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and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Main Contact Number*Main Email Address* Please note, Hotmail & AOL email addresses may not receive a confirmation from our server.Company Representative Name Company Representative Position Representative Contact NumberIf different from aboveRepresentative Email If different from aboveAddress of Chosen Accommodation*35 Arthur Road39 Aubert Park38 Brecknock Road113 Castlehaven Road45 Crayford Road247 Eversholt Street5 Grantbridge Street1 Hertslet Road712 Holloway Road98 Lady Margaret RoadLinden House, 408 High Road13 Little Grove73 Mayton Street25 Mornington Crescent36 Priory Road200-202 Shaftesbury Avenue50 Shenley Hill59 St Peters Street47 Talacre Road11 Bowerbank Court2 Victoria CourtFlat Number*Flat AFlat BFlat CFlat DFlat 1Flat 2Flat 3Flat 4Flat 5Flat 6Flat 7Flat 8Flat 9Flat 10Flat 11Flat 12Not Applicable (Houses Only)Intended Use* e.g. Air Bnb etc...Monthly Rent Agreed*Deposit Required £ (Five Weeks Rent)Contract Start Date* DD slash MM slash YYYY Use of your data I Authorise LK & A Enterprises Ltd to pass on my company details in order to transfer council tax and utility bills. By unticking this box you are NOT authorising LK & A Enterprises Ltd to use your company details in order to transfer utility bills i.e. Gas, Electric and Council Tax. This is part of our service, but if you wish to notify these companies yourself, you are able to do so but we must see proof that this been done within 7 days of you taking occupation in the property. Special Arrangements/CommentsWrite here any special arrangements agreed prior or any additional comments you wish to make. Submitting this form and reservation fee does NOT guarantee the applicant/s a tenancy. All tenancies offered by us the Landlord/Agent are subject to the references received being satisfactory. We the Landlord/Agent reserve the right at any time to refuse or decline a tenancy to anyone that does not match our criteria or we deem ‘unsuitable’. All information gathered from a third party (i.e. A previous Landlord) is confidential under the Data Protection Act and will not be disclosed to you/yourselves. You will be refunded the reservation fee paid via BACs or PayPal (depending on how you paid) if refused a tenancy. By clicking ‘submit’ you are confirming that you have read and understood these terms.
