Your rental guarantee for a housing lease

Information about the tenant(s)

Please complete this form in accordance with the information indicated on your lease or proposed lease.

= Required information

Main tenant
Title / Last name :		Ms. Mrs. Mr.
First name :
Date of birth :		01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 01 02 03 04 05 06 07 08 09 10 11 12 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920
Nationality :		Afghanistan Albania Algeria American Virg.Islnd Andorra Angola Anguilla Antarctica Antigua/Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegovina Botswana Bouvet Island Brazil Brit.Ind.Oc.Ter British Virg. Islnd Brunei Dar-es-S Bulgaria Burkina-Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Rep Chad Chile China Christmas Island Coconut Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Dutch Antilles East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guayana French Polynesia French S.Territ Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard/McDnld Islnds Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauretania Mauritius Mayotte Mexico Micronesia Minor Outl.Ins. Moldavia Monaco Mongolia Montserrat Morocco Mozambique Myanmar N.Mariana Island Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Islands Norfolk Island North Korea Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Ruanda Russian Fed. S. Sandwich Ins S.Tome,Principe Samoa, American San Marino Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka St Kitts & Nevis St. Helena St. Lucia St. Vincent St.Pier,Miquel. Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikstan Tanzania Thailand Togo Tokelau Islands Tonga Trinidad,Tobago Tunisia Turkey Turkmenistan Turksh Caicosin Tuvalu Uganda Ukraine United Arab Emir. United Kingdom Uruguay USA Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis,Futuna West Sahara Western Samoa White Russia Yemen Yugoslavia Zambia Zimbabwe B permit C permit
Profession :
Current address :
Address :
Postal code / City :
Country :		Afghanistan Albania Algeria American Virg.Islnd Andorra Angola Anguilla Antarctica Antigua/Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegovina Botswana Bouvet Island Brazil Brit.Ind.Oc.Ter British Virg. Islnd Brunei Dar-es-S Bulgaria Burkina-Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Rep Chad Chile China Christmas Island Coconut Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Dutch Antilles East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guayana French Polynesia French S.Territ Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard/McDnld Islnds Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauretania Mauritius Mayotte Mexico Micronesia Minor Outl.Ins. Moldavia Monaco Mongolia Montserrat Morocco Mozambique Myanmar N.Mariana Island Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Islands Norfolk Island North Korea Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Ruanda Russian Fed. S. Sandwich Ins S.Tome,Principe Samoa, American San Marino Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka St Kitts & Nevis St. Helena St. Lucia St. Vincent St.Pier,Miquel. Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikstan Tanzania Thailand Togo Tokelau Islands Tonga Trinidad,Tobago Tunisia Turkey Turkmenistan Turksh Caicosin Tuvalu Uganda Ukraine United Arab Emir. United Kingdom Uruguay USA Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis,Futuna West Sahara Western Samoa White Russia Yemen Yugoslavia Zambia Zimbabwe
Mobile telephone number :		An sms will be sent to you to confirm the issuing of your rental guarantee certificate.
Private telephone number :
Professional telephone :
E-mail :		Your e-mail address is required to send your rental guarantee request number.
E-mail confirmation :

2nd tenant or guarantor Remove this person
Title / Last name :		Ms. Mrs. Mr.
First name :
Date of birth :		01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 01 02 03 04 05 06 07 08 09 10 11 12 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920
Nationality :		Afghanistan Albania Algeria American Virg.Islnd Andorra Angola Anguilla Antarctica Antigua/Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegovina Botswana Bouvet Island Brazil Brit.Ind.Oc.Ter British Virg. Islnd Brunei Dar-es-S Bulgaria Burkina-Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Rep Chad Chile China Christmas Island Coconut Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Dutch Antilles East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guayana French Polynesia French S.Territ Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard/McDnld Islnds Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauretania Mauritius Mayotte Mexico Micronesia Minor Outl.Ins. Moldavia Monaco Mongolia Montserrat Morocco Mozambique Myanmar N.Mariana Island Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Islands Norfolk Island North Korea Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Ruanda Russian Fed. S. Sandwich Ins S.Tome,Principe Samoa, American San Marino Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka St Kitts & Nevis St. Helena St. Lucia St. Vincent St.Pier,Miquel. Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikstan Tanzania Thailand Togo Tokelau Islands Tonga Trinidad,Tobago Tunisia Turkey Turkmenistan Turksh Caicosin Tuvalu Uganda Ukraine United Arab Emir. United Kingdom Uruguay USA Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis,Futuna West Sahara Western Samoa White Russia Yemen Yugoslavia Zambia Zimbabwe B permit C permit
Profession :
E-mail :

