www.eletref.co.uk
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URL:
https://www.eletref.co.uk/index.php?option=com_fabrik&view=form&formid=16&auid=86214&rfid=161887
Submission: On April 23 via manual from GB — Scanned from GB
Submission: On April 23 via manual from GB — Scanned from GB
Form analysis 1 forms found in the DOM
Name: form_16 — POST
<form method="post" class="fabrikForm" name="form_16" id="form_16" enctype="multipart/form-data">
<div class="fabrikMainError alert alert-error fabrikError fabrikHide">
<button class="close" data-dismiss="alert">×</button>
</div>
<div class="row-fluid nav">
<div class="span6 pull-right">
</div>
<div class="span6">
</div>
</div>
<fieldset class="fabrikGroup form-horizontal" id="group102" style="">
<legend class="legend">Landlord Reference</legend>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-field fb_el_sokur_landlordref___name fabrikDataEmpty span12">
<label for="sokur_landlordref___name" class="fabrikLabel control-label fabrikTip" title=""
opts="{"formTip":true,"position":"top-left","trigger":"hover","notice":true,"heading":"Validation"}"
data-original-title="<ul class="validation-notices" style="list-style:none"><li><i data-isicon="true" class="icon-eye-open notempty" ></i> This is a required field</li></ul>">
<i data-isicon="true" class="icon-eye-open small "></i> Your Full Name & Position </label>
<div class="controls">
<div class="fabrikElement">
<input type="text" id="sokur_landlordref___name" name="sokur_landlordref___name" size="60" maxlength="255" class="input-xxlarge form-control fabrikinput inputbox text" value="">
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-field fb_el_sokur_landlordref___email fabrikDataEmpty span12">
<label for="sokur_landlordref___email" class="fabrikLabel control-label fabrikTip" title=""
opts="{"formTip":true,"position":"top-left","trigger":"hover","notice":true,"heading":"Validation"}"
data-original-title="<ul class="validation-notices" style="list-style:none"><li><i data-isicon="true" class="icon-envelope isemail" ></i> This field is required, and must be a valid email address</li></ul>">
<i data-isicon="true" class="icon-envelope small "></i> Email </label>
<div class="controls">
<div class="fabrikElement">
<input type="text" id="sokur_landlordref___email" name="sokur_landlordref___email" size="10" maxlength="255" class="input-medium form-control fabrikinput inputbox text" value="">
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-field fb_el_sokur_landlordref___telephone fabrikDataEmpty span12">
<label for="sokur_landlordref___telephone" class="fabrikLabel control-label fabrikTip" title=""
opts="{"formTip":true,"position":"top-left","trigger":"hover","notice":true,"heading":"Validation"}"
data-original-title="<ul class="validation-notices" style="list-style:none"><li><i data-isicon="true" class="icon-eye-open notempty" ></i> This is a required field</li></ul>">
<i data-isicon="true" class="icon-eye-open small "></i> Telephone </label>
<div class="controls">
<div class="fabrikElement">
<input type="text" id="sokur_landlordref___telephone" name="sokur_landlordref___telephone" size="10" maxlength="255" class="input-medium form-control fabrikinput inputbox text" value="">
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-field fb_el_sokur_landlordref___security fabrikDataEmpty span12">
<label for="sokur_landlordref___security" class="fabrikLabel control-label fabrikTip" title=""
opts="{"formTip":true,"position":"top-left","trigger":"hover","notice":true,"heading":"Validation"}" data-original-title="<ul class="validation-notices" style="list-style:none"><li><i data-isicon="true" class="icon-eye-open notempty" ></i> Please refer to the email sent to you requesting this reference (you should have clicked on the link in that email to get to this form). The security code is contained in that email.
