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
Sexmanvrouw
Occupation
Date of birth
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)
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'
Marital statusSingleMarriedLiving together
Name spouse/ partner
Children living in