Tenant Application Form Chelmsford Rooms to Rent

Applicant Information

Full Name

First

Middle

Last

Date of Birth

Email

Phone

Please Upload Proof of ID (Passport or Driving License)

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Please Upload Proof of Visa or Right to Rent Document (if applicable)

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Car Registration (if applicable)

National Insurance Number

Current Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Current Landlord / Letting Agent Name

Current Landlord / Letting Agent Email Address

Current Landlord / Letting Agent Phone Number

Rent Cost per Month

Time You Have Lived Here?

Name Company Position

Please Upload a Utility Bill / Bank Statement / Tenancy Agreement For This Address

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Previous Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Previous Landlord / Letting Agent Name

Previous Landlord / Letting Agent Phone Number

Previous Landlord / Letting Agent Email Address

Rent Cost per Month

Time You Lived There?

Please Upload a Utility Bill / Bank Statement / Tenancy Agreement For This Address

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Employment Status

Are You Currently Employed?

Name of Company

Current Position / Job Title

Time You Have Been Employed Here

Name of Manager / Payroll / HR Contact

Email Address of Manager / Payroll / HR Contact

Phone Number of Manager / Payroll / HR Contact

Employer Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Annual Salary

Monthly Income After Tax & NI

How Are You Paid? (Bank Transfer or Cash)

Any other important employment information we should know

Probation Period, Bonus Payments, Overtime, Job Transfer, Disciplinary Proceedings etc.

Please Upload Last 3 Pay Slips (or Letter From Employer Confirming New Job)

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File Upload

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File Upload

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Emergency Contact / Next of Kin

Name

First

Last

Relationship

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Emergency Contact / Next of Kin Email Address

Emergency Contact / Next of Kin Phone Number

Banking Information

Name of Bank Your Salary Is Paid Into

Bank Account Name

Bank Sortcode

Bank Account Name

Please Upload Last 3 Bank Statements For Your Main Account

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File Upload

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File Upload

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Other Bank Accounts

Please provide details of any other bank accounts that you use to pay for monthly living costs, savings etc.

Please Upload Latest Statement From Other Bank Account (if relevant)

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Final Steps

Checkboxes

I hearby agree to the terms and conditions and verifiy the information I have detailed to be correct at the time of submission. I hereby give authority to Chelmsford Rooms to Rent to contact my current employer and previous landlord to seek references and for those people to provide the required information to enable me to secure new rented accommodation from this company as soon as possible.
GDPR Tenant Data Protection Form Data Protection & Direct Marketing – Information Held About You. In order to keep you up to date with and assess your suitability to rent a room within the property we must obtain certain information from you about your financial and personal circumstances which may include a credit check. All tenant information is treated as confidential, however by accepting our Terms and Conditions of Business you agree that the information that you give us may be disclosed to third parties for the purpose of processing your application(s). You must obtain the authority of any third party (referees) to give us their data and consent for us to possess and process their data. For your own benefit and protection you should read these terms carefully before signing them. If you do not understand any point please ask for further information. By signing these Terms and Conditions: 1. I agree that the information held about me can be held on computer and/or paper files in accordance with Data Protection. 2. I agree to the Landlord named at the beginning of this application form making whatever enquiries, including a credit check, referencing agency, Tenant Screening, use of social media public profiles, she/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), current or former landlord, 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. 3. I agree that any information that I give may be disclosed to third parties in relation to a tenancy application (e.g. credit reference agencies, referencing agencies and service providers) for the purpose of processing your application. 4. We agree that any consent given by you in relation to this tenancy may be withdrawn by you at any time by contacting us in writing at: 1 Upper Chase, Chelmsford, Essex. CM2 0BN

Signature of Applicant

Clear Signature

Date