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RENTAL APPLICATION FORM
Naperi_Francis Rental Application Form
Personal Details
Name
*
Name
First Name
First Name
Last Name
Last Name
Any Previous Names?
Yes
No
Previous Names
Birth Date
*
National ID
*
P.O Box Number
Contact No. / WhatsApp
Email Address
Rental History / Where have you lived before?
How many people will live in the home?
Adults
Children
Employment Details
Employment Status
Self Employed
Full Time / Permanent
Part Time
Fixed Short Term Contract
Fixed Long Term Contract
Name of Employer
Position held at company
How long is the contract in months?
Contract End Date
Spouse/Partner Employment Status
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Employment Status
Self Employed
Full Time / Permanent
Name of Employer
Position held at company
How long is the contract in months?
Contract End Date
Next of Kin Details
Full Name
*
Relationship
Address
Contact
*
Declaration
I believe that the statements I have made are true and correct. I hereby authorize a credit and/or criminal check to be made, verification of information I have provided and communication with any and all names listed on this application. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for a house and does not constitute a rental or lease agreement in whole or in part. Any questions regarding rejected applications must be submitted in writing.
*
I agree with the Declaration
I don't agree with the Declaration
Submit
If you are human, leave this field blank.
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