Title Page
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Name of Applicant
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Address / Room Number of viewing
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Conducted on
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Prepared by
Applicant Details
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Single or Couple?
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Email address of applicants
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Phone number
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Alternative telephone number
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National Insurance Number/s
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Date of Birth/s
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Current Address
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Reason for moving
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Current Landlord/Agency contact details
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How long at current address?
- <1 month
- 1-3 months
- 6 months+
- 3-6 months
- 6-12 months
- 1 year+
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Age of Applicant
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Age of Applicant 2
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Current employment status
- Full Time Permenant
- Part Time Permenant
- Zero Hours
- Unemployed
- PT Temp
- FT Temp
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Current employment status applicant 2
- Full Time Permenant
- Part Time Permenant
- Zero Hours
- Unemployed
- PT Temp
- FT Temp
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Name and address of Employer
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Ok to contact employer?
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How long in current job?
- <1 month
- 1-3 months
- 6 months+
- 3-6 months
- 6-12 months
- 1 year+
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Can the applicant supply a guarantor homeowner?
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Required length of stay
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Does applicant smoke?
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Any other information applicant wants to add
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Happy to have credit check?
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Nationality of applicant/s
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Address where we can contact you after tenancy ends/Emergency contact
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Photograph of I.D. / Picture of applicant/s
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Applicant signed
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Time and Date
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I hereby confirm that the person named in this document has the right to rent a property in England and Wales and confirms to the standards as set out in the Immigration Act 2014. I have checked their identity documents in person and feel satisfied that the person named in the application is the person presented to me at the time of viewing within 29 days prior to the start of the tenancy.
C Thornton - Wasley Wood Property Management Ltd. -
Agent to sign
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Time and Date
Other information
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Arrived on time?
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Provided all information
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Smell of smoke or alcohol
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General impression
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Do they have a partner?
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Do they have children?
