D.O.B
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
APPLICANT REGISTRATION FORM
Email
*
example@example.com
Full Name
*
First Name
Last Name
Please select the property you are enquiring about.
*
Please Select
Old Colwyn - 795
Llandudno - 525 Curzon rd
Llandudno - 525 Caroline rd
Colwyn Bay - 650
Abergele - 795
Rhos on sea 3 bed - 1195
Rhos on sea 2 bed - 950
llandudno 1 bed - 600
llandudno 1 bed 550
Phone
*
Please provide their full names
*
Do you have any children? (Under the age of 18)
*
Please Select
YES
NO
Total annual income of applicants
*
Broken down below, this need to be 2.5 times the monthly rental amount
Employment status:
*
Please Select
EMPLOYED
SELF-EMPLOYED
UNEMPLOYED
STUDENT
RETIRED
Employed income
*
Self Employment Income
*
Benefits Income
*
Student Bursary Income (Excluding Student Finance)
*
Earliest Move in Date
*
/
Day
/
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Other Income
*
Do you have a guarantor?
*
Please Select
YES
NO
Your guarantor needs to earn a verifiable 3 times the rental cost per month and pass a ID and credit check.
If yes, please provide more detail.
Any CCJ's or adverse credit history for any applicants?
*
Please Select
YES CCJ
YES IVA
YES OTHER ADVERSE CREDIT
NO
Can you please specify date and amount of adverse credit.
Do you have any pets?
*
Please Select
YES
NO
If yes, please provide more details (Type, Age , Breed ).
I believe all all of the above information to be true.
*
Yes
No
Date
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Signature
*
I/We are signing to confirm the information provided is true. I/We understand that if successful after viewing I/We will be asked to secure the property with ( maximum) 1 week rent value of the property applied for. The property will be held until the agreed date and if the information can not be verified as true the holding deposit is non refundable in this case.
Continue
Continue
How many applicants? (Over the age of 18)
*
Pension Income
*
If yes, please specify how many & their ages.
Should be Empty: