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Tenancy Application Form

If you have viewed a room, flat or studio and would like to become a tenant please complete the details below, and send. (Couples or friends please both apply separately)

When our viewing period is over we will let you know if your application has been successful. If successful you will need to visit our London offices promptly to secure your tenancy.

Please ensure that you have a reference letter ready should you be successful.

Application Form

Which room or rooms are you applying for?

Room, studio or flat, enter letter/s or number/s

Property name (You may select more than one property)

My ideal date to move in is

Your personal details

Your Full Name (required)

Your Email (required)

Mobile phone number

Alternative phone number

Your date of birth (dd/mm/yyyy)

Your nationality


Number of children

Your current living arrangements

Current address


Time you have lived at current address
years and months

Type of tenancy

Current amount of rent you pay per month

Landlord's Name

Landlord's address

Landlord's phone number

Landlord's fax number

Landlord's email address

Do you give Prime Spaces permission to contact your landlord for a reference?

Your employment status

Please select

Position held

Employer's Name

Employer's address

Employer's phone number

Current yearly income or salary

Other information

Do you smoke?
Yes, I am a smokerNo, I am not a smoker

How did you hear about it?
A friendGoogle or web searchGumtreeOther (state below)

Any message or anything else to tell us that's relevant? (optional)

I declare that the information given above is true, to the best of my knowledge and
belief. I authorise Prime Spaces LLP to obtain any relevant information from any of the above and authorise any of the above to release relevant information.
Tick to agree with this declaration

If you are human and not a spam bot please answer this simple question.

Please complete all boxes and tick the declaration box above or form will not be submitted.