(Forename then Surname)
Date & place of birth:
Contact telephone numbers:
Are you a smoker ?
8. What is your
current address ? (please
9. How long have
you lived there ?
If less than five
give previous addresses, including
13. Is current property
owned or rented ?
with Family/Other -
/ AGENT DETAILS
If rented, what is the name of your current
Landlord or Agent ? (Enter
details of the one to whom you are
paying the rent)
What is your Landlord/Agent's address ?
16. What is your
Landlord/Agent's telephone / fax numbers
What is your Landlord/Agent's email address
Why are you leaving ?
NEXT OF KIN
19. What is the name and
relationship of your next of kin
20. What is their
21. What is their
telephone number ?
22. What is the
address of the property would you like to rent
23. What monthly rental has
been agreed (in £) ?
24. When would you like to move
25. If any other person
is likely to be staying at the property, please
their names and ages
26. If you have any pets
that will be staying at or visiting the
please give full details
(Put none if
What is the name your current employer
What is your employer's address ?
Whom should we contact for confirmation of
your employment status
What is your employer's telephone number
What is your employer's fax number ?
What is your employer's email address
33. What is your gross
monthly income in £?
34. What is your
35. How long have you
worked for your current employer
36. Is your employment
37. Do you work full
(Full time / Part time
38. What is your
National Insurance Number ?
employed, please give details of
I hereby apply for a tenancy as per the terms stated
above, declare that all of the above information is
true to the best of my knowledge
and belief and authorise Priority Management
Services Ltd to obtain a financial status report
from Experian, relevant information, including
salary details, employment terms,
residential status and any other personal
information covered by the Data Protection Act to
support this application
I confirm there are no current County Court
Judgements (CCJs), Bankruptcy Orders or Criminal
Records in my name nor have I, at any time,
entered into an Individual Voluntary Arrangement
authorise Priority Management Services Ltd to
use my holding deposit of
£250.00 to offset their administration expenses
in connection with my tenancy application should
any undeclared County Court
Judgements, Bankruptcy Orders, Criminal Records
or IVAs be found in the resulting searches or
should it transpire that I have
provided any false or misleading information in
connection with this tenancy application or
should I withdraw my application
for any reason.
that by submitting this form I am bound by
the above-mentioned terms.
that by submitting this form I am bound by the