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Kindly fill in all sections of this form, it is important that you do so.
Mobile telephone no so landlord can contact you :
Questionnaire for DSS/Housing benefit tenants.
1 Bedroom 2 bedroom 3 bedroom 4 bedroom All
0-4 week 1 – 2 months over 2 months
Are you in full time employment, part time employment or unemployed?
Questionnaire for those in employment.
Affordability
How much do you Earn?
Less than £1000
£1000 – £2000
£2000 - £3000
Employment status
I am in employment ?
Full time
part time
unemployed
Employment history
I have been employed at the same job for?
less than 3 months
3 months – 6 months
6 months – 1 year
1 year – 2 years
I can provide proof of my employment history by showing my pay slips or letter from employer?
Proof of identity
I can show you my Drivers licence?
I can show you my Passport?
I can show you my Identity/national insurance card
I have No proof of ID
Banking History
I have a UK bank account?
I can provide at least 3 current bank statements?
Timing/Need
I need a place to rent?
immediately
0 – 4 weeks
1 – 2 months
Over 2 months
How long have you been in UK?
Less than a month
Less than 6 months
1-2 years
2 – 4 years
More than 4 years
Electoral register
I am on the UK electoral register?
Yes No
Utility Bills
I have at least 2 Utility Bills in my name from my last address (no more than 3 months)
Water
Gas
Landline Telephone
Electricity
Sky TV contract
I am searching for property for myself and not for a friend or family member and will be living there.
Questionnaire for Student.
Status
I am a UK/EU student.
I am a foreign student with a student visa?
Time/Need
The amount of time left unexpired on my student visa?
6 – 9 months
9 - 12 months
over a year
1 – 2 years
Amount of years left before I finish my course/graduate?
1 year
2 years
3 years
over 3 years
I can provide either my passport or a UK/EU drivers licence as proof of my identity?
I can provide my passport to prove my identity?
I can provide my UK drivers licence as proof of my identity?
I can obtain a reference letter from my college/university confirming that I am a student.
I have been in the UK for?
Less than 3 months
Less than 12 months
Over a year
2 – 3 years
over 5 years
I am a
I am at or will be attending University?
This will be my first time living away from my family home?
I am on the electoral register?
I can provide references from my past landlord?
I can provide utility bills from my previous address?
I work part time?
I can provide proof of my employment and how much I earn from my employer?
Less than £100
£100 - £200 a week
£200 - £300 a week
Over £300 a week
I am currently on a sponsorship and get my tuition and living expenses paid for?
I intend to use my student loan to pay for my rent?
I get a UK student Grant?
My parents will pay all of my rent?
My parents will make a contribution to my rent?
Most of it
Around half of it
Less than half of it
My parents are willing to be my guarantors?
I only want to rent a room and my wages should cover the rent?
I want to rent a house with some other student friends and share the rent between us?
The number of people going to be sharing the property?
Just me
2 of us
3 of us
4 of us
5 of us
I am a mature student over the age of 30?
I am sharing with my partner who is in employment?