Tenants Application Form To Rent A Room.

Please read carefully before signing this document.

All the information you provide on this form is strictly confidential and solely for the use of your
prospective landlord. This information cannot and will not be passed to any other person or
business unless you, the prospective tenant, instruct the potential landlord to do so.

Please fill out all the information requested. If you need any assistance please get in contact
with us. This document does not guarantee you the room you wish to rent.

Property details (Address to be let)

Property address:

41 Linwood Rd, Birmingham, B21 9JG

Applicant details

Title: Mr Mrs Ms: Last name

First Name Middle Name/s

Address: Time spent at this address:

Reason for Leaving:

Phone number: Email address:

Previous addresses (if at current address for less than 3 years)

Address 1: Duration: (mm/yyyy) to (mm/yyyy):

Reason for moving:

Address 2: Duration: (mm/yyyy) to (mm/yyyy):

Reason for moving

Address 3: Residency Length: (mm/yyyy) to

(mm/yyyy):
Reason for moving

Current landlord details:

Name: Telephone:

Full Address:

Email Address:

Employment Details:

Employment status: Employed/ Self employed/ Retired/ Unemployed/ Student/ Other

(Circle as appropriate)
Company Name: Company address:

Job title:

Person to contact: Email address:

Role:

Telephone: Period of employment:

State of employment: Permanent / Temporary Current salary:

Will your position change before tenancy starts? Yes/No

Other Income (Give details and amount of regular income):

Other details:
Do you have any adverse credit history- CCJ or Bankruptcies: Yes or No
If yes provide details:
Smoker? Yes or No

Identification? : Please provide me with a copy of

! Proof of ID- Passport/driving licence
! Proof of address- Recent utility, bank statement
! Proof of income- 3 consecutive month pay slip

Guarantor: Do you require a guarantor? Yes or NO

Declaration/Authorisation

The details supplied by you are checked against those held on credit reference agency
databases for the purposes of pre-tenancy/lease selection.
A record is kept of this search; however it will not affect your ability to obtain credit or other
services in any way. Information is processed in confidence and within the guidelines of The
Data Protection Act (1998) & the appropriate International privacy laws.
I confirm that the information provided on this application is accurate & true.
I authorise MS Properties Ventures LTD to conduct these searches and to make any
employer or financial enquiries necessary to assess my suitability for this agreement.

_______________________________ ____________________________
Signed by Tenant Date