TENANCY APPLICATION FORM:

Have you inspected the property? No Yes Property Address: Name of Applicant: Email: Gender: Male Female Phone (AH): Phone (BH): Phone (Mobile): Date of Birth: License #: Car Registration:

CURRENT RENTAL STATUS: Address: Term of Residency: 0 1 2 3 4 5 6 7 8 9 10 Years & 0 1 2 3 4 5 6 7 8 9 10 11 Months Agent/Landlord: Phone #: Reason for leaving:

PREVIOUS RENTAL STATUS: Address: Term of Residency: 0 1 2 3 4 5 6 7 8 9 10 Years & 0 1 2 3 4 5 6 7 8 9 10 11 Months Agent/Landlord: Phone #: Reason for leaving:

EMPLOYMENT DETAILS: Occupation: Term of employment: 0 1 2 3 4 5 6 7 8 9 10 Years & 0 1 2 3 4 5 6 7 8 9 10 11 Months Income: Employer/Company: Address: Contact: Title of Contact: Phone (BH): Phone (Mobile):

PREVIOUS EMPLOYMENT DETAILS: Occupation: Term of employment: 0 1 2 3 4 5 6 7 8 9 10 Years & 0 1 2 3 4 5 6 7 8 9 10 11 Months Income: Employer/Company: Address: Contact: Title of Contact: Phone (BH): Phone (Mobile):

NEXT OF KIN: Name: Relationship: Phone #: Address:   Name: Relationship: Phone #: Address:

PARTICULARS: Proposed Commencement Date: Rental: per week Number of Occupants: 0 1 2 3 4 5 6 7 8 9 10 Adults 0 1 2 3 4 5 6 7 8 9 10 Children Do you have pets?: No Yes Type: Other comments:

I, hereby authorise the Agent to make enquiries and obtain the information from the parties nominated above and consent to such information being disclosed to other Estate Agents at a future date, should I make an Application elsewhere. I understand that 12 month leases are ONLY available, unless otherwise specified by Agent, and that the property can not be held for me without a signed lease and a deposit paid by me. I understand that the landlord reserves the right to reject an application. I also hereby confirm that I have read, understand, acknowledge and agree to all the terms of the Privacy Statement and all information provided by me is true and accurate.

I agree to the above conditions