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Tenancy Application Form

If you have viewed a room, flat or studio and would like to become a tenant please complete the details below, and send. (Couples or friends please both apply separately)

When our viewing period is over we will let you know if your application has been successful. If successful you will need to visit our London offices promptly to secure your tenancy.

Please ensure that you have a reference letter ready should you be successful.

Application Form

    Which room or rooms are you applying for?

    Room, studio or flat, enter letter/s or number/s

    Property name (You may select more than one property)

    My ideal date to move in is

    Your personal details

    Your Full Name (required)

    Your Email (required)

    Mobile phone number

    Alternative phone number

    Your date of birth (dd/mm/yyyy)

    Your nationality

    Status

    Number of children

    Your current living arrangements

    Current address

    Postcode:

    Time you have lived at current address
    years and months

    Type of tenancy

    Current amount of rent you pay per month

    Landlord's Name

    Landlord's address

    Landlord's phone number

    Landlord's fax number

    Landlord's email address

    Do you give Prime Spaces permission to contact your landlord for a reference?
    YesNo

    Your employment status

    Please select

    Position held

    Employer's Name

    Employer's address

    Employer's phone number

    Current yearly income or salary

    Other information

    Do you smoke?
    Yes, I am a smokerNo, I am not a smoker

    How did you hear about it?
    A friendGoogle or web searchGumtreeOther (state below)
    Other:

    Any message or anything else to tell us that's relevant? (optional)

    I declare that the information given above is true, to the best of my knowledge and
    belief. I authorise Prime Spaces LLP to obtain any relevant information from any of the above and authorise any of the above to release relevant information.
    Tick to agree with this declaration

    If you are human and not a spam bot please answer this simple question.

    Please complete all boxes and tick the declaration box above or form will not be submitted.