Please complete the form below and we will be in touch as soon as we have processed your application.
Fields with an asterisk (*) are required.
First Name *
Last Name *
Email Address *
Contact Telephone *
Home Address *
Landlord Registration Number *
Landlord Registration Expiry Date *
Contact Preference * —Please choose an option—EmailPhone
2nd Landlord - Full name and contact details (if applicable)
Alternative Contact - Full name and contact details (if applicable)
Address of property to rent *
Property Factor (if applicable)
Council Tax Band *
EPC Rating *
Stop Cock Location *
Heating Source * —Please choose an option—GasElectric
Details of any service plans
Pets? * —Please choose an option—YesNo
Smokers? * —Please choose an option—YesNo
Students? * —Please choose an option—YesNo
PDF or JPEG files only. File size limit: 2MB.
Gas Safety Certificate
Energy Performance Certificate
EICR & Pat Testing
Legionella Risk Assessment
Landlord Registration Certificate
Proof of ownership
Photographic ID
Passport or Driving License
Any other useful information
Data consent * I/We understand that the data collected in this form will be held securely by Gallus Lettings Ltd and not passed on to any third parties without consent.
