Personal Details
Resident Details
Supporting Information
Declaration
Property you wish to rent. Not currently available
Area / Postcode of Interest
Is this a joint or sole application? Sole ApplicationJoint Application
First Name(s)
Surname
Year of Birth
Contact Number
Email Address Please leave this field empty.
Gender MaleFemale
Are you a Smoker? —Please choose an option—SmokerNon-Smoker
Do you have pets? —Please choose an option—PetsNo Pets (if yes, please list all pets which you intend to reside at your property including age and breed.)
Are you in Employment? —Please choose an option—YesNo Please select one of the following: —Please choose an option—EmployedSelf EmployedOn ContractRetiredUnemployedStudent
Job Title Employer Name:
Employer Telephone Employer Email:
Employer address:
Employment Type —Please choose an option—PermanentTemporary Employment Role —Please choose an option—Full timePart Time
Annual Income:
Current Address and Postcode
Email Address
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1. What is your reason for moving at this time?
2. What is your current housing situation?
3. Do you have any local connections to the property you are applying for? (family, work, school etc)
4. Do you have any ongoing CCJ’s or credit file details we should be aware of?
5. Do you receive Universal Credit and/or Housing benefit?
6. Do you currently or have you ever owned your own home? If yes, please provide full details:
7. Do you have a criminal history including any unspent convictions?
8. Have you ever been evicted?
9. Is there any information we should know where we would need to make adjustments in our communications with you throughout your tenancy?
10. Is there anything about you or your lifestyle that you would like us to take into consideration? e.g. shift work, working from home?
Where did you see this property advertised? —Please choose an option—Social MediaRightMoveNewsletterWord of MouthDisplay Sign
(.doc, .docx, .jpg, & .pdf formats only)
Please be aware that this information will be shared with a credit reference agency for the purposes of pre-tenancy selection. Information will be processed in confidence and within the guidelines of GDPR 2018.
I confirm that the information supplied is to the best of my knowledge true and may be verified.Please leave this field empty.
Information is retained for 2 years and then safely destroyed. Please use the contact details below if you would like to be removed from the housing list before that time. For further details please contact Hellens Residental on 0191 5946666 or email info@hellensresidental.co.uk
