bennett
EXHIBIT FIFTEEN
(MB/15)
RESTRICTED
IWS00001848/1 IVVS00001848_0001 TENANT MANAGEMENT TENANT MANAGEMENT ORGANISATION LTD. OAIIANISATION AREA PREFERENCES FOR TRANSFER lfl6111ul aatat •outtll IDI IIUIIIfOit '-1 CMU.W
Name ...... f\A.~ ...... V...... l~ .. N... ~ ......
Address ...... ll2- Ct ~ (l..erJ...... fEl-.1- lfM"6R ...... Q.\~§.~.~. 1.~...... ~.~~~:\ ...... M.r~L~9.:~!...... ~.!t .... t.l.~ ......
ANY AREA
OUTSIDE K& C HOUSING ASSOCIATION WITHIN K & C D KENSAL AREA D Patch 1 D Edenham Way Estate D Trellick Tower D Other Blocks Patch 1 Manchester Drive, Octavia House. West R.ow Patch 2 D Adair Road, Adair Tower, Appleford'House/Road, Bosworth House, Gadsden Kensal New Town Estate House, Golborne Gardens, 18 & 32 Golborne Road, Hazlewood Tower, D Holmelield House, Southam House. D NORTH KENSINGTON AREA D Patch 3 D Balfour of Burleigh Estate Balfour, Bruce and Burleigh Houses. D Barlby Road Estate Mathew Close, Nutting Barn Road, Salters Road. St. Quintin's Estate Barlby Road, Hill Farm Road, Methwold Road. Oakworth Road, Pangbourne D Avenue, St Marks Road. D Treverton Estate Treverton Tower, Raymede Tower. Patch 3 Street Properties Barlby Gardens, Bassett Road, Oalgano Gardens, Hewer Street, Kelfield D Gardens, St. Helens Gardens. Other Blocks Patch 3 Cambridge Gdns. Exmoor Street, Kelfield Court, ladbroke Grove. Oxford D Gdns, Nursery Lane, St. Charles Square, St. Ouintins Avenue. D Patch 4 D Blechynden & Whitchurch Estate Silchester Estate Oarfield Way, Dixon House. Frinstead House, KingsnOI'th House, Markland D House, Shalfleet Drive, Silchester Road, Waynflete Square, Whitstable House. Other Blocks Patch 4 Bramley House, Bramley Road, Downing House, Oxford Gardens, Treadgold D House, Walmer House.
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IWS00001848/2 IVVS00001848_0002 D PORTOBELLO AREA D Patch 5 Swinbrook Estate Acklam Road, Bevington Road, Blagrove Road, Malvern Close. Morgan Road, D Orchard Close, St. Ervans Road, Swinbrook Road, Wornington Road. D Golborne Road D Other Blocks Patch 5 Reddington Road, St. Columbs House, Talbot Road. D Patch 6 D Convent Estate Clare Gardens. Lowerwood Court, Westbourne Park Road. .D Powis Square Estate D Travistock Crescent Estate Other Blocks Patch 6 Basing Street, Cambridge Gardens, Clydesdale House & Road, D Colville Gardens, Colville Road. Colville Square, Elgin Mews, Faraday Road, Gatsworthy House, Ladbroke Grove, Lancaster Road, Manning House, McGregor Road, Oxford Gardens, Portobello Road, Tavlstock Road. D LANCASTER WEST AREA D Patch 7 D Camborne Mews Estate D Lancaster West Stage 3 Estate D Grenfell Tower
Patch 8 D .. D Lancaster West Stage 1 Estate D Verity Close Estate D NOTTING HILL AREA D Patch 9 D Allom & Barlow Houses Estate D Longlands Court Estate D Mary Place Estate .o Portland Road Estate
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IWS00001848/3 IVVS00001848_0003 . ~": ,..., . Portobello Court Estate Adelaide House. Archer House. Aston House. Denblgh House. Ledbury 0 House. Lonsdale House. Patch 9 Street Properties Arundel Gardens, Cornwall Crescent, Elgin Crescent, Kenley Walk, Ladbroke 0 Grove, Pembridge Crescent, Stanley Gardens, Treadgold Street. 0 Eastry & Foreland Houses 0 Penzance Street Blenheim Crescent , Chepstow Crescent, Clarendon Road, Dawson Place. Other Blocks Patch 9 Hesketh Place, Hudson House, Lancaster Road, Llddlard House. Pembridge 0 Square, Runcorn Place. Threshers Place, Walmer Road. 0 Patch 10 Avondale Park Gardens Estate 0 0 0 Avondale Park Road Estate 0 Hansard Mews Estate Henry Dickens Court Estate Nlckelby, Sarkis, Pickwick, Copperfield, Oorrit, Dora, Estella, Florence, 0 Carton, Marley, Agnes, Dombey Houses and Stoneleigh Place. 0 Russell Gardens Mews Estate Patch 10 Street Properties Elsham Road, Holland Road, Lower Addison Road, Nolting Hill Gate, Russell 0 Gardens, Russell Road. 0 Other Blocks Patch 10 Nottingwood House, Ansleigh Place, Stoneleigh Street.
