Please ensure the form is complete as we cannot process your application unless it is.

Property Details

Property you wish to rent

Applicant Details

Do you have any or any pending County Court Judgements / Defaults / IVA's or Bankruptcy registered against you? (if YES a Guarantor will be required)

Do you have any or previous or pending criminal convictions?

Address History

3 years history is required. If you have lived at more than 2 addresses in the last 3 years then please add additional addresses in additional information section.

Most Recent Address

Previous Address



Children Over 18 / Permitted Occupants

Bank Details For Rent Payment

Next Of Kin

Additional Information

I declare that the information I have provided on this form is true and correct.

I give my consent to the information being used by credit reference companies, existing/previous landlords/letting Agents, accountants, current and future employers etc.

I understand that you will keep a record of any searches/references on their files and that the results of any findings will be passed to the Managing Agent / Landlord and if an application is refused, for whatever reason, NO explanation will be given.

I understand that this information may be used in the pursuit of debt tracing and fraud prevention. Any administration charges levied are strictly non-refundable in any event. I agree that information given by credit reference companies will be shared with the letting agent and landlord and that this information may also be accessed again if I apply for or guarantee a tenancy in the future.

I agree that the referees listed in my application may be contacted by the landlord, agent or referencing company.

I authorise you to contact my current / previous landlords/landlord agents and employers in order to verify the information I have submitted on my application form for a property tenancy. Strict confidentiality will be observed in the processing of this application.

I understand that this does not represent any offer or contract of any nature.

I understand that by submitting this form I am bound by the above-mentioned terms.