TENANT APPLICATION AND SCREENING FORM
Application date: __________
Property applied for: __________
Application received by: __________ (__________)
- Applicant
I, __________, born on __________, submit this application as a prospective tenant for the property identified above.
Mobile: __________
Current residential address: __________
I presently live as: __________. I have lived at my current address for approximately __________ year(s).
- Occupation and affordability information
My occupation status is __________.
My principal employer, practice or business is __________.
My approximate monthly take-home or available household income falls in the band: __________.
This information is supplied for preliminary affordability screening. It is not a representation by the recipient that the property has been reserved or that the proposed rent has been accepted.
- Proposed tenancy
I would prefer the tenancy to commence on __________ for approximately __________ month(s).
The monthly rent discussed for this application is __________.
These figures record the proposal being screened. They do not create a lease, licence, tenancy, right to possession, lock-in obligation, or binding reservation. Any tenancy that proceeds must be recorded separately in the appropriate tenancy or lease instrument.
- Proposed occupants
The home is proposed to be occupied ordinarily by __________ adult(s) and __________ minor(s).
- Pets, smoking and vehicles
Pet position: __________.
Indoor smoking position: __________.
The application anticipates parking for __________ vehicle(s).
Any permission regarding pets, parking, smoking or use of common areas must be contained in the tenancy agreement, society rules or written permission that applies to the premises. This application alone does not grant such permission.
- Present and previous tenancy information
Material unresolved prior rent-payment dispute: __________.
Previous eviction or possession order: __________.
A disclosed dispute, delayed payment, or prior proceeding is not by itself an admission of wrongdoing. The recipient should consider the applicant's explanation and any verification material fairly and in context.
- Reference
My nominated personal/professional reference is __________, who knows me as __________, and may be contacted at __________ for the limited verification purpose stated below.
- Verification authority and limits
My verification instruction is: __________.
If I have authorised verification and have also consented to the Personal Data Notice, I permit __________, acting as __________, to contact the landlord/housing provider and reference whose details I supplied, and to make proportionate enquiries directed to the truth of the information in this application and my suitability for the proposed residential tenancy.
This authority does not authorise the recipient to obtain passwords, private messages, unrelated medical information, or information unrelated to the tenancy decision. It does not authorise publication or general circulation of the information. Detailed identity-document collection, where required, should occur through the separate Tenant KYC and Document Checklist rather than by expanding this screening form.
8A. Personal Data Notice, consent, retention and rights
This notice is given under the Digital Personal Data Protection Act, 2023.
The personal data in this application is collected for the specific purpose of assessing this application to let the Premises, communicating about that assessment, verifying the limited facts and references the applicant has authorised, and, if the application is accepted, carrying the necessary application record into the tenancy file. The recipient named above is the person or organisation holding this application record for that purpose.
The applicant's data may be shown only to the owner of the Premises, an authorised property manager or property consultant involved in this application, and a verification agency specifically instructed to verify information supplied in this application. It must not be used for unrelated marketing merely because it appears in this form.
Retention: if this application is refused, or the applicant withdraws it, the personal data in this application will be retained for 90 days from the refusal or withdrawal decision and then erased. If the application is accepted and the tenancy proceeds, the application record will be retained for the term of the tenancy plus 12 months and then erased, except for any record that a law specifically requires to be retained for a longer named period.
The applicant may withdraw consent for future processing by writing to __________. Withdrawal does not require the recipient to undo processing already lawfully completed before the withdrawal, but after withdrawal the recipient must stop any consent-based screening activity that is no longer necessary or otherwise authorised. If withdrawal occurs before the screening decision, the recipient may be unable to continue assessing the application.
The applicant may also write to __________ to correct inaccurate personal data, request erasure when the stated purpose has ended, or raise a complaint about how this application data is handled. The recipient should acknowledge and respond to such a request within 30 days.
Data minimisation: this screening form deliberately does not ask for or store a full Aadhaar number, Aadhaar-card copy, PAN, bank-account details, salary slips or other detailed KYC documents. If identity or financial documents are required after screening, they should be collected through the separate Tenant KYC and Document Checklist. Where Aadhaar-based identity is later offered, a masked Aadhaar and an alternative identity route should be available.
My personal-data instruction is: __________.
By signing this application after selecting consent, I confirm that I have read this Personal Data Notice and consent to the collection, use, limited disclosure and retention described above for the stated tenancy-screening purpose. I understand that I may withdraw that consent through the contact route printed above.
- Accuracy and applicant declaration
My declaration is: __________.
I understand that a materially false statement or deliberate omission may cause the recipient to reject the application or, if discovered after a tenancy is lawfully created, may be relied upon only only in accordance with the executed tenancy instrument and the governing Punjab or Chandigarh tenancy law. Nothing in this application authorises self-help eviction, forcible dispossession, or disconnection of essential services.
I understand that submitting this application does not oblige the landlord or recipient to accept me as tenant and does not oblige me to take the premises. Acceptance, if any, should be communicated separately and the tenancy should be documented in the appropriate agreement before possession is handed over.
- Signature
Applicant name: __________
Date: __________
Signature: To be signed by the applicant on the generated document.
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RECIPIENT'S INTERNAL SCREENING RECORD
This section is intentionally not populated by applicant placeholders. The recipient may record its decision, verification outcome and reasons in its own internal workflow. The applicant-facing document should not be altered to insert undisclosed screening criteria.