Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Norman Galloway lettings application form
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
-
Step
1
of 13
About you the lead Tenant...
Your Title
Please select
Mr
Miss
Mrs
Ms
Other
Your Name
*
First
Last
Your email address?
*
Your date of birth?
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
MM
1
2
3
4
5
6
7
8
9
10
11
12
YYYY
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Please specify which property you are applying for
*
Please provide the street name
Please provide your National Insurance Number (if you have one)
Are you recieving any assistance from an Organisation, Local Authority or Housing Options team to help you find a property in the Private Rental Sector?
*
Yes
No
Please tell us what kind of help you are getting or what you think you may need to help you sustain this tenancy?
This could be help with a deposit or advance rent. It could also include support you may need around mental health, budgeting and other vulnerabilities that you may have.
Please confirm that you have a named contact and that we have permission to discuss your application?
Yes - I give permission and they are helping me complete this form
Yes - I give permission and I am completing this form myself
No
Tell us the name of the organisation?
Tell us the name of person we can talk to in that organisation?
Please tell us the email address of the person in that organisation?
*
Please tell us the telephone number of that person in the organisation?
Your Current Address? If you don't have an address put in the Local Council
Address Line 1
City
State / Province / Region
Postal Code
--- Select country ---
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Your telephone number?
Next
Who else will live at the property?
We need to know about all the people that will be living in the property that you rent from us. This includes any adults that are over 18 years old. And all children under 18 years old. And all pets thaat you want to keep at the property.
Will anyone else over the age of 18 live at the property?
Yes
No
All adults over 18 that live in the property must be listed here.
Second Tenant
Title
Mr
Miss
Mrs
Ms
Other
Second Tenant
First
Last
Tenant 2 - What is their telephone number?
Tenant 2 - What is their email address?
Email
Confirm Email
What is this persons relationship to you?
Cohabitee/Partner/Married
Friend/Relative
Other
Please tell us about your relationship with this person?
*
Does this person live with you currently?
Yes
No
What is their current address?
Address Line 1
City
State / Province / Region
Postal Code
--- Select country ---
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Do you wish to add anymore tenants?
Yes
No
Please use this space to tell us about anyone else that will be living in the property?
Next
Will any Children under the age of 18 be living in the property?
Yes
No
How many Children under 18 will be living in the property?
Please Select
1
2
3
4
5
6
7 or more
First Child
First
Last
What sex is this child?
Male
Female
Date of Birth
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
MM
1
2
3
4
5
6
7
8
9
10
11
12
YYYY
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Second Child
First
Last
What sex is this child?
Male
Female
Date of Birth
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
MM
1
2
3
4
5
6
7
8
9
10
11
12
YYYY
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Third Child
First
Last
What sex is this child?
Male
Female
Date of Birth
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
MM
1
2
3
4
5
6
7
8
9
10
11
12
YYYY
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Fourth Child
First
Last
What sex is this child?
Male
Female
Date of Birth
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
MM
1
2
3
4
5
6
7
8
9
10
11
12
YYYY
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Fifth Child
First
Last
What sex is this child?
Male
Female
Date of Birth
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
MM
1
2
3
4
5
6
7
8
9
10
11
12
YYYY
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Sixth Child
First
Last
What sex is this child?
Male
Female
Date of Birth
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
MM
1
2
3
4
5
6
7
8
9
10
11
12
YYYY
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Please use this extra space.
Next
Ok.. and where do you currently Live
Is your accomodation?
Living with Parent or Guardian
University Accommodation
Supported Accommodation
Private Rental Sector
Housing Association
Local Authority
Hostel
Homeless
Sofa Surfing
Other
What University Accomodation do you live in?
Please Select
Nottingham Trent University
University of Nottingham
Other
Add all university campus sites....
Which Local Authority Area do you live in?
Please Select Your Council Area
Amber Valley Borough Council
Ashfield District Council
Bassetlaw District Council
Bolsover District Council
Broxtowe Borough Council
Chesterfield Borough Council
Derby City Council
Derbyshire District Council
Erewash Borough Council
Gedling Borough Council
High Peak Borough Council
Mansfield District Council
Newark and Sherwood District Council
North East Derbyshire District Council
Nottingham City Council
Rushcliffe Borough Council
South Derbyshire District Council
Other
The Homeless Reduction Act says that all Local Authorities have a duty to help anyone that is threatend with Homelesness or who are Homeless. Other Agencies have a duty to refer you on if they suspect that you are homeless or that you may become homeless.
