JSWAP is a Northern Ireland property letting and management company, based in Limavady.

Please provide details of the tenancy applicants, i.e. the name(s) of the individual(s) who will be responsible for the property. Other residents can be listed in a later section.

• Title Mr Mrs Miss Ms Dr --
• First Name
  
• Surname
  
• NI Number
  
• DOB
  
• Job Title
  
• Sex M F

• Title Mr Mrs Miss Ms Dr --
• First Name
  
• Surname
  
• NI Number
  
• DOB
  
• Job Title
  
• Sex M F

• Title Mr Mrs Miss Ms Dr --
• First Name
  
• Surname
  
• NI Number
  
• DOB
  
• Job Title
  
• Sex M F

• Tenancy TypeSingleJoint--
• Marital Status Single Married Divorced Co-Habiting Widowed Seperated --




Have you or any member of the Household any dependants moving with you?
• Dependants Yes No --

Who will be moving with you ? Please give details of everyone apart from the applicant(s) who will be living with you when you move.

• Title Mr Mrs Miss Ms Dr --
• First Name
  
• Surname
  
• NI Number
  
• DOB
  
• Sex M F
• Relationship to you
  
• Living with you now Yes No

• Title Mr Mrs Miss Ms Dr --
• First Name
  
• Surname
  
• NI Number
  
• DOB
  
• Sex M F
• Relationship to you
  
• Living with you now Yes No

• Title Mr Mrs Miss Ms Dr --
• First Name
  
• Surname
  
• NI Number
  
• DOB
  
• Sex M F
• Relationship to you
  
• Living with you now Yes No

• Title Mr Mrs Miss Ms Dr --
• First Name
  
• Surname
  
• NI Number
  
• DOB
  
• Sex M F
• Relationship to you
  
• Living with you now Yes No

• Title Mr Mrs Miss Ms Dr --
• First Name
  
• Surname
  
• NI Number
  
• DOB
  
• Sex M F
• Relationship to you
  
• Living with you now Yes No

• Title Mr Mrs Miss Ms Dr --
• First Name
  
• Surname
  
• NI Number
  
• DOB
  
• Sex M F
• Relationship to you
  
• Living with you now Yes No

• DSS: -- No Yes

Has anyone ever made complaints against you, or a member of your household, in relation to anti-social behaviour committed in, or in the locality of, any home occupied by you at that time?

• Complaints: -- No Yes

Have you or any member of your household ever been convicted of a serious offence committed in, or in the locality of, any home occupied by you at that time ?

• Convictions: -- No Yes

Please give the details of two people from who references may be obtained, these must be unrelated, employed and in good standing, eg employer, current or ex-landlord etc:

Please give the details of two previous residences in the last 5 years:

• type of property : Detached House Terraced House Bungalow Flat Any



How many bedrooms do you require?
• type of property :
  

• length of stay:
  



Please list the areas you would like :
• areas


If you have pets please give details:
• Pet Details

Please tick this box to confirm that all the information you have supplied in this application is to the best of your knowledge complete and accurate.

If any information submitted on this form is later found to be false or misleading, it may invalidate your application, or your tenancy, if one has been taken up.