Personal Details

(* Required Fields )

Full Name* :

Home Address* :

Email Address* :

Telephone Nos* :

Have you ever had any county court judgements against you* : YesNo

Have you ever been convicted of a criminal offence* : YesNo

(Other than spent Convictions)

Office Required

Prefered size of private office* :

Office features i.e.ground floor, external dooor* :

No of staff* :

Monthly budget (min)* :£ Monthly budget (max)* £

What telephone services do you require?* :

Hours of operation* :

How many vehicles will be onsite* :

What type and size of vehicles will be coming onto site? i.e. cars, Luton vans, articulated lorries etc*. :

Do you have any machinery/infrastructure/items which may be considered intrusive? i.e. noisy equipment* :

What length of occupancy are you looking for* :

Company Details

Full company name* :

Business Structure (Ltd, Co, Sole trader, Partnership, LLP)* :

VAT Registered* : YesNo

VAT No:

Current Rent* :

How long have you rented at your current business address* :

Current business address* :

Post Code* :

Telephone Number* :

Email Address* :

Company website* :

How long have you been in business for* :

Nature of business* :

What do you intend on using the office for* :

How long have you been trading and approx. turnover* :

References (2 referees required)

Current premises landlord name and address (if you have one) * :

Post Code* :

Email Address* :

Reference 2

Reference (Name & Address)* :

Post Code* :

Email Address* :

I hereby give permission for the above referee's to be contacted for the purposes of ascertaining my company's eligibility to be based at the WelTech Business Centre

Signed *:

Your personal data will be used by WelTech Business Centre, Welwyn Hatfield Borough Council for the purpose of responding to your enquiry. For further details of how your personal data is used by Welwyn Hatfield Borough Council please see our Privacy Notice on the Welwyn Hatfield Borough Council website..

Data Production Statement

The information which you give when completing your application form will be used in accordance with the Data Protection Act 1988 and for the following purposes: to enable the organisation to create an electronic and paper record of your interest in available private offices..

The information will then be kept for a period of 6 months from the date of application. Applicants wishing to remain on the register of interested parties should re-apply after this period. WelTech Business Centre, Welwyn Hatfield Borough Council do not bind themselves to make available any or all rental opportunities. Available private offices may be advertised on the open market prior to contact being made directly with applicants. .