What is the name of your supported accommodation provider?
Can you get a reference from where you currently live?
Yes
No
Please tell us the name of your Parent of Guardian?
First
Last
Please tell us the name of your Current Landlord?
First
Last
Please tell us the name of the person at your University Accomodation?
First
Last
Please tell us the name of the person at your Supported Accomodation?
First
Last
Please tell us the name of the person at the Local Authority or the Housing Association?
First
Last
What is their Telephone Number?
What is their Email Address?
Will your Parents or Guardian be a Guarantor?
Yes
No
Don't Know
When did you move in?
What is your current situation?
Next
About Your Current Working Status and Income
Please tell us about how you support yourself?
Full time employment
Part time employment
Claiming benefits
Other
When did you start in this employment?
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
MM
1
2
3
4
5
6
7
8
9
10
11
12
YYYY
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
What company do you work for?
What is your Job title?
What is your Annual Salary?
Will your line manager or employer give you a reference?
Yes
No
We want to give you the best chance of getting one of our properties. We are also required by law to get references. Please confirm whether we can get references.
Please tell us the name of your line manager or employer?
First
Last
Do you give permission for this person to share information about you?
*
Yes
No
Please provide a telephone number for your employer reference?
*
Please provide an email address for your employer reference?
*
Email
Confirm Email
Are you currently in a probationary period? (this can be either newly starting at work or a disciplinary action)
*
Yes
No
If yes, please provide details below:
Next
Please tell us about any State Benefits that you recieve?
We want to know how much you receive per month after tax. If you get paid weekly then you need to multiply by 52 and then divide by 12. If you get paid fortnightly you need to multiply by 26 and then divide by 12. If you get paid every 4 weeks then you need to multiply by 13 then divide by 12.
Do you claim any state benefits?
Yes
No
Have you moved over to Universal Credit?
Yes
No
Please tell us what benefts you are in receipt of?
Attendance Allowance
Disability Living Allowance (DLA)
Discretionary Housing Payment (DHP)
Child Tax Credit
Council Tax Allowance
Housing Benefit
Income Based Jobseeker’s Allowance (JSA)
Income Related Employment and Support Allowance (ESA)
Income Support
Personal Independence Payment (PIP)
Working Tax Credit
Other benefit
Attendance Allowance
Please write in this box the amount you get paid each month for that type of benefit.
Disability Living Allowance (DLA)
Please write in this box the amount you get paid each month for that type of benefit.
Discretionary Housing Payment (DHP)
Please write in this box the amount you get paid each month for that type of benefit.
Child Tax Credit
Please write in this box the amount you get paid each month for that type of benefit.
Council Tax Allowance
Please write in this box the amount you get paid each month for that type of benefit.
Housing Benefit
Please write in this box the amount you get paid each month for that type of benefit.
Income Based Jobseeker’s Allowance (JSA)
Please write in this box the amount you get paid each month for that type of benefit.
Income Related Employment and Support Allowance (ESA)
Please write in this box the amount you get paid each month for that type of benefit.
Income Support
Please write in this box the amount you get paid each month for that type of benefit.
Personal Independence Payment (PIP)
Please write in this box the amount you get paid each month for that type of benefit.
Working Tax Credit
Please write in this box the amount you get paid each month for that type of benefit.
Please tell us about any other benefits or income that you get each month?
This could include child maintenance, rental income from property, bonds, investments or other benefits.
Previous
Next
How we will communicate with you
We would like to know if you are ok accepting tenancy related documents from us in an electronic format. The law says that we need to give you certain documents before you move in to the property or sign the tenancy agreement.
Will you accept electronic signing and your "Deposit Protection" Certificate and Prescribed information by email?
Yes
No
The law requires that we protect any deposit you give us within 30 days. We are required to issue a deposit protection cetificate and the prescribed information which tells you what will happen. We use My Deposits and will send this certificate on email and ask you to sign electronically to say that you have recieved it.
Will you accept the "How to Rent Guide by email?
*
Yes
No
The law says we have to give you the latest version of the "How to Rent Guide" We would like to send you this by email.
