Online Application

High Wycombe	Oxford

Contact Details

Lee and Lindars
35 Crendon Street, High Wycombe
HP13 6LJ
Tel: 01494 440017
Fax: 04194 440017
wycombe@leeandlindars.com

Please fill out our online tenant application or choose our Printable version to post or email to us.

Address of Property: *
Proposed Rent:
First Name: *
Middle name(s):
Last Name: *
E-mail:
Telephone number *
Date of Birth: *	dd/mm/yy
NI Number *
Please choose *	smoker non-smoker
	Children
	pets
Current Address: *
Period at current Address: *	please enter in years
Current Property: *
Managing Agent/ Landlords Address:
Agent/Landlord contact number:
Employment Details:
Company Name
Company contact:
Contact Number:
Company Address:
Start Date:
Bank Details:
Bank name:
Address:
Account name:
Account number:		Sort code
Personal Referee:
Referee Name: *
Telephone number:
Referee Address:
Next of Kin:
Next of kin Name: *
Contact Number:
Address:

I CONFIRM THAT THE INFORMATION SUPPLIED IS TO THE BEST OF MY KNOWLEDGE AND BELIEF TRUE AND MAY BE VERIFIED. I GIVE MY CONSENT FOR PERSONAL INFORMATION TO BE OBTAINED AND HELD UNDER DATA PROTECTION ACT 1998, OR ANY SUBSEQUENT AMENDMENTS.

LEE & LINDARS (OXFORD) LTD HOLDS REGISTRATION FOR DPA UNDER REG. NO. Z 643 4568

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