Viewing Questionnaire
Retrieve Existing Application
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Please complete this form to the best of your ability in order to apply for a viewing with Wrexrent.
Personal Details
Salutation
*
Mr
Mrs
Miss
Ms
Dr
Prof
Rev
Mx
First Name
*
Last Name
*
Email
*
Date of Birth
*
Gender
*
Male
Female
Other
Prefer not to say
Mobile
*
Contact Details
Current Address Line 1
*
Address Line 2
Town / City
*
County
Postcode
*
Country
*
Select Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, the Democratic Republic of the
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and Mcdonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, the Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.s.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Length of Stay at Current Address
*
Phone Home
Phone Work
General information
Have you applied to us before?
*
Yes
No
If yes please call the office on 01978 757312
Which property are you interested in?
*
Please give the address as it appears wherever you saw it
How did you hear about the property?
OnTheMarket
Wrexrent Website
Wrexrent Shop
Local Advertisements
Social Media
Word of Mouth
Do you or any of the potential occupants smoke?
*
Yes
No
Do you have any pets?
*
Yes
No
If yes, please provide details:
How many children will be living at the property?
*
0
1
2
3
4
5
Over 5
This includes if they are not there full time e.g. weekends
What are the ages of any children that will be living at the property?
In total (including yourself), how many people will be living at the property?
*
1
2
3
4
5
6
7
8+
How soon are you looking to move?
Pre-application questions
Do you rent at the moment?
*
Yes
No
If yes, how much is your rent at the moment?
Why are you moving?
*
Affordability Queries
Are you:
*
Employed full-time
Employed part-time
Unemployed
Unemployed due to a disability
Retired/Pensioner
A student
Furlough scheme
If employed, are you employed:
Directly by your employer
Through an agency
Self employed
Name of Company/Agency that you are employed by:
How long have you been employed with the same company?
*
n/a
Less than a year
1 year
2 years
3 years
4 years
5 years or more
What is your occupation?
*
Please give an indication of your combined household income per annum
*
Personal Details
Contact Details
General information
Pre-application questions
Affordability Queries
Please be aware that if you are invited to view the property in person, you will be required to complete a full application prior to viewing.
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