Tenant application form

Please do not complete this form using all capital letters. Thanks.

Tenant Information

Title (required)

First names (required)

Middle names

Surname (required)

Calling name (if different from above)

Previous name (i.e. maiden name)

Home telephone

Mobile telephone

Work telephone

Preferred contact telephone (required)

Personal email

Work email

Preferred contact email (required)

Economic status (required)

National insurance number (required)

Passport number (required)

Housing benefit reference number

Retired gross annual income

Student number

Adverse credit history (required)

Marital status (required)

Date of birth (required)

Country of birth (required)

Opt in to marketing

Are you a smoker?

Do you have pets?

If you do have pets, please add details here

Rent Details

Rent details

Total rental amount for property applying for (£)

Share of rent (£)

Share of rent (%)

Higher Education

University/College (required)

House name/number

Street

Street continued

Area

Town

County

Postcode

Country

Emergency Contact

Name (required)

House name/number (required)

Street (required)

Street continued

Town (required)

Postcode (required)

County (required)

Country (required)

Home telephone (required)

Mobile telephone

Work telephone

Email (required)

Relationship (required)

Addresses

Please provide 3 years worth of address history. Enter your current address and then your previous addresses starting from most recently occupied.

Current Address

House name/number (required)

Street (required)

Street continued

Area

Town (required)

County (required)

Country (required)

Postcode (required)

Approximate move in date (required)

Add Additional Address

Please provide the best address to reach you at after the tenancy. For example: a known future address, a work address or a relative's address.

Post Tenancy Address

House name/number (required)

Street (required)

Street continued

Area

Town (required)

County (required)

Country (required)

Postcode (required)

If you have any additional information, please add this here

I understand that by submitting this form I consent to the collection, use and disclosure of my personal information by the Landlord and/or their agent in order to obtain references and to check my creditworthiness for the leasing of the property, for advising utilities companies of a change of occupier or for making such other use of the personal information as the Landlord and/or their agent deems appropriate. I confirm that all information provided above is correct. I hereby authorise the verification of the information contained in this application and information obtained from personal references.

Tenant application form

Rent details

Higher Education

Emergency Contact

Addresses

Current Address

Post Tenancy Address

LARN 1905075

Our office