Tenancy period

Tenancy start date

Number of applicants

Total rent

Rent for this applicant

MrMsMrsMissDrOther

Date of birth:

Country: –– Please select ––AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanTheBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCabo VerdeCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEast Timor (see Timor-Leste)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonTheGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabwe

Time at address:

Status: –– Please select ––MarriedSingleCommon lawPartnerCivil partnershipSeparatedDivorcedWidowedOther

UK resident:

Address status: Owned/mortgagedRented(Family/friends)

Names of additional tenants taking occupancy

Age (if under 18)

Relationship to tenant

Are you or any of the above named a smoker?
YesNo

Do you have any pets?
YesNo

Have you had any CCJ’s, rent arrears or entered into bankruptcy (IVA) in the past 6 years? YesNo

Employment status
-- Please select --Self-employedPermanentTempRolling contract0 HourFreelance

Time in employment

A refundable Tenancy Deposit capped at five weeks rent.
A refundable Holding Deposit to reserve a property (capped at one week’s rent) *
A fee is payable(£50.00) should the tenant wish to amend the tenancy (i.e. add a partner / sharer).
A fee will also be payable should the tenant terminate the tenancy earlier than agreed and contracted. This fee will cover any losses the landlord may incur.
Default Fees(lost keys or other respective security devices; late rent payment after 14 days rent was overdue capped at 3% above the Bank of England Base Rate.
* A Holding Deposit can be retained in four circumstances:
If the tenant fails a Right to Rent check regardless of when the deposit was accepted; if the tenant provides false or misleading information to the landlord or letting agent, which the landlord is reasonably entitled to consider in deciding whether to grant the tenancy because this materially affects their suitability to rent the property; if the tenant notifies the landlord or letting agent before the Deadline for Agreement (15 days unless an agreement for an extension is reached) that they have decided not to enter into the tenancy agreement. If the tenant fails to take all reasonable steps to enter into a tenancy agreement.

Will this be the account that the rent is payable from? YesNo