Belhaven Leased and Tenanted pubs: Lease application

Is this a joint application?

Yes No

Applicant's Details

Title

Mr Mrs Ms Surname Forenames NI Number Address Town/City Postcode Telephone No. Mobile No. Email Time-at-this-address? Date of birth No. of dependants living with you? Applicants current salary Do you have a Personal Licence? If yes, when was it granted?

Partner's Details

Title

Mr Mrs Ms Surname Forenames NI Number Address Postcode Telephone No. Mobile No. Email Time at this address? Date of birth No. of dependants living with you? Applicants current salary Do you have a Personal Licence? If yes, when was it granted?

Are you interested in a specific pub or area?

If yes please state pub If yes please state area

How did you hear about Belhaven Leased Pubs?

If a newspaper please specify

(current position first)

01 02 03 04 05 06 07 08 09

Dates (DDMMCCYY) Name & address of employer Position held and duties Reason

Why do you think you are suitable for a Belhaven tenancy?

Finance details

Available cash (unborrowed) Have bankruptcy or insolvancy proceedings ever been taken against you? If yes when?

Convictions – Applicant

Have you any convictions, or actions pending against you?

Convictions – Partner

Have you any convictions, or actions pending against you?

Belhaven

Lease Application

Is this a joint application?

Applicant's Details

Title

Partner's Details

Title

Are you interested in a specific pub or area?

How did you hear about Belhaven Leased Pubs?

Applicants Employment History

(current position first)

Partners Employment History

(current position first)

Why do you think you are suitable for a Belhaven tenancy?

Finance details

Convictions – Applicant

Convictions – Partner