Rental Application

SENECAROOMS APPLICATION FORM
Anticipated Move-In Date*

DayMonthYear
Address of Property you are applying for*
Monthly Rent Amount*
YOUR PERSONAL INFO
Full Legal Name*

First NameMiddle NameLast NameSuffix
Birth Date*

DayMonthYear
Primary Phone Number*

Area CodePhone Number
E-mail*
National Insurance #*
Immigration Status*
Photo ID Type*
Driver's License or Passport #*
YOUR ADDRESS HISTORY
Current Address

(The address where you are currently living)
Present Address*

Street Address

Street Address Line 2

CityCounty

Post CodeCountry
Status*
Date moved in?*

DayMonthYear
Date
Reason for Leaving?*
Monthly Rent*
Is this amount inclusive of bills?*

YesNo
Current Address Owner/Landlord/Agent Details

(Details of the property owner or their agent)
Agency Name*
Contact Name*
Phone Number*

Area CodePhone Number
Email*
example@example.com
Previous Address 1

(The most recent prior address where you lived)
Previous Address 1*

Street Address

Street Address Line 2

CityCounty

Post CodeCountry
Status*
Date moved in?*

DayMonthYear
Date
Date moved out?*

DayMonthYear
Date
Reason for Leaving?*
Monthly Rent*
Was this amount inclusive of bills?*

YesNo
Previous Address 1 Owner/Landlord/Agent Details

(Details of the property owner or their agent for your previous address)
Contact Name*
Phone Number*

Area CodePhone Number
Email*
example@example.com
Previous Address 2

(The second most recent address where you lived)
Previous Address 2*

Street Address

Street Address Line 2

CityCounty

Post CodeCountry
Status*
Date moved in?*

DayMonthYear
Date
Date moved out?*

DayMonthYear
Date
Reason for Leaving?*
Monthly Rent*
Was this amount inclusive of bills?*

YesNo
Previous Address 2 Owner/Landlord/Agent Details

(Details of the property owner or their agent for your second most previous address)
Contact Name*
Phone Number*

Area CodePhone Number
Email*
example@example.com
YOUR EMPLOYMENT INFORMATION
Current Role

(Your current or new job/Uni that you are moving to)
Present Employer or Uni*
Position Title/or year of study*
Start Date*

DayMonthYear
Gross Monthly Income*
Present Employer Address*

Street Address

Street Address Line 2

CityState / Province

Post CodeCountry
Employer Phone Number*

Area CodePhone Number
Web Address
Payroll Department Contact Name
Payroll Dept Email*
example@example.com
Payroll Dept Direct Phone Number

Area CodePhone Number
Supervisor Name*
Supervisor Email*
example@example.com
Supervisor Direct Phone Number

Area CodePhone Number
Previous Employer (if less than 2 years ago)
Previous Employer*
Position Title
Start Date*

DayMonthYear
Gross Monthly Income*
Previous Employer Address

Street Address

Street Address Line 2

CityCounty

Post CodeCountry
Employer Phone Number

Area CodePhone Number
Web Address
Supervisor Name*
Supervisor Email*
example@example.com
YOUR NEXT OF KIN

The person we should contact in the event of an emergency - usually a parent or sibling
NOK Full Name*

First NameLast Name
NOK Relationship (e.g., mother)*
NOK Phone Number*

Area CodePhone Number
NOK Email*
example@example.com
ADDITIONAL INFORMATION

Please provide copies of your last 3 months bank statements (plus savings if you think it will support your application), your visa/Biometric Residency Card (if applicable) and a Character Reference (written by your supervisor, a lecturer or a sports/music coach etc).
Upload Bank Statement 1*

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Upload Bank Statement 2*

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Upload Bank Statement 3*

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Upload Character Reference (on letterhead paper) or ask Referee to email us direct*

Browse Files

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Any other document uploads

Browse Files

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Please provide any additional information you believe would help evaluate this application.
I confirm I have received and read*

Draft Tenancy Agreement
I confirm I have received and read*

Holding Deposit Form
I confirm I have received and read*

How to Rent Guide
Documents and certificates signing by email*

I agree to receive documents such as safety certificates, house rules and tenancy agreements for signing by email
TENANT ELECTRONIC SIGNATURE
I, the undersigned represent that all the above statements are true and complete.

I understand that Seneca Rooms will need to contact persons and companies that I have listed on my Application Form, as well as a Credit Referencing Agency, in order to obtain the necessary information that confirms my suitability for the tenancy. I authorise those persons and companies listed on my application form to supply the information requested by SenecaRooms.

I also understand that submission of this Application Form does not automatically entitle me to a tenancy. A tenancy with SenecaRooms is only guaranteed on the signing of a tenancy contract.

False information given in any of the above inquiries shall entitle SenecaRooms to (1) reject this application, and (2) retain the Holding Deposit as liquidated damages for SenecaRooms time and expenses of processing this application.
Signature*

Clear
Date

DayMonthYear
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SENECAROOMS APPLICATION FORM

YOUR PERSONAL INFO

YOUR ADDRESS HISTORY

Current Address

Current Address Owner/Landlord/Agent Details

Previous Address 1

Previous Address 1 Owner/Landlord/Agent Details

Previous Address 2

Previous Address 2 Owner/Landlord/Agent Details

YOUR EMPLOYMENT INFORMATION

Current Role

Previous Employer (if less than 2 years ago)

YOUR NEXT OF KIN

ADDITIONAL INFORMATION

TENANT ELECTRONIC SIGNATURE