Financial Situation
*Please note all referencing is carried by email so please ensure an email address is provided
Bank Details
Next Of Kin
Documents Required With This Form
We cannot proceed with your application without these documents
Please provide Proof of Identity such as passport, national identity card or driving licence.
We also require your last 3 months’ bank statements for your current bank account. N.B. You may be required to provide a copy of a Police Check as part of our reference enquiries.
Proof of ID: File Upload (Max. file upload 2Mb, please)
Three Months' Bank Statements: File Upload (Max. file upload 6Mb, please)
Other (if appliacable): File Upload (Max. file upload 1Mb, please)
I hereby confirm that the information provided by me is to the best of my knowledge true, accurate and complete. I
understand that the information that I have submitted will be used in order to assess my suitability to be granted a
tenancy agreement, or to be named on the tenancy agreement as a Guarantor. I also understand that it will be used
to verify my identity to prevent and detect fraud and money laundering, collections and recoveries, and I give my
consent to the information that I have provided being shared with third parties for this purpose.
I understand and agree that current or former employers, landlords and letting agents may be asked to provide
additional information about me or to verify information that I have provided.
I acknowledge that Upstix is not entitled to disclose a copy of my credit report to me but that I may obtain a copy of the report by applying to the relevant credit reference agency directly.
I understand that
I may be refused a tenancy, or may be found unsuitable to act as a Guarantor as a result of the searches and
references obtained by Upstix and I agree that I shall not seek to hold Upstix liable for such refusal nor shall I seek to
bring any claim against Upstix for any loss or damage suffered by me as a result of such refusal. I understand that
information which I provide or which is collected about me may be retained on file or stored electronically in
accordance with the provisions of the Data Protection Act 1998.
I understand that acceptance of this form does not constitute an offer of a tenancy and that once the landlord is
willing to proceed with full referencing I will be required to pay a holding deposit equivalent to 1 one weeks rent. I
understand that this holding deposit is only effective for 15 days and that it will not be refunded if I withdraw my
application during this time, give false information on this form which would affect the tenancy, fail the Right to Rent
check or if I fail to take all reasonable steps to enter into a tenancy agreement within the 15 day time frame.
I hereby authorise:
Next, please confirm that you are not a robot and submit your application. Thank you.