Will you accept the Energy Performance Certificate (EPC) by Email?
*
Yes
No
The law says that we have to give you the latest version of the Energy Performance Certificate so that you can make an informed decision about whether you want to rent the property. We woud like to send this to you in an email.
Will you accept the Latest Gas Safety Certificate by Email?
*
Yes
No
The law says that we have to give you the latest GAS safety Certificate before you move into the property. Once you move in any subsequent GAS safety inspection certificates will be left by the engineer at your property. However we woul like to send you the latest test certificate by email.
Will you use our online reporting system for repairs and maintenance?
Yes
No
We use an online reporting system for maintenance and repairs. This system is the first point of reference whenever you have a problem at one of our rental properties. The system will help you report issues so that they get addressed quickly.
Next
About Your Bank Account
What is the name of your Bank?
*
Name of the Account Holder?
Sort Code/SWIFT
Account Number/IBAN
Next
Abouts Pets and Animals
Please list any pets you own, that will be living with you at the property.
Will there be any Pets living at the Property?
Yes
No
Maybe in the future
Tell us about your Pets and Animals
Please note that any pets will be listed on the tenancy agreement and if you want to keep pets at a later date you will need written permission from us or the landlord.
Tell us about any Pets or Animals you may want in the future?
Please note that any pets will be listed on the tenancy agreement and if you want to keep pets at a later date you will need written permission from us or the landlord.
Next
About Your Guarantor
Where ever possible we require a parent/guardian guarantor for all student properties. However, if this is not possible then please get in touch with us. We understand that some students will not have parental guarantors as you maybe; a Care Leavers, Migrant or Refugees.
Non Student Properties
Sometimes landlords will ask for a guarantor.
Do you have someone that can act as a guarantor?
Yes
No
What is their Relationship to You?
Name
*
First
Last
What is their Email Address?
*
Email
Confirm Email
What is their Phone Number?
*
Next
About Your Next of Kin
Please tell us who you would like us to contact in an emergency. This will normally be a member of your family or someone who is close to you.
Name
*
First
Last
What is their Relationship to You?
*
What is their Phone Number?
*
What is their Email Address?
*
Email
Confirm Email
Address
*
Address Line 1
City
State / Province / Region
Postal Code
--- Select country ---
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Next
Some General Questions Regarding the Tenancy
Will you have anyone staying with you at the property other than those listed in this application? from time to time?
Yes
No
Lodgers
Do you want or plan for any Animals or Pets to be living at the Property?
Yes
No
Pets
Do you have or own a vehicle that will be parked at the Property?
Yes
No
Vehicles
Have you or anyone intending to live at the property, ever been in Rent Arrears?
Yes
No
Rent Arrears
Have you or anyone intending to live at the property, ever been evicted or served with a Section 8 or Section 21 Notice under the Housing Act 2014?
Yes
No
Eviction Notices
Have you or anyone intending to live at the property, ever been convicted of a Criminal Offence that is unspent?
Yes
No
Have you or anyone intending to live at the property ever had a County Court Judgement made against you?
Yes
No
CCJ
Have you or anyone intending to live at the property had any problems with debt?
Yes
No
Debt
Next
Declaration
I agree to Norman Galloway LTD, its agents or appointees, or the landlord in which this application relates to making whatever enquiries, including a credit check, he/she deems necessary in conection with this application for a tenancy.
I agree
I authorise my employer, my bank/building society, a local authority (if I was previously a council tenant), current or former landlord, and the personal referee named, to provide information about me, any prior tenancy history, and any employment/financial affairs as appropriate to the Landlord's enquiries.
*
I agree
eIDAS provides a consistent framework for secure electronic identification and verification across Europe. It basically means you are safe, legally compliant, and regulated under the eIDAS Agreement.
*
I agree
I understand that I have to provide original documents proving the right to reside in the United Kingdom for all potential occupiers in the presence of the Landlord or the agent. I understand that if I do not provide these documents for all occupiers then I will not be granted a tenancy.
*
I agree
Primary Email Address for Accepting Receipt and Documents
*
Name
First
Middle
Last
Signature
Clear Signature
GDPR Agreement
*
I consent to having this website store my submitted information so they can respond to my inquiry.
Submit