Apply for a Room

All accommodation is provided on a first come, first served basis. To secure accommodation please complete and submit this form.

Should you require assistance, please contact Relocation PA Lettings Head Office:

Address: Lower Wymm, Sutton Lakes, Hereford, HR1 3NS
Telephone Number: +44 (0) 1432 880 891
Email address:

Section 1: Personal Details

Section 2: Property Details

Address of Proposed Property

Current Address

Time at Current Address

Previous Address (If time at current address is less than 3 years)

Time at Previous Address

Section 3: Employer Details

Section 4: Previous/Current Landlord Details

Section 5: Student Details

Section 6: Character Reference

Section 7: Emergency Contact

Disclaimer and Declaration

The above provided information will be used for the purposes of reference checking your suitability to be offered a tenancy and the information provided will be held and stored in accordance with the Data Protection Act 1988. For more information on how your information will be held, stored and used, please email: Any checks made on credit files will not leave a trace nor result in any change to your credit rating.

I confirm that I have completed this form, providing answers to all questions. I understand that if I fail to complete this form correctly or completely, and it is returned to me, the room/property applied for may be taken by a third party should the delays created in returning this form lead to a fresh application being taken on the room by a third party. Upon submission of this form and payment of the required application fee should I then terminate this application for any reason I understand this transaction to be non-refundable in its entirety.

By submitting this form I confirm that to the best of my knowledge and belief the information provided is true and accurate. I authorise Pulse Property Network to carry out checks using the information provided, by using internal and external referencing agencies and contacting the nominated referees that I have provided. I confirm that I have raised any concerns I may have with the landlord or agent.