</li></ul>">
<i data-isicon="true" class="icon-eye-open small "></i> Security Code from email (this is typically a six digit number and is highlighted in red in your email) </label>
<div class="controls">
<div class="fabrikElement">
<input type="text" id="sokur_landlordref___security" name="sokur_landlordref___security" size="6" maxlength="6" class="input-small form-control fabrikinput inputbox text" value="">
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-date fb_el_sokur_landlordref___date_time fabrikHide " style="display:none"> date_time <div class="controls">
<div class="fabrikElement">
<div class="fabrikSubElementContainer" id="sokur_landlordref___date_time">
<div class="input-append">
<input type="text" name="sokur_landlordref___date_time[date]" id="sokur_landlordref___date_time_cal" value="2024-04-23" class="fabrikinput inputbox input input-medium" size="0" maxlength="19">
<button type="button" class="btn calendarbutton" id="sokur_landlordref___date_time_cal_cal_img" aria-label="Calendar">
<i data-isicon="true" class="icon-calendar "></i></button>
</div>
<div class="input-append">
<input type="text" class="inputbox fabrikinput timeField input input-medium" size="5" value="09:31:17" name="sokur_landlordref___date_time[time]">
<button type="button" class="btn timeButton" aria-label="Clock">
<i data-isicon="true" class="icon-clock timeButton"></i></button>
</div>
</div>
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-textarea fb_el_sokur_landlordref___property_address fabrikDataEmpty span12">
<label for="sokur_landlordref___property_address" class="fabrikLabel control-label fabrikTip" title=""
opts="{"formTip":true,"position":"top-left","trigger":"hover","notice":true,"heading":"Validation"}"
data-original-title="<ul class="validation-notices" style="list-style:none"><li><i data-isicon="true" class="icon-eye-open notempty" ></i> This is a required field</li></ul>">
<i data-isicon="true" class="icon-eye-open small "></i> Property Address </label>
<div class="controls">
<div class="fabrikElement">
<textarea class="fabrikinput inputbox input-xlarge" name="sokur_landlordref___property_address" id="sokur_landlordref___property_address" cols="100" rows="6"></textarea>
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-dropdown fb_el_sokur_landlordref___number_of_tenants fabrikDataEmpty span12">
<label for="sokur_landlordref___number_of_tenants" class="fabrikLabel control-label fabrikTip" title=""
opts="{"formTip":true,"position":"top-left","trigger":"hover","notice":true,"heading":"Validation"}"
data-original-title="<ul class="validation-notices" style="list-style:none"><li><i data-isicon="true" class="icon-eye-open notempty" ></i> This is a required field</li></ul>">
<i data-isicon="true" class="icon-eye-open small "></i> Number of Tenants </label>
<div class="controls">
<div class="fabrikElement">
<select name="sokur_landlordref___number_of_tenants[]" id="sokur_landlordref___number_of_tenants" class="fabrikinput form-control inputbox input input-medium">
<option value="0">Please select</option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10+">10 or more</option>
</select>
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-field fb_el_sokur_landlordref___name_of_tenants fabrikDataEmpty span12">
<label for="sokur_landlordref___name_of_tenants" class="fabrikLabel control-label fabrikTip" title=""
opts="{"formTip":true,"position":"top-left","trigger":"hover","notice":true,"heading":"Validation"}"
data-original-title="<ul class="validation-notices" style="list-style:none"><li><i data-isicon="true" class="icon-eye-open notempty" ></i> This is a required field</li></ul>">
<i data-isicon="true" class="icon-eye-open small "></i> Name of Tenant(s) </label>
<div class="controls">
<div class="fabrikElement">
<input type="text" id="sokur_landlordref___name_of_tenants" name="sokur_landlordref___name_of_tenants" size="60" maxlength="255" class="input-xxlarge form-control fabrikinput inputbox text" value="">
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-date fb_el_sokur_landlordref___start_date span12">
<label for="sokur_landlordref___start_date" class="fabrikLabel control-label fabrikTip" title=""
opts="{"formTip":true,"position":"top-left","trigger":"hover","notice":true,"heading":"Validation"}"
data-original-title="<ul class="validation-notices" style="list-style:none"><li><i data-isicon="true" class="icon-eye-open notempty" ></i> This is a required field</li></ul>">
<i data-isicon="true" class="icon-eye-open small "></i> Start Date </label>
<div class="controls">
<div class="fabrikElement">
<div class="fabrikSubElementContainer" id="sokur_landlordref___start_date">
<div class="input-append">
<input type="text" name="sokur_landlordref___start_date" id="sokur_landlordref___start_date_cal" value="23-04-2024" class="fabrikinput inputbox input input-medium" size="0" maxlength="19">
<button type="button" class="btn calendarbutton" id="sokur_landlordref___start_date_cal_cal_img" aria-label="Calendar">
