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Number 19 Queen Street

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Tenant and Guarantor Application Form

1. Property Details
Date From:
Show calendar *
Date To: (if known)
Show calendar
Flat No
Budget
Parking Required?

 *
2. Purpose of Application

*
If you are acting as a guarantor, name of applicant
*
3. Personal Details
Title:
Forename (s):
*
Middle Name:
Last Name:
*
Date of Birth:
*
Telephone No:
*
Email Address:
*
Passport/Driving License:
* (Proof of ID will be required when making an application)
National Insurance No:
(If applicable)
4. Current Address
Abode No (e.g. Flat 4):
*
Street Address (s):
*
Town:
*
Locality/County:
Postcode:
*
Country:
*
Years at Address:
*
Residential status:



*
Previous Name (if any):
Reason for leaving:
*
Rent Paid (PCM):
*
5. Previous Address (if less than 3 years)
Abode No (e.g. Flat 4):
Street Address:
Town:
Locality/County:
Postcode:
Time at Address:
Rent Paid (PCM):
6. Next of Kin/Family contact Details
Name:
*
Address1:
*
Address2:
Postcode:
*
Email:
*
Telephone No:
*
7. Previous Landlord Address
Name:
Address 1:
Town:
Postcode:
Daytime Phone:
Evening Phone:
Fax:
Email:
8. Bank/Building Society Details
Name:
*
Address 1:
*
Address 2:
Account Name:
*
Account No:
*
Sort Code:
*
9. Current Employment Status/Details
Applicants must provide proof of employment
Status:



*
Ocupation:
Is the employment:


*
Years of Employment:
*
Payroll/Service/Pension No:
Change of employment before start tenancy?:

* If Yes, please also complete section 9a:
Company Name:
*
Address 1:
*
Address 2:
Postcode:
*
Telephone No:
*
Fax No:
Gross Anual Salary:
*
Email:
*
Contact Name:
*
 
 
 
 
9a. Future Employment Status
Status:


*
Ocupation:
Status:


*
Company Name:
*
Address:
*
Address 2:
Postcode:
*
Telephone No:
*
Email:
*
Contact Name:
*
10. Additional Information
Includes adverse credit, CCJs, Additional income
*
Please confirm whether you have had any illness during the last five years

 *
If Yes, please give details
*
11. Personal Reference
Name:
*
Contact Telephone No:
*
Email:
*
Address 1:
*
Address 2:
*
Postcode:
*
11. Declaration and Application Information
  • All sections must be completed and clearly legible.
  • Applicants with low incomes may be requested to provide a guarantor.
  • Any information submitted falsely may result in immediate termination of any agreement in place
  • There shall be a 75% cancellation fee from the deposit should the reservation be cancelled
Please tick the box to confirm you have read and understood the conditions of applying. *
Name:
*
Dated:
Show calendar *

If you have any questions about completing the form, please contact the Management Office on +44 (0) 116 262 9222 or email us

Individual application form