Tenancy Application Form
Upon completion please return this form to:
Name of Landlord:
Address of Landlord:
(IN THE CASE OF JOINT-APPLICANT, EACH JOINT-APPLICANT WILL BE REQUIRED TO COMPLETE AND SUBMIT A SEPARATE APPLICATION FORM.
PLEASE EITHER PHOTOCOPY THIS FORM FOR THE NUMBER REQUIRED BEFORE COMPLETING - OR ASK FOR THE NUMBER OF FORMS RQUIRED)
APPLICANTS NAME
(Mr/Mrs/Miss/Ms)
ADDRESS
EMAIL ADDRESS
TELEPHONE (LANDLINE) (MOBILE)
DATE OF BIRTH N.I. NUMBER
ID TO BE PHOTOCOPIED BIRTH CERTIFICATE DRIVING LICENCE OTHER
JOINT APPLICANTS NAME (if any)
RELATIONSHIP OF JOINT APPLICANTS TO YOU
TIME AT PRESENT ADDRESS
PREVIOUS ADDRESS
(if less than 3 years)
HOW WAS THAT PROPERTY AS TENANT AS OWNER AS A LODGER
HELD BY YOU
AS A COUNCIL TENANT - OF WHICH LA:
IF AS A TENANT OR LODGER, PLEASE GIVE THE NAME AND ADDRESS OF THE LANDLORD BELOW:
IF EMPLOYED -
YOUR OCCUPATION
NAME AND ADDRESS
OF EMPLOYER
For use in England and Wales
© 2011 Residential Landlords Association [Link] Version: 03-2011
Tenancy Application Form
ARE YOU PRESENTLY IN RECEIPT OF HOUSING BENEFIT INCOME SUPPORT
UNEMPLOYMENT BENEFIT SICKNESS BENEFIT
RETIREMENT PENSION DISABILITY ALLOWANCE
ADDRESS OF THE TENANCY
BEING APPLIED FOR
THE DATE YOU WOULD LIKE TO BEGIN
OCCUPYING THE PROPERTY IF
APPLICATION IS SUCCESSFUL
THE LENGTH OF TENANCY BEING
APPLIED FOR
IF IT IS INTENDED FOR ANYONE OTHER THAN YOURSELF TO LIVE IN THE PROPERTY, PLEASE PROVIDE BELOW
THEIR NAMES, AGES (INCLUDING CHILDREN IF ANY), AND THEIR RELATIONSHIP TO YOU:
NAME AGE RELATIONSHIP
YOUR BANK / BUILDING SOCIETY
NAME AND ADDRESS
ACCOUNT NUMBER SORT CODE
PERSONAL REFERENCE
(CHARACTER) - MUST BE A
NON-FAMILY MEMBER
(NAME & ADDRESS)
I confirm that I am over 18 years of age and the information I have provided is accurate. I agree to the Landlord
named at the beginning of this application form making whatever enquiries, including a credit check, he/she deems
necessary in connection with this application for a tenancy. I authorise my employer, my bank / building society, a
local authority (if I was previously a council tenant), and the personal referee named, to provide information about
me, any prior tenancy history, and any employment / financial affairs as appropriate to the Landlord's enquiries.
SIGNED NAME DATE
For use in England and Wales
© 2011 Residential Landlords Association [Link] Version: 03-2011