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Contact Us

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Which house are you applying for? *

Name *

First

Last

How would you like to be known?

Date of Birth *

National insurance number *

Email *

Current address, inc. postcode *

Mobile phone number *

University details *

Uni/course/year

Parents name *

Email *

Parents address *

Parents contact number *

Reference name *

Reference relationship *

How do you know them?

Reference email *

Reference address *

Reference phone number *

Have you any debts? *

Yes
No

Have you ever been evicted? *

Yes
No

Do you have any criminal convictions or outstanding charges? *

Yes
No

If you answered yes to any of the above please give details

How will you fund your rent payments? *

Student Loan
Work
Parents
Other

Do you have a guarantor? *

If yes, please give their name, email address and postal address.

Are you interested in staying for a second year? *

Yes
No
Maybe

Do you certify that that all information supplied is correct, and to the best of your knowledge, fully accurate? *

Yes

Name

All of the contact information provided on this form will only be used for matters regarding your tenancy in line with our privacy policy. Our full privacy policy can be found here.

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Halls of Residence

Halls of Residence have been running student houses for over 20 years.

Contact
office@hallsofresidence.co.uk

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