3rd tenant or guarantor Remove this person
Title / Last name :		Ms. Mrs. Mr.
First name :
Date of birth :		01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 01 02 03 04 05 06 07 08 09 10 11 12 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920
Nationality :		Afghanistan Albania Algeria American Virg.Islnd Andorra Angola Anguilla Antarctica Antigua/Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegovina Botswana Bouvet Island Brazil Brit.Ind.Oc.Ter British Virg. Islnd Brunei Dar-es-S Bulgaria Burkina-Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Rep Chad Chile China Christmas Island Coconut Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Dutch Antilles East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guayana French Polynesia French S.Territ Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard/McDnld Islnds Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauretania Mauritius Mayotte Mexico Micronesia Minor Outl.Ins. Moldavia Monaco Mongolia Montserrat Morocco Mozambique Myanmar N.Mariana Island Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Islands Norfolk Island North Korea Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Ruanda Russian Fed. S. Sandwich Ins S.Tome,Principe Samoa, American San Marino Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka St Kitts & Nevis St. Helena St. Lucia St. Vincent St.Pier,Miquel. Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikstan Tanzania Thailand Togo Tokelau Islands Tonga Trinidad,Tobago Tunisia Turkey Turkmenistan Turksh Caicosin Tuvalu Uganda Ukraine United Arab Emir. United Kingdom Uruguay USA Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis,Futuna West Sahara Western Samoa White Russia Yemen Yugoslavia Zambia Zimbabwe B permit C permit
Profession :
E-mail :

Please enter all tenants or guarantors indicated on your lease.

Information about your lease and your rental guarantee

Please complete this form in accordance with the information indicated on your lease or proposed lease.

= Required information

Information about your lease
Lease start date :		01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 01 02 03 04 05 06 07 08 09 10 11 12 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900
Address of rented item :
Address :
Postal code / City :
Real estate agency (Lessor representative)
Real estate agency name :
Address :
Postal code / City :
Country :		Afghanistan Albania Algeria American Virg.Islnd Andorra Angola Anguilla Antarctica Antigua/Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegovina Botswana Bouvet Island Brazil Brit.Ind.Oc.Ter British Virg. Islnd Brunei Dar-es-S Bulgaria Burkina-Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Rep Chad Chile China Christmas Island Coconut Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Dutch Antilles East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guayana French Polynesia French S.Territ Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard/McDnld Islnds Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauretania Mauritius Mayotte Mexico Micronesia Minor Outl.Ins. Moldavia Monaco Mongolia Montserrat Morocco Mozambique Myanmar N.Mariana Island Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Islands Norfolk Island North Korea Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Ruanda Russian Fed. S. Sandwich Ins S.Tome,Principe Samoa, American San Marino Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka St Kitts & Nevis St. Helena St. Lucia St. Vincent St.Pier,Miquel. Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikstan Tanzania Thailand Togo Tokelau Islands Tonga Trinidad,Tobago Tunisia Turkey Turkmenistan Turksh Caicosin Tuvalu Uganda Ukraine United Arab Emir. United Kingdom Uruguay USA Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis,Futuna West Sahara Western Samoa White Russia Yemen Yugoslavia Zambia Zimbabwe
Lessor (Owner)
Lessor name :
Address :
Postal code / City :
Country :		Afghanistan Albania Algeria American Virg.Islnd Andorra Angola Anguilla Antarctica Antigua/Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegovina Botswana Bouvet Island Brazil Brit.Ind.Oc.Ter British Virg. Islnd Brunei Dar-es-S Bulgaria Burkina-Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Rep Chad Chile China Christmas Island Coconut Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Dutch Antilles East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guayana French Polynesia French S.Territ Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard/McDnld Islnds Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauretania Mauritius Mayotte Mexico Micronesia Minor Outl.Ins. Moldavia Monaco Mongolia Montserrat Morocco Mozambique Myanmar N.Mariana Island Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Islands Norfolk Island North Korea Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Ruanda Russian Fed. S. Sandwich Ins S.Tome,Principe Samoa, American San Marino Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka St Kitts & Nevis St. Helena St. Lucia St. Vincent St.Pier,Miquel. Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikstan Tanzania Thailand Togo Tokelau Islands Tonga Trinidad,Tobago Tunisia Turkey Turkmenistan Turksh Caicosin Tuvalu Uganda Ukraine United Arab Emir. United Kingdom Uruguay USA Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis,Futuna West Sahara Western Samoa White Russia Yemen Yugoslavia Zambia Zimbabwe
Amount of your rental guarantee
Monthly rent : (excluding charges)		CHF
Amount of your rental guarantee : (maximum CHF 15’000.-)		CHF
General conditions
I accept, as well as all renters or Guarantors indicated on the lease, the general terms of SwissCaution.
I would like to receive a Civil Responsibility offer without engagement.