STUDENT APPLICATION AND RESERVATION FOR TENANCY Property Address ‘TO KNOWINGLY SUPPLY FALSE INFORMATION MAY BE USED AGAINST YOU BY YOUR, LANDLORD TO SEEK POSSESSION OF THE PROPERTY under Ground 17 of Section 8 of the HOUSING ACT 1996, PERSONAL DETAILS: Full Name:... i Me. Present address: - eae ‘ sess ePostoode.. Tel: days... sooo Ve/ weekend: 5 mobil: Email address, Date and place of births... an -Nat'LIns No: Have you ever been known by any other name? Y/N Ifso, please give detail How long have you lived at your present address?. How much notice are you required to give... Do yousmoke? Y/N Do you have a pet? Y/N CURRENT LANDLORD/AGENT Landlord name: Address... Posteode:.. Tel. Tek. Mobile:.ccec seen sosneeeneMobilePREVIOUS ADDRESSES: (for the past three years) Period from... 40: Towms.o-ooesrsseenPostoode: Tel. Period from: 10: Address. Town: sree POateOer csi Town, -+nPosteode:.. Tel. Tel: : BANK DETAILS Bank name, Address J“ ae Sete ce Posteode Telephone Account no... Sort code.. UNIVERSITY DETAILS University/college. Course. Point of contact (eg tutor) ‘Student number... “Any previous University.J enclose the Reservation fee of £100 for this Property in accordance with the Tenants Terms and Conditions and I am aware that Credit and Reference checks will be carried out. certify that I do not: 1). Have any County Court judgements against me 2) Owe money to any Housing Benefit department or Local Authority 3). Have a claim against me from any previous landlord Signature Please retum your completed Application for Tenancy form, Guarantor form, Standing Order Mandate and cheque or bankers draft for the appropriate amount to: