Full Reference Application Form

Please return this form to OneAgency. Asterisks (*) indicate a field is mandatory.

Agency Details
Letting Agent Name * Letting Agent ID *

OneAgency 9011

Property Details
Total Monthly Rent *

£
Abode * Building/House Number * Building/House Name *

Address Line 1 *

Address Line 2 *

Town * County * Postcode *

Tenancy Details
Start Date of Tenancy (dd/mm/yyyy) * Length of Tenancy (months) * Share of Rent *

Applicant's Contact Details

Title (e.g. Mr, Mrs, etc.) * First Name * Middle Name * Last Name *

Date of Birth (dd/mm/yyyy) * Telephone Number * Mobile Number *

Email Address * Previous Full Name (if your name has changed in the last 6 years)
Applicant's Details
Marital Status * Do you smoke? * Do you have pets? * Any recent arrears or adverse credit? *

If you have had any recent arrears or adverse credit within the last 10 years, please provide details on the 'Additional Information' page.

What is your expected residency status?

Family Single Couple Sharer

Applicant's Current Address Details

Abode * Building/House Number * Building/House Name *

Address Line 1 *

Address Line 2 *

Town * County * Postcode *

Move In Date (Estimate) *

What is your current residency position? If 'Tenant', please complete the section titled 'Landlord / Agency Details' below.

Tenant Owner Live with Parents Family / Friends Staff Accommodation

Applicant's Previous Address Details (if available)

If you have occupied any previous addresses other than your current address in the last 10 years, please enter the most recent one below. Please
provide any further addresses, going back up to 6 years, on the Additional Information page.

Abode * Building/House Number * Building/House Name *

Address Line 1 *

Address Line 2 *

Town * County * Postcode *

Move In Date (Estimate) * Move Out Date (Estimate) *

Landlord / Agency Details For Your Current Address
Please note that we cannot accept landlord references from relatives or friends. All contact details must be your landlord or letting
agents' business, not personal, details.

Name of Landlord / Letting Agent * This is a Letting Agency This is a Private Landlord

Title (e.g. Mr, Mrs, etc.) Contact First Name * Contact Last Name *

Contact Telephone Number * Contact Email Address *

Source of Income
Please note that we cannot accept references from relatives or friends. All contact details for income referees must use their business, not
personal, details.

Employed Self-Employed Self-Employed Investments / Benefits

(PAYE) (Self-Assessment) (Accountant) Savings (please state w hich type)

Employer / Accountant Name * Annual Income Amount *

£
Employment Start Date * Employment End Date

Employment Term *

Permanent Fixed-Term Contract Casual Temporary

Full / Part Time * Position / Role *

Title (e.g. Mr, Mrs, etc.) Contact First Name * Contact Last Name *

Primary Contact Number * Secondary Contact Number

Contact Email * Contact Position Within the Company *

Comments / Further Information (if you have further income sources, please specify these on the next sheet)
Identification
National Insurance Number * Identification Type (e.g. passport, driving licence, etc) Identification Number *

Bank Account Number * Bank Account Sort Code *

Authorisation
I confirm that the information provided in this application form is true, accurate and complete. I understand that the information that I have submitted will be
used in order to assess my suitability to be granted a tenancy agreement, or to be named on the tenancy agreement as a Guarantor, or to verify my identity to
prevent and detect crime and money laundering, and acknowledge that the information that I have provided will be shared with third parties for this purpose. I
understand and agree that current or former employers, landlords and letting agents may be asked to provide additional information about me or to verify
information that I have provided, calls for which are recorded for training and monitoring purposes. I further acknowledge that the information that I have provided
will be submitted to credit reference agencies in order that a credit check can be conducted. I understand that Rent4sure Ltd is not entitled to disclose a copy
of my credit report to me but that I may obtain a copy of the report by applying to the relevant credit reference agency directly. I understand that I may be
refused a tenancy, or may be found unsuitable to act as a Guarantor, as a result of the searches and references obtained by Rent4sure Ltd. I acknowledge that
the referencing services provided are provided to the letting agent or landlord (as the case may be), and agree that I shall not seek to hold Rent4sure Ltd liable
for such refusal nor shall I seek to bring any claim against Rent4sure Ltd for any loss or damage suffered by me as a result of such refusal.

▢ By ticking this box I agree to Rent4sure Ltd contacting me by e-mail and/or telephone regarding other goods and services that may be of interest to me,
such as broadband, utilities, telecommunications and insurance products. Rent4sure Ltd may also on occasion share your personal data with third parties,
such as the providers of these products, if you tick the box. If you change your mind in the future you can withdraw your consent at any time by contacting us
(using the details in our Privacy Policy) or by using the unsubscribe option in e-mails. For more details on how we use your personal information, including
details about the third parties with whom we may share your personal data, please see our Privacy Policy here: www.rent4sure.co.uk/legal#privacy.

Rent4sure Ltd is a controller under data protection law. For further details about how we collect and process your personal data, together with information about
your privacy rights, please see our Privacy Policy here: www.rent4sure.co.uk/legal#privacy.

Applicant's Name * Applicant's Signature * Date (dd/mm/yyyy) *

Home Setup
When you move house, we know it can be a challenge to get all your existing services set up. That's why we've partnered up with several different utility
companies, so you're all set for the day you move in. Check out our partner's services below, and if any of them look useful, tick the "Opt-In" checkbox. If your
application is successful, we'll contact you with further information about each service you've expressed an interest in.

Broadband and Media Packages Utilities

Virgin Media/Home Telecom Homeshift
 Additional Information (Optional)
If you need to provide any previous addresses, names, credit history or other sources of income please describe them below.

Supplementary Orders (for use by OneAgency only)

Rent Protection Legal Expenses Insurance

RP 6 Months RP 6 Months RP 12 Months RP 12 Months LEI 6 Months LEI 12 Months

1 Month Excess Nil Excess 1 Month Excess Nil Excess

Add Know Your Customer

Know Your Customer
Know Your Customer Checks find proofs of identity, proofs of residency, and
identify potential alerts for your applicants in line with your Anti-Money
Laundering regulations.

Add Right to Rent Check

Right to Rent Check
Right To Rent Checks help ensure you are verifying your tenant's right to
reside in the UK, in line with your obligations under the Immigration Act 2014.

© 2020 Rent4sure Ltd.