Section 1: Company Details

If you require assistance with the below application, please contact your local relocation agent:

Shale Property Network
3000 Cathedral Hill,

Telephone: 03450 559 201

Section 2: Personal Details

Copy of ID (Upload Driving Licence or Passport)

Do you have a County Court Judgement (CCJ) that you are aware of?YesNo

Have you ever been evicted?YesNo

Have you ever been made bankrupt?YesNo

Do you smoke?YesNo

Section 3: Property Details

Copy of your utility bill (with proof of current address and the latest date)

Section 4: Employment Details

How long have you worked here?

Copy of a recent job offer letter (if applicable)

Upload your 1st payslip OR 1st bank statement here

Upload your 2nd payslip OR 1st bank statement here

Upload your 3rd payslip OR 1st bank statement here

Section 5: Landlord Details
Note: If you do not have a current landlord and moving from your parents address, please add their details instead

Section 6: Guarantor Details

The above provided information will be used for the purposes of reference checking your suitability to be offered a tenancy and the information provided will be held and stored in accordance with the Data Protection Act 1988. For more information on how your information will be held, stored and used, please email:

Any checks made on credit files will not leave a trace nor result in any change to your credit rating.

I confirm that I have completed this form, providing answers to all questions. I understand that if I fail to complete this form correctly or completely, and it is returned to me, the room/property applied for may be taken by a third party should the delays created in returning this form lead to a fresh application being taken on the room by a third party.

By submitting this form, I confirm that to the best of my knowledge and belief the information provided is true and accurate. I authorise Shale Property Network to carry out checks using the information provided, by using internal and external referencing agencies and contacting the nominated referee's that I have provided. I confirm that I have raised any concerns I may have with the landlord or agent.

I agree to the disclaimer and declaration listed above