0 BROMPTON AREA
0 Patch 11 0 Gunter Grove Estate 0 St. Marks Grove Estate 0 Tor Gardens Estate Tor Court, Sheffield Terrace. 0 Tregunter East Estate 63 & 65 Finborough Road, Walnut Trees House. 0 Tregunter West Estate 62 Finborough Road, tlleld Road. Eardley Crescent, Fawcett Street, Fernshaw Road. Finborough Road, Gordon Patch 11 Street Properties Place, Hornton Place. Kempslord Gardens. Netherton Grove, Phllbeach 0 Gardens, Radcliffe Gardens, Radcliffe Square, Stamford Cottages. 0 82/84 Radcliffe Square, 123 - 125 Finborough Road Campden Houses, Cecil Court, Corbet House, Finborough Road, Fulham Other Blocks Patch 11 Road, Hereford House, Honey Lane ~;loose, Hunter House, lngelow House, 0 Kensington Mansions, Westgate Terrace.
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IWS00001848/4 IVVS00001848_0004 D Patch 12 D Elm Park Gardens Estate D Warwick Road Estate Broadwood Terrace, Chesterton Square. COIIingham Place, Lexham Gardens, Langridge Road, Nevern Square, Orpen D Other Blocks Patch 12 House, Stratford Road, Sunningdale Gardens. D CHELSEA AREA D Patch 13 D Caversham Street Estate D Chelsea manor Court Estate D Lucan Estate D Pond House Estate D Wiltshire Close Estate D Patch 13 Street Properties Christchurch Street, Glebe Place, Flood Street, St. Lukes Street. D Norwood Road D Grove House
Patch 14 D Anchor House, Ann Lane, Apollo House, Bowling Green House, Chelsea Cremorne Estate Farm House, Gilray House, Jean Darling House, Lacland House, Milman's D House, Purcell House, Riley House, Westfield House. D Danvers Street Estate D Sir Thomas More Estate D Other Blocks Patch 14 Beaufort House, Brunell House, Mulberry Close, Mulberry Court. D CHELSEA WEST AREA D WORLDS END ESTATE D Patch 15 Ashburnham Road, Billing Street, Cremorne Road. Darner Terrace. Edith Patch 15 Stre~t Properties D Grove, Stadium Street, Tadema Road, Ulverdale Road. Other Blocks Patch 15 Brickbarn Close, Fleming Close, Fulham Road, Little Chelsea House. The D Sandhills, Slaidburn Street. D Patch 16 D Hortensia Road Estate D Wandon Road Estate Harriet House, King Charles House. Queen Catherine House. •• Acacia Walk, Craigie Villas, Burnaby Street. Kings Road, Knights House, D Patch 16 Street Properties Lots Road, Tetcott Road, Upcerne Road. 4
IWS00001848/5 IVVS00001848_0005 • I I f
1 I • I ~I rJ C! (MILs) . §tmtlllltory IRegiister A]p)]p)lliica tiionn JF orm
THE ROYAL ~OROUGHOF
KENSINGTON AND CHELSEA
a
IWS00001848/6 IVVS00001848_0006 CONFIDENTIAL For office use ' . :~tatutQry Register REGISTRAT10N NUMBER: CATEGORY: ,_ ...... ISSUED BY: RECEIVED DATE: Application Form ~NE~W~C~/~C~C=M~------H~P~U~:~Y--~N~~--·~c~OD=E=c==J
If you want to be registered on the Kensington and Chelsea Statutory Register y<;>u ~hould complete this form. · · ·
WHO CAN APPLY?
