SEBASTINE LUCY & ASSOCIATE
Flat 2, God’S Time Fishing Co. Cold Room
By 2ND PUBLIC Transformer,
Dutse Sokale
Abuja.
PRE-TENANCY APPLICATION FORM
Please complete this form to apply for the tenancy at the address below. The information you provide is
for applying for this tenancy and may be used for a credit and reference check
Tenancy Details
Property Address:
Flat 6, Graceland Avenue, mountain side layout, Obasanjo Rd, Dutse
Commencement of Tenancy: Date: / /
Applicant Details
Full Name:
Phone Number:
E-mail Address:
Current Address:
How Long Have You Lived There? Years? Months?
State reason(s) why you are leaving your current address:
Identification
Please provide photo identification, such as your driver’s license:
Driver’s license number: Version no. (if applicable)
NB. Provision of this number is voluntary and will only be used to verify your identity and for carrying out a credit
check
Alternative form of ID:
Current landlord’s details
If you are currently renting, please provide your landlord’s name and contact details.
Landlord’s Name:
Phone Number:
E-mail Address:
May I contact this person for a reference? Yes No (please tick)
References
Please provide two referees that I can contact. Referees can be a friend, co-worker, your employer, or someone who
knows you well. One of your referees should be able to provide a reference about your creditworthiness. If you have
already provided your current landlord’s details, only one additional referee is needed. Please let these people know I
may be contacting them for a reference.
Referee name 1: Phone:
E-mail Address: Signature:
Referee name 2: Phone:
E-mail Address: Signature:
I authorize the Landlord/Property Manager to:
collect, retain, and use this information for the purpose of assessing my creditworthiness and suitability for
the tenancy; and
disclose information about me, whether collected from me directly or from any other source to any other
credit provider or any credit reporting agency for the purposes of providing or obtaining a credit report (which
will involve the credit reporting agency providing information about me to the Landlord/Property Manager).
I understand that the credit reporting agency:
may hold my information on their credit reporting database and use it for providing credit reporting services,
and they may disclose my information to their subscribers for the purpose of credit checking or debt
collection; and
As part of providing a credit report, may check the Ministry of Justice fines database for any overdue fines
I may have.
Signed: Date signed:
