Student Tenant Online form

The information on this form is for the sole use of the landlord only for the purposes of letting. No information contained therein will be divulged to any third party, unless the tenant defaults or givespermissions. (In Confidence)

 

Full Name:
Date of Birth:
Place of Birth:
National Insurance Number:
Current Address:
Home Address:
Date moved in:
Tel:
Lived there from:
to:
Next of Kin (or person to be contacted in emergency)
Name:
Address:
Relationship:
Tel:
Previous Landlord ( if applicable):
Contact telephone number:
Name:
Duration of previous tenancy:
Address:
Reason for leaving:
Bank Name:
Bank Address:
Bank Account Number:
Mobile Number:
Email address:
Car Make and Registration:
Course enrolled on:
Course end date:
Student ID Number:

In conjunction with this application, the landlord requires a parental guarantor form to be completed and returned to the landlord or his agent.

I understand that the information given above forms the basis of granting me a tenancy and I hereby confirm the accuracy thereof.

SIGNED:
DATE:

Note: A false statement made knowingly or recklessly to induce the grant of a tenancy may result in a Court Order for possession.