Rental Application

Please check you have entered all details correctly:

Property Details

Personal Details

Title

Name

Date of birth

Current address

Telephone number

Email address

Marital Status

How many children do you have?

Ages of children

Status of current address

Reason for leaving

How long have you rented this property?

Monthly rent paid

Are you a smoker?

Do you have any pets?

If yes, please specify

Who will be living with you?

Applicant 1 personal details

Title

Name

Date of birth

Applicant 2 personal details

Title

Name

Date of birth

Current Landlord

Name of current Landlord

Address of Landlord

Telephone number of Landlord

How much notice do you require to give your current Landlord?

Previous Address

Previous address 1

Previous address 1 date

Previous address 1 landlord

Previous address 2

Previous address 2 date

Previous address 2 landlord

Previous address 3

Previous address 3 date

Previous address 3 landlord

Employment Details

Employment Status

Name of employer

Address

Telephone Number

How long have you been employed there?

Job Title

Partner Employment Details

Employment Status

Name of employer

Address

Telephone Number

How long have you been employed there?

Job Title

Other Information

Contact address for deposit release (at end of tenancy)

Please indicate how long you wish to rent the property

From what date

How many people will be living in the property?

Will rent be paid by you, paid by DHSS or both?

Have you or anyone residing in the property, ever been convicted, cautioned or charged with any criminal offence other than motor offences?

Data Protection

In accordance to the Data Protection Act 1998, the information contained within this application will be held by Mid Ulster Properties confidentially and will not be kept for any longer than necessary by Mid Ulster Properties for its purposes.

I confirm that the information that I have provided to Mid Ulster Properties is true and accurate to the best of my knowledge at the date in which it was provided. I can confirm that I have read, understood and agree to the Data Protection Declaration.

Rental Application

Thank you for your message!

Please check you have entered all details correctly:

Property Details

Personal Details

Who will be living with you?

Applicant 1 personal details

Applicant 2 personal details

Current Landlord

Previous Address

Employment Details

Partner Employment Details

Other Information

Data Protection