Renewal application - AIS Charleroi-Logement

General information

*

Required fields

Your file number *

Date of reactivation of your file *

Your name *

Your first name *

Your e-mail address *

Your phone number *

Rue *

Numbers *

Postal code *

City *

*

Required fields

Household composition *

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

Proof and amounts of family allowances and alimony *.

Please upload your proof and amounts of child benefit and alimony in this field. Limited to 10 Mb. Allowed types: txt docx doc ppt pdf jpg jpeg png.