APPLICANT'S PERSONAL DETAILS:
Full name: *
Full name:
Date of Birth: *
Date of Birth:
Contact number:
PASSPORT DETAILS:
Date of issue: *
Date of issue:
BANK DETAILS:
Your nominated account for the return of any monies or deposit.
ADDRESSES:
Your current home address: *
Your current home address:
Lived there from: *
Lived there from:
Date you moved in.
If less than 12 months at current address.
Lived there from:
Lived there from:
CONTACTS
Name of contact in case of emergency.
EMPLOYMENT:
Full Company Name who employs you.
Employers address: *
Employers address:
Your regular place of work.
Person whom you report to at work or HR contact.
For line manager or HR contact.
For line manager or HR contact.
Date employment started: *
Date employment started:
Annual gross salary:
HOUSING BENEFIT / LOCAL HOUSING ALLOWANCE:
OTHER:
IMPORTANT INFORMATION / ATTACHMENTS:
The gas safety certificate should be attached to the accompanying email for your information.
A copy of this guide "How to rent: the checklist for renting in England" should be attached to the accompanying email for your information.
From time to time we will need to forward you important information, including mandatory information as a Landlord. Please confirm whether you agree to receiving this information via email as a PDF attachment or other electronic means. We do not email spam.
APPLICANT'S CONSENT:
Date: *
Date:
Date of signing this consent.
DECLARATION:
Date: *
Date:
Date of signing this declaration.
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).
The information on this form is for the sole use of the landlord only for the purposes of letting. No information contained therein will be divulged to any third party, unless the Tenant defaults.

All information is treated in strict confidence in accordance with our GDPR policy.

If you have any queries regarding this application please contact:

Catherine - 07870 311335 Catherine@360intGroup.com

Prospective Landlord’s Details:

Steve Curtis (360 Property Group) NLA Membership No: 147632

Telephone Daytime: 020 7112 7549 Email: steve@360intGroup.com