Student application for rental contract

For the rental of a*student roomflatapartmenttownhouse

In the municipality of*

Preferred residence

Name*

First name(s) (in full)

Sexmalefemale

College

Date of birth (dd-mm-yyyy)

Place of birth

Nationality

Residence

Address

Postal code

Telephone

E-mail address

Marital status*---SingleMarriedLiving together

Previous marriage---YesNo

Marriage dissolved by---Not applicableDivorceDeath

Name

First name(s) (in full)

Sexmanvrouw

Occupation

Date of birth

Place of birth

Nationality

Residence

Address

Postal code

Telephone (private and/or work)

Marital statussinglemarriedliving together

Previous marriage---yesno

Marriage dissolved by---not applicabledivorcedeath

Employer(s)

Full address employer

Entrance on duty

Gross salary (month)

Employer(s)

Full address employer

Entrance on duty

Gross salary (month)

Name

Address

Current rent (month)

Heating and service costs---inclusiveexclusive

Other financial obligations---not applicablepersonal loanfinancingalimony

Per month €

Until end date

Bank

Bank SWIFT

Account number (IBAN)

City

Date

Type here 'agreed'

Name

First name(s) (in full)

Address

Postal code

Residence

Telephone

Nationality

Place of birth

Occupation

Marital statusSingleMarriedLiving together

Previous marriage---yesno

Marriage dissolved by---not applicabledivorcedeath

Name spouse/ partner

Children living in

Employer(s)

Full address employer

Name

City

Date

Type here 'agreed'