Tenant Application Form

(This form is to be completed as part of the application)

All residents, including children, must be listed on this application form.

Property Address: ______________________________________________________________________________

Applicant 1:
Name Contact Number

Employer Name Occupation

& Address

Email Address

Applicant 2:
Name Contact Number

Employer Name Occupation

& Address

Email Address

Applicant 3:
Name Contact Number

Employer Name Occupation

& Address

Email Address

Applicant 4:

Name Contact Number

Employer Name Occupation

& Address

Email Address
Children’s Details

Child 1: Name Date of Birth

Child 2: Name Date of Birth

Child 3: Name Date of Birth

REFERENCE DOCUMENTS REQUIRED AS PART OF APPLICATION

1. Previous landlord references including one from your most recent landlord

2. Financial Reference/Evidence of the source of rent – A copy of the bank statements for each Applicant Tenant for the most
recent 3 months (online statements will suffice); work reference where relevant; copies of entitlement to Rent
Supplement/Housing Assistance Payment where relevant.

3. We will be required to verify the employment details and landlord references provided; please confirm consent for us to
contact the following by ticking the boxes below:
x Employer □
x Landlord Reference (s) □

If your application is successful, please confirm that you will be in a position to provide each of the following within 24
hours of being requested:

x PPS Numbers for all tenants □

x Copy of driver’s licences or passports □

Pet Policy detail

Whilst DUBLIV have pet friendly developments all pets must be pre-approved as part of the tenant application process. First pet
is charged at a rate of €50 per month/second pet is charged at a rate of €30 per month. There will be a Pet Policy Agreement to
be executed by tenants and landlord. T&Cs Apply.

Pet (please circle) Yes No If yes, how many?

Type of pet

Name

Size & Breed

Please email this form together with all required reference documents to

ǁĂůůĞĚŐĂƌĚĞŶ@dubliv.ie Please clearly label all emails with the unit number and

address.

Fernaldo Limited is the Data Controller of the personal data contained in this form pursuant to the Data Protection Acts 1988 & 2003 & The General Data
Protection Regulations EU 2016/679 (GDPR). The personal data is collected as part of your application to rent the property identified at the top of this
form and the personal data may be disclosed to the owner/the Landlord of the property. In the event that your application is successful then Fernaldo
shall disclose your identity, and other relevant data, to the utility providers (if applicable) and management company for the property and the Residential
Tenancy Board (RTB). Please note that you are obliged to complete all parts of this form and if you do not do so then your application shall not be
considered. You have the right of access to the personal data that Fernaldo Limited holds about you, the right to rectify any inaccurate data and to have
the personal data processed fairly.

Fernaldo Limited is a private company limited by shares and is registered in Ireland (CRO No.712731) whose registered and business address is O’Connell
Bridge House, 27/28 D’Olier Street, Dublin 2, D02RR99