Single Tenant Application

Title:

Mr

Mrs

Miss

Dr

Other

First Name:

Surname:

Email:

Date of birth:

Phone Number:

Postcode:

How long have you lived at address?

Employment Status (please select):

Company Name:

Position at company:

Do you smoke?

Yes

No

Do You Have Pets?

Yes

No

Do Have Children?

Yes

No

Is your current accommodation (please select):

Previous landlord details:

Have you had any County Court Judgements (CCJs) or bankruptcy orders against you? Yes/No:

Do you have criminal convictions? Yes/No:

Which type of accommodation are you looking for?

Flat

House

Would you like to stay up to date with new properties that become available?

Yes

No

Furnished?

Yes

No

How many bedrooms?

Maximum rental price (£ PCM):

Single Application