"*" indicates required fields

Property Address*

First Name

Last Name

DOB

Mobile Number

Email Address

NI Number

Prospective Guarantors First Name

Prospective Guarantors Last Name

Prospective Guarantors Email Address

Which one of these statements best describes you:

Are you currently a tenant with Pickard?

(NOT TERM TIME ADDRESS)

Address

Address Line 1 Address Line 2 City County Postal Code Country

Home Phone Number

University

Course

Start Date of Course

End Date of Course

Student ID Number

This field is for validation purposes and should be left unchanged.

Student Applicant Details Form

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