Viewing Request

General

Property Selected: Norman Place Road, Coundon, Coventry, West Midlands,CV6 2BP

In order to meet the Affordability Criteria for this property you need to have a total income in excess of £41,400 pa

To meet affordability criteria, please confirm that the total annual household income of ALL applicants is more than £41,400 pa

Main Contact Email Address*

Total number of occupants over the age of 18*

Total number of occupants under the age of 18*

Household Member One (Main Contact)

Title*

Forename*

Surname*

Individual Phone Number*

Individual Email Address*

Employment status*

Household Member Two

Title*

Forename*

Surname*

Individual Phone Number*

Individual Email Address*

Employment status*

Household Member Three

Title*

Forename*

Surname*

Individual Phone Number*

Individual Email Address*

Employment status*

Household Member Four

Title*

Forename*

Surname*

Individual Phone Number*

Individual Email Address*

Employment status*

Household Member Five

Title*

Forename*

Surname*

Individual Phone Number*

Individual Email Address*

Employment status*

Household Member Six

Title*

Forename*

Surname*

Individual Phone Number*

Individual Email Address*

Employment status*

Do you have any pets?*

What type of pet(s)?

Combined Household Income

Any additional information that might assist the Landlord in considering you for the tenancy?

Viewing Request

General

Household Member One (Main Contact)

Household Member Two

Household Member Three

Household Member Four

Household Member Five

Household Member Six

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