Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Current Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

When did you move into your current address? *

MM

DD

YYYY

What type of property are you seeking? *

House

Flat

No Preference

Do you have any pets? *

Yes

No

What is your employment status? *

Employed - Full Time

Employed - Part Time

JSA

DLA

Retired

Do you claim housing benefits? *

Yes

No

Can we visit you at your current address? *

Yes

No

Previous Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

When did you move into your previous address? *

MM

DD

YYYY

Current landlord's name *

First Name

Last Name

Do you give OK Let permission to contact your current landlord? *

Yes

No

Family member name

If you pay a top up rent we will require a family member to act as a guarantor in the event you are unable to pay.

First Name

Last Name

Family member address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you agree for OK Let to carry out a credit check? *

I agree

I do not agree