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Applicant Details

Next of Kin


These fields only need to be completed if you are a student

Managing Agent / Landlord for the property you currently occupy

Current Employment Status

Employed / Self Employed


Previous Employment / Occupation

If you have not been in your current position for at least 18 months, please list details of where you have previously worked, including commencement dates and dates of leaving

Bank / Building Society Details (Current Account Only)

Identification Documents

Terms and Conditions

Terms and Conditions

I agree that all parties on this form can be contacted by Room Rental Specialists Ltd or their nominated referencing agent and that these parties can provide all information they are asked for. I authorise that Room Rental Specialists Ltd may confirm that the bank / building society details given above are correct and that this account has Direct Debit / Standing Order facilities. I confirm I am able to meet the monthly rental payments. Any fees charged for this service should be debited to the above detailed account. I understand that checks will be made with County Court registers and if any unsatisfied County Court Judgements or any adverse credit is registered against me the reservation may be cancelled and I will forfeit my agency fee. All information is used only to make an assessment for property rental decisions and is kept in accordance with UK Data Protection Act Laws. To the best of my knowledge and belief the information I have given on this form is correct and complete. I understand that if any unsatisfactory references are obtained or that if I give any false or misleading information that this may affect my assessment. Which could affect the reservation and I may then forfeit my agency fee. I understand that I may be required to nominate a Guarantor. I agree that Room Rental Specialists Ltd may search the files of a credit reference agency which will keep a record of that search. Details of how I conduct the account may also be disclosed to the agency. I confirm that I have the right to rent. I am authorised to work or study in the United Kingdom and have the correct visa to enable this. I confirm that completing this application does not constitute a tenancy. I confirm that I have had the opportunity to read through the AST that will be used in my tenancy and I am happy to proceed with the booking. I confirm that my holding deposit capped at one weeks rent will be non-refundable and I will receive a confirmation that is hasn't been refunded within seven days of the decision, should I: 1. provide false or misleading information 2. fail right to rent checks 3. withdraw from the booking/agreement 4. fail to take reasonable steps to enter into the agreement and or fail to respond to reasonable information requests within seven days. Should my tenancy proceed I confirm that my holding deposit can be used against my first months rent. However I do have the option of having this refunded directly upon request. I confirm that I understand that if I am a student or on low income that I will require a Guarantor for the tenancy to proceed.

Your personal data will be used to support your experience throughout this website, to manage access to your account, and for other purposes described in our privacy policy.