Application forms can only be accepted from people who are over 18 and who are residing in the Borough, or who are tenants of landlords participating in the Common Housing Register.
If the Council has accepted a duty to you as a homeless person under s 192(2), s 195(2) or s 197(2) of the Housing Act 1996, you are automatically qualified to be registered.
If you want to apply for housing on the Statutory Register you must have been living in the Borough for six months out of the last year, or three years out of the last five years.
If you are not already a housing association or local authority tenant then you may be disqualified from being registered. Read the following carefully:
• Disqualified Persons From Abroad:
The following categories of people from abroad are disqualified: - any person who is not a British Citizen, a Commonwealth citizen who has the right of abode in the United King dom, or a citizen of a member country within the European Economic Area (EEA); - any person who is not habitually resident in the Common Travel Area (unless the person has refugee status, exceptional leave to enter or remain, a right to reside in the UK under an EEC Council Directive or is a "worker" for the purposes of EEC Regulations); .• any person who is a national of a country within the EEA and who is notified by the Home Secretary that he considers that s/he no longer has a right to reside in the UK.
If you fall within one of the above categories of persons from abroad you may be entitled to assistance from the Social Services Department if you are homeless or destitute.
• Qualified Persons From Abroad:
The following categories of people subject to immigration control are qualified: - a person who has been granted refugee status; - a person who has been granted exc.eptionalleave to remain in the UK which is not subject to condition to main- tain and accommodate their household without recourse to public funds; - a person who has current leave to enter or remain in the UK which is not subject to any time limit or condition (other than a sponsored immigrant here less than 5 years).
• People Disqualified on the grounds of Income or Assets:
- if you or any member of your household is liable to pay the highest rate of taxation, or - if the combined assets of your household exceed £16,000.
[n exceptional cases, a person will be registered if their income and/or assets exceed the above levels where there are special reasons, such as a person with a disability or an older person unable to secure specialist accommodation which they require. If you fall within this category and feel you have a special reason for being registered, you should state this under question 27 on page 12 of the form.
Declaration:
1/we certify that, to the best of my/our knowledge, I/we do not fall within one of the above categories of people who are disqualified from being registered on the Statutory Register.
Signed ...... Vl.~ ... ~ ...... Date ...s'5-1.!.t.(q.}
IWS00001848/7 IVVS00001848_0007 • Please read the Guidance -Notes before filling in the form. The Guidance Notes are in the centre of the form
• Please complete the form in BLOCK CAPITALS.
• Answer all questions as fully and accurately as you can - this will help us to deal with your ap.plication form promptly.
• If you are not sure about an answer, tick the box you think is right and use the space in question 28 on page 12 to give us any other information.
• If you are not already a housing association or local authorjty tenant, make sure you have read the notes about WHO CAN APPLY on page 2 (opposite) and please sign the declaration.
• Information contained in this form will be entered on to the Common Housing Register database and will be directly available to the organisations participating in the Register.
If you want advice or help filling in the form, please contact your landlord if you are a tenant of a landlord who is • participating in the Common Housing Register or the Department of Housing and Strategic Development.
