Reference Details

Click here for printable version of form

Please state your current employment situation:
Retired
Self Employed
Employed
Between Jobs
   
Private References.

We require two, and suggest you provide these from your Banker, Lawyer, Doctor, Local Policeman or a similar professional person. Friends and neighbours are not suitable as referees.

Reference 1 Profession
Reference 1 Name

Reference 1 Address

Reference 1 Postcode
Reference 1 Telephone
Reference 1 Fax
Reference 1 Email
   
Reference 2 Profession
Reference 2 Name

Reference 2 Address

Reference 2 Postcode
Reference 2 Telephone
Reference 2 Fax
Reference 2 Email
 

If employed, please also provide a reference from your employer, i.e. the person you named on your application form as the contact we should approach to complete our checks on your behalf.

Reference from employer detailed on 'Application to Rent a Property' form:

 
Do you propose to pay your rent:
From personal resources
In cash/by cheque
By Standing Order
In another manner
If so please state here
 
If a third party (family/business etc) is to pay your rent, what is your relationship with them?
Relationship
Their Name
Their Address

Their Postcode
Their Telephone
 

If you are new to the area, are you coming for:
Over a year
Up to a year
Up to 6 months
 

If you are moving to the area for over a year, do you intend to:
Continue to rent
Buy a house in due course

If you have not yet done so, please complete the other forms:

Application to Rent a Property

Guarantor Details

AT5