<i data-isicon="true" class="icon-calendar "></i></button>
</div>
</div>
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-date fb_el_sokur_landlordref___end_date span12">
<label for="sokur_landlordref___end_date" class="fabrikLabel control-label fabrikTip" title=""
opts="{"formTip":true,"position":"top-left","trigger":"hover","notice":true,"heading":"Validation"}"
data-original-title="<ul class="validation-notices" style="list-style:none"><li><i data-isicon="true" class="icon-eye-open notempty" ></i> This is a required field</li></ul>">
<i data-isicon="true" class="icon-eye-open small "></i> End Date </label>
<div class="controls">
<div class="fabrikElement">
<div class="fabrikSubElementContainer" id="sokur_landlordref___end_date">
<div class="input-append">
<input type="text" name="sokur_landlordref___end_date" id="sokur_landlordref___end_date_cal" value="23-04-2024" class="fabrikinput inputbox input input-medium" size="0" maxlength="19">
<button type="button" class="btn calendarbutton" id="sokur_landlordref___end_date_cal_cal_img" aria-label="Calendar">
<i data-isicon="true" class="icon-calendar "></i></button>
</div>
</div>
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-field fb_el_sokur_landlordref___total_rental fabrikDataEmpty span12">
<label for="sokur_landlordref___total_rental" class="fabrikLabel control-label fabrikTip" title=""
opts="{"formTip":true,"position":"top-left","trigger":"hover","notice":true,"heading":"Validation"}"
data-original-title="<ul class="validation-notices" style="list-style:none"><li><i data-isicon="true" class="icon-eye-open notempty" ></i> This is a required field</li></ul>">
<i data-isicon="true" class="icon-eye-open small "></i> Total Rental (per month) £ </label>
<div class="controls">
<div class="fabrikElement">
<input type="text" id="sokur_landlordref___total_rental" name="sokur_landlordref___total_rental" size="6" maxlength="255" class="input-small form-control fabrikinput inputbox text" value="">
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-dropdown fb_el_sokur_landlordref___arrears fabrikDataEmpty span12">
<label for="sokur_landlordref___arrears" class="fabrikLabel control-label fabrikTip" title=""
opts="{"formTip":true,"position":"top-left","trigger":"hover","notice":true,"heading":"Validation"}"
data-original-title="<ul class="validation-notices" style="list-style:none"><li><i data-isicon="true" class="icon-eye-open notempty" ></i> This is a required field</li></ul>">
<i data-isicon="true" class="icon-eye-open small "></i> Arrears </label>
<div class="controls">
<div class="fabrikElement">
<select name="sokur_landlordref___arrears[]" id="sokur_landlordref___arrears" class="fabrikinput form-control inputbox input input-medium">
<option value="0">Please select</option>
<option value="1">Yes</option>
<option value="2">No</option>
</select>
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-textarea fb_el_sokur_landlordref___details_of_arrears fabrikDataEmpty span12 fabrikHide" style="opacity: 0; visibility: hidden;">
<label for="sokur_landlordref___details_of_arrears" class="fabrikLabel control-label"> Details of Arrears </label>
<div class="controls">
<div class="fabrikElement">
<textarea class="fabrikinput inputbox input-xlarge" name="sokur_landlordref___details_of_arrears" id="sokur_landlordref___details_of_arrears" cols="100" rows="6"></textarea>
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-textarea fb_el_sokur_landlordref___condition fabrikDataEmpty span12">
<label for="sokur_landlordref___condition" class="fabrikLabel control-label"> Was the property kept in good condition? </label>
<div class="controls">
<div class="fabrikElement">
<textarea class="fabrikinput inputbox input-xlarge" name="sokur_landlordref___condition" id="sokur_landlordref___condition" cols="1000" rows="6"></textarea>
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-dropdown fb_el_sokur_landlordref___rent_again fabrikDataEmpty span12">
<label for="sokur_landlordref___rent_again" class="fabrikLabel control-label fabrikTip" title=""
opts="{"formTip":true,"position":"top-left","trigger":"hover","notice":true,"heading":"Validation"}"
data-original-title="<ul class="validation-notices" style="list-style:none"><li><i data-isicon="true" class="icon-eye-open notempty" ></i> This is a required field</li></ul>">
<i data-isicon="true" class="icon-eye-open small "></i> Would you rent to this tenant again? </label>
<div class="controls">
<div class="fabrikElement">
<select name="sokur_landlordref___rent_again[]" id="sokur_landlordref___rent_again" class="fabrikinput form-control inputbox input input-medium">
<option value="0">Please select</option>
<option value="1">Yes</option>
<option value="2">No</option>
</select>
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-textarea fb_el_sokur_landlordref___norent_details fabrikDataEmpty span12 fabrikHide" style="opacity: 0; visibility: hidden;">
<label for="sokur_landlordref___norent_details" class="fabrikLabel control-label"> Please explain why </label>
