Student Accommodation Application
The information in this form is being collected by: Cutlers Property Management Ltd
Please complete all questions. All references will be photocopies for our records.
Date 25 Jun 2017
Address or Property Applying for
Full Name
Mobile
Email Address
Date of Birth
Your current address
Course
Current Year of Study
Intended Flatmates
Next of Kin (Parents or Guardians)
Phone
Address
Present Landlord/or Hall of Residence
Phone
Email Address
Previous Landlord
Phone
Email Address
Do you have written references?
Current Landlord
Yes No
Previous Landlord
Yes No
Work
Yes No
Hall
Yes No
School Testimonials
Yes No
Bond required for student flat application is 3 weeks plus 1 weeks rent in advance. Bond required for studio room application is 4 weeks rent plus 1 weeks rent in advance.
I authorise that the above information may be used to carry out a credit check on me. I also agree that should I be in breach of any express or implied provision of the tenancy agreement or any provision of the Residential Tenancies Act, that I will pay the Landlord's costs incurred in undertaking collection action to recover his/her losses.
Yes No
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