Address Of Property To View

Full Names Of All Applicants Including Title:

Are You 18 Or Over? NoYes

Current Residency Type (Please Select): Private TenantHome Owner

Any Previous Rent Arrears?

Children 17 Years And Under: (e.g. 3 Children 3, 6, 10 Years. Children 18 Or Over Must Be Declared As An Applicant)

Pets (Please Select): YesNo

If Any, What Type

Do You Smoke? (Please Select): YesNo

Employment Status

If You Are Self-Employed Please Confirm When Self-employment Commenced (A Minimum Of 6 Months Is Required)

Combined Annual Income For All Applicants

Is Any Of Your Income Provided By Tax Credits/Benefits

If Yes, Please Provide Details

Have You Had Any CCJ's Bankruptcies, IVA's? (Please Select): YesNo

Please Provide Details

You Are Required By Law To Provide Right To Rent Documents – You Will Need To Provide Us With Your Passport And Proof Of Your Current Address. Please Confirm You Will Be Able To Provide The Documentation Required (Please Select) YesNo

Covid-19 Health Assessment

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At Bentons (Melton Mowbray) Limited, We Are Committed To Ensuring We Provide A Safe Environment For Our Employees And For All Of Our Customers. We Have Taken Several Measures To Protect Against The Spreading Of COVID-19, Which Includes A Health Assessment On Customer Who Have Requested To Meet Us, Or One Of Our Sellers. We Will Do All We Can To Ensure We Can Fulfil Your Request In Every Way. All Information Which You Complete Will Be Treated In Strict Confidence And Retained In Accordance With Our Retention Policy Which Can Be Found In Our Privacy Policy At Www.bentons.co.uk:

VIEWER 1

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Full Name

Email

Telephone

Home Address Including Postcode

Purpose Of Contact (i.e Valuation, Viewing A Property, Contractor Etc.)

Are You, Or Any Person, In Your Household Currently Self-isolating Due To COVID-19? YesNo

Are You, Or Any Person, In Your Household Showing Any Symptoms Of COVID-19? YesNo

Are You, Or Any Person, In Your Household Recovered From COVID-19? YesNo

Are You, Or Any Person, In Your Household Been Advised By The NHS That You Are Classed As A Vulnerable Person? YesNo

VIEWER 2

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Full Name

Email

Telephone

Home Address Including Postcode

Purpose Of Contact (i.e Valuation, Viewing A Property, Contractor Etc.)

Are You, Or Any Person, In Your Household Currently Self-isolating Due To COVID-19? YesNo

Are You, Or Any Person, In Your Household Showing Any Symptoms Of COVID-19? YesNo

Are You, Or Any Person, In Your Household Recovered From COVID-19? YesNo

Are You, Or Any Person, In Your Household Been Advised By The NHS That You Are Classed As A Vulnerable Person? YesNo