Customer Registration Form
Full Name
*
First Name
Last Name
Date of birth
*
-
Day
-
Month
Year
Date
Phone Number
*
-
Area Code
Phone Number
E-mail
*
Passport
*
Number
Expiry date
*
-
Day
-
Month
Year
Passport photo
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Share code
Right to rent
Current status
*
Please Select
Employed
Unemployed
Self-employed
Studying
Looking for a job
Proof of work or study
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Next of kin
*
Full name
Contact number
Proposed check in day
*
-
Day
-
Month
Year
Date
Length of contract
*
Period
*
Please Select
Nights
Weeks
Months
Possible extension
Yes
No
How did you hear about us?
*
Please Select
Spareroom
Gumtree
Instagram
Friend
Other
Signature
Continue
Continue
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