Please return all forms to: Homelessness and Advice Section ·Room 241 Town Hall Hornton Street London W8 7NX
For Office Use only Visited by TMO officer --'~'*-w-=....::.:~==------Date: 5/ti{Ot Arrears: /?.lltlt · 6 q ·
Repayment Agreement: ---s-fl..._~~~=~=~---4VU'-I!:Jfao"""'L.""'-J.el::: IWS00001848/8 IVVS00001848_0008 \ PERSONAL DETAILS For office use only Title: D Mr D Ms D Miss D Other Your full names: Family name: --:...,Jq,-:...:.r\J...:__£1::.______ Other names: __;_J..:...IG._K._"+( ------ Your present address: l l1. G-Re-tVfeU. -r~G{< J ctRetJf.a...l Ro'I+Ol ~-N iD-o·rJ Postcode:WH I r.Q .J I I Daytime telephone number: _.l!G...:n.....,U"h~-~~..::;__------ Evening telephone number: -~~,;::...;;;.,.:....;;._~=------ Starting with yourself, please list everyone you want to be housed with: Family name First name Male/ Dat~ of Relationship Female birth to you Pc(f\4-A· ~f\1J-aR1\ ~< ~lt lff 17 aeM~ I ~Mj \J,LTh~t~\ ~~ ~~ 6/ qr, ~ If anyone listed above is not living with you at the moment please give the following details: First and Family Address where they are living Reason for not living name with you . ' Is any person listed above pregnant? Yes~· i ! If yes, please give the expected date of delivery ------'[!] L------',__;-, '·;_~· ·~ IWS00001848/9 IVVS00001848_0009 PERSONAL DETAILS (continued) For office use only Please list below the addresses where you and, where applicable, your partner have lived during the past five years and indicate if this was a~ a Council tenant, a housing association tenant, an owner, a private'sector tenant or a lodger. . ; You: Address Dates Landlord Reason for •·· from-to leaving Your partner Address Dates Landlord Reason for from-to leaving - - .. If you do not live in the Royal Borough of Kensington and Chelsea at present, are you a tenant of a landlord which is participating in the Common Housing Register (see page 3) and do you wish to move into the Borough?.. Yes D NoD If you or any member of your household are currently employed please state the gross weekly income of each individual (ie before tax and deductions): £ ______--· £ ______Do you have any savings? If so, please·state how much: £_-______ Do you have a financial or legal interest in a property? Yes D NoD If so, please state how much this interest is worth: £ __-__ · ----- IWS00001848/10 IVVS00001848_0010 - ·-----···--- VOURPRESENTHOU~NG For office use only Please give the dates that you and, where applicable, your partner moved to your current address: ..-1 Yourself (Jev...,~ 'l.. Renting from a private landlord Renting from a housing association Renting from the Council Owner occupier/leaseholder In hospital/prison/other institution In accommodation tied to your job Living in bed and breakfast QBB L---l Living in a hostel .__ _. QH Living with family/friends who are not on your application .____ _. NC Lodging in someone else's home· NC L---l Other (please specify) Have you been asked to leave your current accommodation? YesD Now If Yes, please attach a copy of any Notice you have been given. If you are renting your current accommodation please give the name and address of your landlord. Name: IMJO Address: ~ W, On which floor level is your accommodation situated? .__._1]_.__\-t;;______.l- . How many stairs do you have to climb to reach your front door? How many stairs do you have inside your home? Is there a lift? Yes I..,/ I No D ~------~-no I -~*1 IWS00001848/11 IVVS00001848_0011 YOUR PRESENT HOUSING (continued) For office use only (a) How many rooms do you, and those on your application form, have use of: Type of room No. of rooms Are these rooms shared (Tick the box if you have with anyone who is not any of thes~ rooms) on your application? Single bedrooms 2 YesD Noc:;;} Double bedrooms YesD NoD Living room 1 YesD No~· "); :· " . ,,. Separate dining room . YesD NoD Kitchen YesD Now Bathroom YesD NoG:LI Toilet (inside)' · ·I YesD NoD Toilet (outside) I YesD NoQt . (b) If you are sharing with another household, are any of the other people related to you? YesCJ NoD Please indicate which of the following facilities are available in your current home: A hot water supply Yes~ NoD A cold water supply YesG2] NoD Electricity YesG2] NoD Gas (ves@]) N.oD. Ce~tral heating YesQ NoD A garden YesD NoD If your cooker is not in a separate kitchen, your bath/shower is not in a. separate bathroom, or your toilet is outside the building, please tick here and give further details.CJ [I] ~------~1 l...;...,L ,· 4,· ,:·,,, .. ·., .1-';~t·._:i',..~! ,,.:>'',r\.1:<:'. '• •·II~ IWS00001848/12 IVVS00001848_0012 YOUR PRESENT HOUSING (continued) For office use only If the property you live in is In a poor condition, please describe the problems below (eg dampness, disrepair): • Do you feel that the health of yourself or anyone included on your application form is made worse by your present housing? Yes [521/ NoD Are you, or anyone on your application, disabled in any way? YesD NoD Do you, or anyone on your application form, need to use a wheelchair inside the home? No [!21' Yes, sometimes D Yes, all the time D Do you have a health problem that affects your ability to find accommodation for yourself? (This does not apply if you are already a Council or housing association tenant) -.·I . ·, . . ' YesD NoW If you have answered yes to any of these questions, please give further details of the medical condition or disability and the name of the person(s) affected: Please state how you feel your current accommodation adversely affects your health. i \NDvJ) ~- J..o ~"'-t?\t rA -k~ ~ -q1~ ~ 0-c~Wvh~ Gk2 ~ ~w~ ~ ~ ~ lA.0l'-f ~ nt\o- ±:00! _tAr VJ I I I ~------~OD IWS00001848/13 IVVS00001848_0013 YOUR PRESENT HOUSING (continued) For office use only If an assessment of the medical needs of anyone included on your application form is required we would like to obtain further information from the relevant doctor (this could be your general practitioner and/or your specialist hospital consultant if you have one). Please answer the following questions and the per son whose health is affected should sign the statement at the end if you consent to the Common Housing Register contacting this doctor(s). General Practitioner's name: · 7jl f?, • pe MJ.. L. General Practitioner's address:' fo·\'L\ cvJ ~( w C~v~ \ K1i ~N..\1\A.,-e--/ w· LwJ ~ Post code \,.j [\ 4-£5' Hospital Consultant's name: Hospital Consultant's address: ------ ------Post code ______I consent to medical information relevant to this housing application being re quested from the above mentioned doctors and made available to the Kensing ton and Chelsea Common Housing Register. This statement should be signed by the person whose health Is being made worse or by the parent or guardian if this person is under the age of 16 years. (This information .is confidential and will only be used in connection with· your housing application.) Signed: AtJ:x~~~QCI\ (a) Some landlords provide accommodation in group homes, small hostels or flatlets, with staff on hand to help with a wide range of life skills. This is called supported housing. Do you want to be considered for any kind of supported housing? Not at all lv' In the short term I I In the long term I" (b) Do you think you need help to enable you to adjust or learn to cope with a home of your own? Not at all 1~...--J_ __. In the short term (one-off advice session) I.______. In the long term (ongoing for a few months) I ~------~ou I IWS00001848/14 IVVS00001848_0014 HOUSING REQUIRED ' . For office 'use only If you are· of, or approaching, retirement age, are you interested in special housing for elderly people (e.g. sheltered housing)? · Yes D No c:zf If you would like to find out more about this type of accommodation please tick the 'Yes• box. Do you, or anyone on your application form, receive assistance from a social worker, occupational therapist or support worker? I Yes D No czJ If Yes, please give their name and address: When were you last in contact with them? ------What types of property would you consider being rehoused into? .______.I CHE Flat ciJ House GZ] What is the maximum floor level you would accept with and without a lift? ts{ IN\CJ.v?< \ ~ 11\/v\.. With a lift G1o\MJ I Without a lift {=1tot:J I ~ 1 s.r ftcO.f l·"'- ~~ ~ Do you intend to take any pets with you? Yes D No II\Y'f The Council has access to properties managed by the Tenant Management Organisation and-Housing Associations. If there is any organisation that you do not wish to be considered by please give details. If you are a Council or housing association tenant you can be registered with Homeswaps. Please tick the box if you would like to be sent details of this scheme. D .I If you are employed or have savings, would you be interested in buying a home on a part own/part rent basis? i I Yes 0 No 0 tiQJ ~------~ ··.l IWS00001848/15 IVVS00001848_0015 HOUSING REQUIRED (continued) For office uae only Please state, by reference to the map below, in which areas of the Borough you wish to live. If there is a reason why you need to live in a specific area, please explain under question 28 on page 12. Map2 Map1 Where most Wards in the Borough. accommodation is situated in the Borough Number of Properties More than 2,000 1,500 - 1,999 1,000- 1,499 500-999. D 300-499 CJ Less than 300 ----·---·------., ~------~1 Most of the Council and Housing f'ssociation properties are in these areas* I ' c:=J St. Charles* [:J Kelfield* c=J Golborne* c=J Avondale* c=J Colville* c=J Norland c:=J Pembridge c=J Holland r==J Campden c:=J Abingdon c=J Queen's Gate r==J Earl's Court c=J Courtfield CJ Brompton c=J Hans Town .. c=J Radcliffe North Stanley c=J Church r==J I L=:J South Stanley . CJ Cheyne c=J Royal Hospital I ~Any area in Borough [:it] Out of Borough (see next question) (ill ~------~~ IWS00001848/16 IVVS00001848_0016 HOUSING REQUIRED The Council occasionally has the opportunity to nominate households to Housing Associations who have properties outside Kensington and Chelsea. Please tick any of the following areas you would like to be considered for. If you wish to move to a specific area please state: General area preference Specific area preference North London 0 North East London 0 South London 0 South East London 0 West London 0 East London 0 Outside London D If you are interested in receiving further information about accommodation outside the borough pleas.e tick here. 0 Please use this space to explain as fully as you can why you want to move. (Complete on a separate sheet if necessary) ... Are you, or anyone on your application, related to any housing association em ployee or management committee member which is a part of the Kensington and Chelsea Common Housing Register? D 4ZJ Yes No If Yes, please state their name and relationship to you: I [1g) I ·4~ .... ;itt:··· IWS00001848/17 IVVS00001848_0017 DECLARATION I/We certify that the information given in this form is correct to the best of my/ our knowledge. 1/We understand thara false statement made knowingly or recklessly may lead to a prosecution for criminal offence and may result in possession proceedings being taken with regard to any accommodation offered. The Common Housing Register has been set up to help match your housing needs with the most suitable 'affordable' housing available in the borough, with the minimum of effort on your part. One application form will ensure that you are considered by as many of the participating landlords as you choose. Joining the Common Housing Register does not limit your rights or opportunities in any way. 1/We understand that any information given by me/us relating to my/our application for housing will be placed on the Kensington and Chelsea Housing Register computer and any landlord who takes part in the scheme, either now or in the future, may see it. I/We undertake to notify the Kensington and Chelsea Housing Register if there is any change in the circumstances declared in this application. The provision of this in.formation is covered by regulations contained in the Data Protection Act 1984. Signed: (applicant) Date 2-~ l t( 0 ( I l Signed: Goint applicant) Date IWS00001848/18 IVVS00001848_0018 AUTHORISATION TO DISCLOSE INFORMATION For office use only It would assist this Council if you would sign the authorisation below which will be used by this Council to obtain verification of the points made in your application. All information obtained by this method will be dea~t with CONFIDENTIALLY, provided you have not tried to mislead the Council or withheld information which is required to verify our housing duty towards you. I!We have made an application to Royal Borough of Kensington and Chelsea for assistance with housing. However, before deciding what assistance can be provided, the Council have a duty to make certain enquiries. I/We would therefore be grateful if you would provide them with the assistance they require in O!der to complete their enquiries, I/We are aware that this authorisation will be Photostatted and have agreed that copies may be used to obtain information Signed: (applicant) \j_l~-·--'--~-·.....______Date ·z_~/''/ 0 ( Signed: Goint applicant)------Date ______ ETHNIC BACKGROUND We aim to treat all applicants equally on their merits without regard to race, creed or colour. Housing Associations and the Tenant Management Organisation are required to maintain records showing the ethnic origin of all applicants. It will help us if you tick the box in Part 1, Part 2 and Part 3 which best describes yourself and your household. Part 1 Part2 Asian CJ Irish CJ Black CJ African CJ Combination CJ White en Caribbean CJ Refused c=J Other CJ South East AsianCJ Other - Please specify Mixed CJ British/European CiZJ Part 3 Indian Pakistani Mo'roccan Spanish Portuguese Chinese Black - other White - other Latin American This information will only be used for monitoring purposes and will not affect your application. For Office use Application Number------ IWS00001848/19 IVVS00001848_0019