Personal Details Please tell us your contact details so we can communicate with you effectively. Full name * Please enter your full name including any middle names Gender * Male Female Date of Birth * Place of birth * Please enter the city and country Mobile telephone number * Daytime telephone number (if different from mobile) Email address * Employment status * In full time employment Student Who will be living here? * Just me (Alone) Me and a friend/partner (Dual occupancy) Name of your friend/partner * Email address o your friend/partner * Your friend / partner will also need to complete a separate one of these application form themselves. Please note that there is usually a small additional charge for dual occupancy and not all flats are available for dual occupancy so please ensure you have checked with your landlord first if there will be more than one person living here. Guarantor Details If you've indicated that you are a student we will require a guarantor. A guarantor is someone living permanently in the UK who has sufficient income to pay your rent if you are not able to. Name of your Guarantor * Email address of your Guarantor Tenancy Details Please let us know which house and room you are applying for and how long you'd like your initial tenancy to be for. What date would you like the tenancy to start? * How long would you like the initial tenancy to be? * 12 Months 6 Months This is your initial tenancy length and may be extended by agreement at a later date Which house are you applying to live in? * The Gatehouse, 33 Turrall Street 9 Richmond Road 84 Bromyard Road 86 Bromyard Road 88 Bromyard Road 61 Comer Gardens Wallace House, 15 Whitley Village Which room / studio number? * If you don't know which room number, please describe where it is in the house Bank Details We perform a credit check on all our potential tenants and as part of this we need details of your bank current account. Name of your Bank / Building Society * Sort Code * Account number * Previous addresses As part of our credit check we need details of where you have lived for the past 3 years. Your current address * When did you start living here? * Landlord's name * Landlord's email address * Landlord's telephone number Previous addresses We need to know where you have lived for the past 3 years. If any of the addresses are outside the UK that address may be omitted. Right to Rent / ID details The UK government require all landlords to perform a "right to rent" identity check before granting any new tenancy. We need copies of your passport / id card and other documents to complete this check. Do you have a passport or ID card? * Yes No Passport number / EU identity card number * Country of issue * Date of issue * Are you a UK citizen? * Yes No Additional Details for Non-UK Citizens If you are not a UK national, in order to complete the required Right-to-Rent checks we need a copy of your UK Visa and your Right-to-Rent share code. Do you have a UK Visa that allows you to live in the UK or do you have Settled / Pre-Settled status? * Yes No Please enter your Right-to-Rent Share Code which you can get from the government immigration website. NOTE : THIS IS A SEPARATE AND DIFFERENT CODE TO A RIGHT-TO-WORK CODE. NOTE: This is different share code from the Right-to-Work Share Code so you will need to ensure that you give us a valid RIGHT-TO-RENT share code as we cannot validate your right to rent if you do not give us the correct code. Driving licence number * If you don't have a driving licence then please enter NONE National Insurance number * Employment Details As part of our credit check we need details of your current employment. We will contact your employer to verify your income and employment status. Company name of your employer * Your employer's address * Your job title at work * Date you started working here * Monthly Salary * The amount your earn each month (before tax) and including any regular bonus. If you are paid weekly please enter 4 x your weekly wage Work supervisor's name * The name of your line manager Email address of your supervisor or HR department * Must be the WORK email address of your supervisor or HR department - NOT a personal/private email like Gmail Other information Are you currently receiving housing benefit / local housing allowance / universal credit? * Yes No Do you intend to claim housing benefit / local housing allowance / universal credit? * Yes No Do you smoke? * Yes No It's ok if you smoke but you will not be allowed to smoke inside the property Do you have any pets that you will bring to the house? * Yes No Additional Information If you wish to provide any additional information that may be relevant to your application, please include it here. For instance if you have an adverse credit rating or CCJs you can explain why here. Additional Information Supporting Documents Upload You can upload the supporting documents here.You should scan or clearly photograph the documents and upload them in JPG or PDF format only. The maximum size for each file is 5Mb. The documents we need are : - Passort / ID card photo page - UK residency visa (if not from UK/EU) - Last 3 months bank statements - Last 3 months payslips (if employed) Don't worry if you don't have all these documents now as you can still submit your application without them and upload them later using the separate document upload form. If you don't upload the required documents then you will need to provide these as soon as possible to allow your application to be processed. They can be uploaded using the "Document submission form" on the online forms page of our website. Identity Documents Doc_passport Passport or ID card photo page Doc_Visa UK Visa (if not from UK/EU) Bank Statements Not required for student tenants Doc_Bank1 Bank Statement 1 Doc_Bank2 Bank Statement 2 Doc_Bank3 Bank Statement 3 Payslips Not required for student tenants Doc_Payslip1 Payslip 1 Doc_Payslip2 Payslip 2 Doc_Payslip3 Payslip 3 Applicants Consent I hereby expressly consent to my personal details including any forwarding address at the termination of any tenancy being passed on request to the utility company, local authority, collection agents and/or law enforcement agencies. I understand that other than outlined above, all information will be treated as confidential. Applicant's consent * Yes No Declaration 1. I am applying for a tenancy on the basis that the property or accommodation will be my main or only home. 2. I give permission for enquiries to be made based on the information I have provided to establish my status. 3. I understand that if I have paid a holding fee this will be forfeit if I choose not to proceed with the tenancy, or I am found to have knowingly provided false information herein. 4. I also certify that a. I do not have any County Court Judgements [ CCJs ] against me or have explained them in the notes above b. I do not owe money to any Housing Benefits Department or Local Authority c. I do not owe money or dilapidation money to any previous Landlord d. I do not have substance or alcohol abuse problems e. I have the right to rent in the UK IF YOU KNOWINGLY SUPPLY FALSE INFORMATION IT MAY BE USED BY THE LANDLORD TO SEEK POSSESSION OF THE PROPERTY UNDER GROUND 17 OF SECTION 8 OF THE HOUSING ACT 1988 (AS AMENDED BY SECTION 102 OF THE HOUSING ACT 1996). Applicant's declaration * I ACCEPT I DO NOT ACCEPT You must click the SUBMIT button at the end of this form to send us the form. You'll then get a screen confirming it's been submitted. PLEASE NOTE THAT ONCE YOU CLICK SUBMIT IT MAY TAKE A MINUTE OR TWO TO UPLOAD YOUR INFORMATION If you've not added copies of your documents then submission should only take a few seconds, but if you have added large photos, etc it make take several minutes so please be patient. If you click submit and the form simply re-appears then you may have missed a required field so please scroll back up the form and complete any fields highlighted in red.