<div class="controls">
<div class="fabrikElement">
<textarea class="fabrikinput inputbox input-xlarge" name="sokur_landlordref___norent_details" id="sokur_landlordref___norent_details" cols="40" rows="3"></textarea>
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-captcha fb_el_sokur_landlordref___captcha fabrikDataEmpty span12">
<label for="sokur_landlordref___captcha" class="fabrikLabel control-label"> Click in the box </label>
<div class="controls">
<div class="fabrikElement">
<img src="https://www.eletref.co.uk/index.php?option=com_fabrik&task=plugin.pluginAjax&plugin=captcha&method=ajax_image&format=raw&element_id=725&formid=16&rowid=0&repeatcount=0" alt="security image">
<div class="captcha_input">
<input class="inputbox text" type="text" name="sokur_landlordref___captcha" id="sokur_landlordref___captcha" size="0" value="">
</div>
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-internalid fb_el_sokur_landlordref___id fabrikHide " style="display:none"> id <div class="controls">
<div class="fabrikElement">
<input type="text" class="fabrikinput inputbox hidden" name="sokur_landlordref___id" value="" id="sokur_landlordref___id">
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-ip fb_el_sokur_landlordref___ip fabrikHide " style="display:none"> IP <div class="controls">
<div class="fabrikElement">
<input type="text" class="fabrikinput inputbox" readonly="readonly" name="sokur_landlordref___ip" id="sokur_landlordref___ip" value="217.138.196.107">
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
<div class="row-fluid">
<div class="control-group fabrikElementContainer plg-fileupload fb_el_sokur_landlordref___upload span12">
<label for="sokur_landlordref___upload" class="fabrikLabel control-label"> Upload Reference (if preferred) </label>
<div class="controls">
<div class="fabrikElement">
<div class="fabrikSubElementContainer">
<input class="fabrikinput" name="sokur_landlordref___upload" type="file" accept=".jpg,.jpeg,.png,.pdf" id="sokur_landlordref___upload">
<input class="fabrikinput inputbox hidden" type="hidden" name="sokur_landlordref___upload_orig" value="" id="sokur_landlordref___upload_orig">
</div>
</div>
<div class="fabrikErrorMessage">
</div>
</div>
</div>
</div>
</fieldset>
<div class="fabrikHiddenFields">
<input type="hidden" name="listid" value="16">
<input type="hidden" name="listref" value="16">
<input type="hidden" name="rowid" value="">
<input type="hidden" name="Itemid" value="">
<input type="hidden" name="option" value="com_fabrik">
<input type="hidden" name="task" value="form.process">
<input type="hidden" name="isMambot" value="">
<input type="hidden" name="formid" value="16">
<input type="hidden" name="returntoform" value="0">
<input type="hidden" name="fabrik_referrer" value="">
<input type="hidden" name="fabrik_ajax" value="0">
<input type="hidden" name="package" value="fabrik">
<input type="hidden" name="packageId" value="">
<input type="hidden" name="nodata" value="0">
<input type="hidden" name="7037d749412746bcc17e9f1259b09272" value="1">
<input type="hidden" name="format" value="html">
<input type="hidden" name="fabrik_repeat_group[102]" value="1" id="fabrik_repeat_group_102_counter">
<input type="hidden" name="fabrik_repeat_group_added[102]" value="0" id="fabrik_repeat_group_102_added">
</div>
<div class="fabrikActions form-actions">
<div class="row-fluid">
<div class="span4">
<div class="btn-group">
<button type="submit" class="btn btn-primary button submit" name="Submit" id="fabrikSubmit_16"> Submit</button>
</div>
</div>
</div>
</div>
</form>Text Content
* Home
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* Help
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* Login
LANDLORD REFERENCE
Please complete all mandatory fields, and either upload your reference or
complete the reference questions.
×
Landlord Reference
Your Full Name & Position
Email
Telephone
Security Code from email (this is typically a six digit number and is
highlighted in red in your email)
date_time
Property Address
Number of Tenants
Please select 1 2 3 4 5 6 7 8 9 10 or more
Name of Tenant(s)
Start Date
End Date
Total Rental (per month) £
Arrears
Please select Yes No
Details of Arrears
Was the property kept in good condition?
Would you rent to this tenant again?
Please select Yes No
Please explain why
Click in the box
id
IP
Upload Reference (if preferred)
Submit
DATA PROTECTION
Registered under the Data Protection Act 2018 with the Information
Commissioner's Office. Registration Number: Z969467X. Company Reg No 05988192.
VAT Reg. 978 8050 67.
LetRef Ltd is an introducer appointed representative of the Alan Boswell
Group which is authorised and regulated by the Financial Conduct Authority.
TERMS & CONDITIONS
Please also refer to our Terms of Use and Privacy Policy.
Please note that any faxes sent to our fax number are charged at 10p per minute
© LetRef Ltd 2021
Site development by WebAppz Ltd
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