Tenancy Application

Do you have Pets?
YesNo

Smoking: Are you or any other prospective occupant a smoker?
YesNo



Have you ever had a tenancy terminated before?
YesNo



Please tick if I may contact this person for a reference?
YesNo

If under the age of 18, are you married?
YesNo

Criminal Record- Have you ever been convicted of any crime or offence (other than one concealed by the Criminal Records (Clean Slate) Act 2004?
YesNo

You are further advised that: If you do not supply all the information requested in this form you may not be considered as the best applicant on merit for a specific property or other properties available for rent and
Please note: A separate completed application form is required for each person who proposes to enter a tenancy agreement as a tenant.
One of your references should be able to provide a reference about your creditworthiness. If you have already provided your current landlord`s details, only one additional referee is needed. Please let these people know I may be contacting them for a reference.
Understanding. By completing this form you evidence the fact that you are applying to rent a residential house / flat / apartment and?
YesNo

Authorisation-
1. Requests Information. This application form asks you to provide personal information and;
2. Purpose of Collection. The information is being collected on this form by the landlord / rental manager whose address is shown on page 3 and is required so that the landlord / rental manager can check the information and be able to assess whether you would be the best applicant on merit for the tenancy and we are also obliged to inquire whether you are a minor and
In Terms of the Privacy Act 1993 you are given notice that:
3. Recipient of Information. The intended recipient of this information is YLPM Ltd whose name appears at the top of this form or the landlord and
4. Sight information. We advise that you have the right to see the information we hold about you and
5. Correct Information. To correct that information if it is incorrect and
6. Holding Information. In the event that YLPM Ltd Ltd is required to carry out a credit check then YLPM Ltd Ltd are obliged by law to retain the record of that application. and
Other information drawn to your attention:

YesNo