Northampton Lettings Registration (Yasmin)
Please answer the below questions to finish formally registering with Chelton Brown and to confirm your viewing.
Title
*
First Name
*
Last Name
*
Email
*
Telephone
*
Format: 00000000000.
Current Address
*
Current Landlord (Name And Contact Number) Details
*
When Do You Need To Move By?
*
-
Month
-
Day
Year
Do You Smoke?
*
Please Select
Yes
No
Do You Have Pets?
*
Please Select
Yes
No
How Many Adults Will Be Living At The Property?
*
Please Select
1
2
3
4
5
6
More
Do You Have Any Dependents Living With You (E.g. Children)
*
Please Select
0
1
2
3
4
5
6
More
Employment
Source Of Income
*
Job Title
*
Annual Salary
*
Contract Type
*
Please Select
Permanent Full-Time
Permanent Part-time
Temporary
Fixed Term
Self-Employed
Agency
Zero Hours
N/A
Credit History
County Court Judgments Or Court Decrees In The Past 6 Years Whether Now Satisfied Or Not
*
Please Select
Yes
No
Bankrupt In The Last 6 Years
*
Please Select
Yes
No
IVA's In The Last 6 Years
*
Please Select
Yes
No
What Property Are You Interested In Viewing / Taking?
*
Can You Confirm You Have Read And Are In Agreement With Our Terms And Conditions. (See Below)
*
Yes
Please verify that you are human
*
Submit
Should be Empty: