Application for Private Rental Accommodation Javascript is required to complete this application form, please enable it via your browser settings or preferences All fields are mandatory Full Name Applicant 1 Mr Mrs Ms Dr NI Number Date of Birth Contact Telephone Contact Email Full Name Applicant 2 Mr Mrs Ms Dr NI Number Date of Birth Contact Telephone Contact Email Current Address Time at Current Address Is it Rented? Yes No Landlord Name Mr Mrs Ms Dr Landlord Address Will your landlord give you a reference? Yes No Previous Address (at current address less than 3 years) Will you be claiming Universal Credit? Yes No Number of Dependents Have you ever had a notice of eviction served upon you? Yes No Are you employed? Yes No Employer Name Employer Address Utilities If successful in obtaining a property with Tony John & Co., I/We give consent for Tony John & Co to share my/our personal details with One Utility Bill Ltd t/a Notify, for the purpose of informing the incumbent suppliers of the changes in tenancy. I am also aware and agree that I will receive communication from One Utility Bill about who supplies Energy/Water/Council tax in the new property and about the One Utility Bill services I am not a robot If you have any questions regarding the details or use of your personal data held by Tony John & Co., you may contact us at Tony John & Co., 20 Station Road, Port Talbot, SA13 1JB, telephone 01639 888159, or contact us via the website. You may also consult our privacy policy