Application For Tenancy By completing this form you are instructing us to enter into negotiations with the owner of your chosen property. Property Details Property Address Tower Street, Leicester Property URL Date you viewed the property * Expected Move In Date * Initial Tenancy Length * 12 Months24 Months Tenant Details Title MrMrsMsMiss First Name * Surname * Other Name(s) Date Of Birth * Mobile Number * Home Number * Email Address * Residential Status * Property OwnerCouncil TenantPrivate TenantLiving with Friends/Relatives Have you any County Court Judgements, Court Decrees, Bankruptcy, or Administration orders? * Please also be aware that it may harm your application if you say NO and are later found to have County Court Judgments, Bankruptcy Orders etc. NoYes Please provide more details for County Court Judgments, Bankruptcy Orders etc. Current Address * Postcode * Period at address: Years * Months * Is your period at the current address less than 3 years? * NoYes Previous address(es) of the Prospective Tenant Address Postcode Period at address: Years Months Address Postcode Period at address: Years Months Address Postcode Period at address: Years Months List Joint Applicants Enter names of all individuals who will be living in the property over the age of 18. Guarantor Information Title MrMrsMsMiss First Name * Surname * Phone Number * Email Address * Address * Current Estate Agent / Landlord / Managing Agent Estate AgentLandlordManaging AgentN/A Contact Name Address Postcode Phone * Email * Tenant's Employment Status EmployedSelf Employed (Please provide Accountant's details or 3 years worth of SA302s or CIS Vouchers)On ContractRetiredUnemployedStudentIndependent Means (Proof Required) Details of current EmployerPension AdministratorAccountant Company Name * Contact Name * Address Postcode Phone * Email Gross salary/pension/drawings( £ per annum ) * Payroll/service/pension number * Position held Start Date * Is this position permanent? * YesNo Will your employment change before the proposed tenancy starts? * NoYes Please supply detail on your employment change Have you worked with your current employer for at least 18 months? * YesNo Tenant's Previous Employment/Occupation Employment Status PermanentlyEmployedSelf EmployedUnemployedStudentOther (please state) Company Name Contact Name Address Postcode Phone Email Start Date End Date Useful Information Information requested in this section is not required for referencing purposes, however may assist your managing agent. Marital Status SingleMarriedDivorcedSeparatedOther Are you a smoker? * NoYes Do you have any pets? * NoYes Please provide pets details: Names and ages of any children who will be occupying the property. Name Age Name Age Name Age Name Age Next of kin (this should not be your spouse) Address Postcode Phone * Email Relationship Additional Information Use this space to provide any additional information we may have requested. Attach Documents Please provide any relevant documents and two forms of identification as follows. Passport or Driving Licence Utility Bill with current address Right to rent Prove your right to rent in England: get a share code Enter your Right to rent share code (if applicable ) Declaration Please read the declaration and sign and date below. WE CANNOT PROCEED WITH THIS APPLICATION IF YOU DO NOT SIGN. I hereby confirm that the information provided by me is to the best of my knowledge true. I consent to this information being verified by contacting the third parties detailed in this form. I understand that the results of the findings will be forwarded to the letting agent and/or landlord and maybe accessed again should I default on my rental payment or apply for a new tenancy agreement in the future. I agree that Moore & York or their approved agent may search the files of a Credit Reference Agency and will keep a record of that search. I understand that I may request the name and address of the Credit Reference Agency to whom I may then apply for a copy of the information provided. I also understand that in the event of my defaulting on the rental payment, that any such default may be recorded with the Credit Referencing Agency and IDS Ltd, who may supply the information to other credit companies or insurers in the quest for the responsible granting of tenancies, insurance and credit. understand that in the event of any default by me in respect of the covenants in my tenancy agreement with my landlord, the information contained herein may be disclosed to one or more tracing companies and/or debt collection agencies in order to recover any monies due or to trace my whereabouts. I understand that the information provided by me may be transferred to a country outside of the EU for the purposes only of processing this referencing application, notwithstanding such transfer, Moore & York will remain the Data Controller for the purposes of this application. The information provided in this form by me is information as described in Ground 17 of the Housing Act 1996 and I understand that if any information within this application is found to be untrue, it is grounds for termination of the tenancy. I also understand that any default in the payment of rent may affect any future application for tenancies, credit or insurance. The details you provide will be held by Moore & York. I confirm and consent to the above.