Application Form MyPad Application Form Step 1 of 9 11% 1. Property DetailsAddress(Required) Street Address Address Line 2 City County / State / Region Postcode Proposed tenancy start date(Required) MM slash DD slash YYYY Total rent per month(Required)Length of tenancy required(Required) 6 Months 12 Months Applying for a property with MyPad is simple and easy, you need to complete an application for every adult living at the property. Application Procedure (please read carefully). A tenancy will be offered to you subject to contract and the following conditions: A fully completed application form has been submitted The Landlord has accepted the offer subject to references Payment of £50 Holding Deposit* to reserve the property has been made A satisfactory credit search has been carried out by an independent credit referencing agency (details on request) Satisfactory references have been obtained *If your application is successful then upon commencement of the tenancy the Holding Deposit will be refunded against your first rent payment at the point of moving in. By signing this form you confirm your agreement to this. The Holding Deposit will not be returned should you provide false or misleading information, fail a Right to Rent check, withdraw your application or fail to take all reasonable steps to enter into a tenancy agreement within the agreed timescale. You may be asked to provide a Guarantor in some cases. If you are in any doubt as to what is included within the let (i.e. furniture, appliances etc.) you should seek further clarification from the agent prior to submitting your application. The completed document can be emailed to lettings@mypad.co.uk or dropped in to our offices at 132 Chanterlands Avenue, Hull HU5 3TR. 2. Personal DetailsTitle(Required) Forename(Required) Middle name Surname(Required) Has your name changed in the last 12 months?(Required)NoYesPrevious forename Previous surname Date of birth(Required) DD slash MM slash YYYY NI number(Required)Telephone number(Required)Email address(Required) Number of dependents under 18(Required)Next of kin Do you smoke?(Required)NoYesIf any, type of pets? Have you had any county court judgements, rent arrears or adverse credit within the last 10 years?(Required)NoYesNumber of CCJsClaimant AmountDate of CCJ MM slash DD slash YYYY ReasonHave you had any criminal convictions in the last 10 years?(Required)NoYesNumber of convictionsReason(s)Include dates of conviction(s)Are you within any probation or suspended sentence period?NoYesDate DD slash MM slash YYYY 3. Current AddressAddress(Required) Street Address Address Line 2 City County / State / Region Postcode AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country 4. Employment statusStatus(Required)EmployedUnemployedPosition/Job title Gross salary (per annum) Name of employer Time with employer (years) Time with employer (months)Address 1 Address 2 City/Town County Postcode Contact name Contact telephoneContact email Benefits received Annual amount Pensions received Annual amount Are you on housing benefit?(Required)NoYesName of Local Authority Has housing benefit been granted?YesNoAmount monthly When will it be granted? Who is the benefit paid directly to? (Tenant or Agent) 5. Current Landlord / Letting AgentResidence type(Required) Owner Tenant Living with family/friends Name of Landlord/Agent Address City/Town TelephoneEmail 6. Bank DetailsBank name(Required) Account name(Required) Account number(Required) Sort code(Required) Time with bank (years)(Required)Time with banks (months)(Required) 7. Additional Information / AddressesAdditional information 8. IdentificationIdentification type(Required) Identification number(Required) 9. Sign & AuthoriseAuthorisation(Required) I Agree and Authorise The data we collect is stored on information technology systems owned by Rightmove / Right4sure and systems run by My Pad Accommodation limited . All information you provide to us is stored on secure servers. Unfortunately, the transmission of information via the internet is not completely secure and although we will do our best to protect your personal data, we cannot guarantee the security of your data transmitted over the Internet to our site; any transmission is at your own risk. Once we have received your information, we will use all necessary procedures and security measures to try to prevent unauthorised access, loss, disclosure or amendment.
