Referencing Property Rental Address: Total Monthly Rent : (£) If a joint tenancy, please state the applicant's share : (£) pcm Is the individual a propective or Guarantor*Individual a propectiveGuarantor* (please tick) *If a guarantor, please also provide the applicant(s) they are acting for: Name of applicants: Individual Details Title: First Name(s): Surname: Date of birth: Marital Status: MarriedSeparatedDivorcesWidowed Current Address Post Code: Period at address: Tel: Mobile: E-mail: Owner:Council TenantPrivate TenantWith ParentsHome OwnerOther( please advices) Reason for departure: Where you have been leaving during the last three years? If less than three years at the current address, please provide previous addresses and dates of occupation; Address: Period at address: Address: Period at address: Address: Period at address: Have you any current, historic or pending adverse credit? If yes, please supply the details Estate/Letting Agent, Solicitor or Landlord regarding where you are now living Company or Landlord name: Address: Post code: Tel(day): Tel(eve): Current Income Details Employed:Self employedOn ContractTemporaryRetiredStudent Company/Agency name: Address: Post code: Gross salary/pension per annum : (£) Position held: Commencement date: Payroll, Service or Pension number: Full timePart time Tel: Fax: Is this permanent?: YesNo If not permanent, please provide the work end date: Is your employment to change in the near future?: YesNo If yes, please provide details: Previous Employment Details Where have you been working during the past three years? Please provide details of previous employers, along with commencement and departure dates, attaching a separate sheet if necessary Company name: Address: Post code: Tel: Fax: Commencement date: Departure date: Accountant / Auditor details if self employed / retired Please authorise your accountant/auditor to provide a reference Practice name: Contact: Address: Post code: Tel: Fax: Bank/Building Society current account only Bank/Building Society Name: Address: Account name: Account number: Sort code: Tel: Personal Reference Name: Address: Post code: Tel: Relationship: Next of Kin excluding spouse Name: Address: Post code: Tel: Relationship: Additional occupants & general information Please list the names of all prospective tenants over 18 years of age to reside at the address: Ages of children: Smokers/non Smokers: Nationality: List any pets: Declaration Once the application form has been fully completed, please submit to your agent I confirm that the supplied information is to the best of my knowledge and belief, true, and may be verified. I understand that should the information provided by me on this form prove to be untrue, it is grounds for termination of the tenancy as described in Ground 17 of the Housing Act 1996. DATA PROTECTION ACT: information provided by you on this form may be verified and held by City move in its computer records. I confirm that the progress of this application may be made available to agents, landlords and co-applicants. I also hereby authorise the above named Bank or Building Society to respond to status enquiries made in respect of this application. City move may search the file of a credit reference agency. Any information obtained or compiled by City move may be passed on to Agents and Landlords.