Kindly complete this form in its entirety to avoid delays in the processing which may result in
denial of tenancy. A copy of your ID/ passport must be submitted along with this form.
Tenant Information
Tenant(s)’s name(s): ____________________________________________________________
Nationality: _____________________
D.O. B: ________
Applicant(s) apply to rent __________________ (the property) for occupancy beginning
__________ and ending on __________ at a monthly rate of $__________.
Number of occupants in the property: __________________
If any kids, state the ages: _________________________
Do you have Pets? If yes, how many and what type? __________________
Method of monthly payments: cheque, cash, bank transfer: ______________________________
Current address: ______________________________
Duration of occupancy at current address: _____________
Reason for leaving: ________________
Name and number of current landlord: ______________________________________________
Name and number of reference: ____________________________________________________
Employment Information
Name and address of current employer: _____________________________________________
________________________________________________________
Position: _________________________ Duration___________________
Telephone Nos. Cell: ______________ Business: _________________
Job contract duration: _____________________
If applicable, work permit duration: ______________________
I understand that Terra Caribbean is not responsible for rental decisions. Decisions are made by
the landlord(s).
Signed by the Tenant(s)’s: _____________ Date______________
Terra Caribbean (Barbados) Limited
Worthing, Christ Church, BB15009, Barbados
Tel: (246) 434-9000 I Fax: (246) 430-3758