Please provide some information about yourself so we can get started with your tenancy application.

* indicates a required field within the form.


Preferred Start Date:

Holding Deposit Paid:

By submitting this form you will be agreeing to the following:

I confirm that the information I am providing is true and accurate, and give permission for it to be verified by the Letting Agency if required.

I understand that this information may be accessed again should I apply to rent a future property with the Letting Agency.

I understand that the information on this form may be shared with the Landlord of the property, as well as third-party referencing agencies.

I agree and accept to receive legal documentation for this tenancy digitally via email, or online via the Goodlord website.

I understand that providing false information may lead to the Letting Agency withholding the Holding Deposit.

I confirm that I am in a position to proceed with the tenancy, should I be invited to make a formal application by the Letting Agency.

I confirm that I am eligible to rent in the UK.

Personal Details

Will any under 18s or other dependents be living with you in the property?

Please provide names and ages of dependents:

Source of Income

Please circle all that apply


Self Employed


Independent Means

Student Loans


Do you received Housing Benefits?

Do you have any active County Court Judgements or Court Decrees?

Have you been declared bankrupt in the last 6 years?

Have you been subject to an IVA in the last 6 years?

Additional Information:

Are you currently renting?

If so, do you have a confirmed end date for your current tenancy?

If Less than three years please provide previous address/es and landlords details:

How long have you lived there?

Have you ever been 2 or more weeks late paying your rent?