Date MM slash DD slash YYYY Property applying forTenancy start date MM slash DD slash YYYY (When could you move in?)Address Suburb Rent per week $ Bond $ Lease termPlease select123456789101112Please selectMonth/sYearsYour detailsFull name* Email* Date of birth MM slash DD slash YYYY Please indicate who else will be residing with youName Relationship Age rangePlease selectLess than 11-56-1011-2021-3031-4041-5051-6061-7071-80Greater than 80Name Relationship Age rangePlease selectLess than 11-55-1011-2021-3031-4041-5051-6061-7071-80Greater than 80Name Relationship Age rangePlease selectLess than 11-56-1011-2021-3031-4041-5051-6061-7071-80Greater than 80Contact informationYour current addressBusiness hours After hours Mobile* Previous addressAgent details (if rental)Agent / landlord reference 1Company name Contact person Phone number Weekly rent paid Was bond refunded in fullYesNoAgent / landlord reference 2Company name Contact person Phone number Have you ever owned a home? Yes No Weekly rent paid Was bond refunded in fullYesNoEmploymentYour occupation Currently employed with Full time, part time, casualFull TimePart TimeCasualEmployer address Contact name Phone no. Length of employment Net income Previous employmentPrevious occupation Previously employed with Full time, part time, casualFull timePart timeCasualEmployer address Contact name Phone no. Length of employment Net income General informationWhat type of accomodation do you require? (eg. House, flat? no of bedrooms? garage?)Rental range (weekly) Do you have any pets? Yes No Drivers licence number Passport number Drivers licence stateSelect a StateVICNSWQLDACTWANTPension number Closest relative not living with you Address Phone number Personal reference 1Contact name Contact no Relationship to you Additional commentsPersonal reference 2Contact name Contact no Relationship to you Additional commentsI hereby offer to rent the property from the owner under a lease to be prepared by the agent. Should this application be accepted by the landlord I agree to enter into a residential tenancy agreement. I acknowledge that this application is subject to the approval of the owner/landlord. I declare that all information contained in this application (including the reverse side) is true and correct and given of my own free will. I declare that I have inspected the premises and am not bankrupt. I authorise the agent to obtain personal information from: The owner or the agent of my current or previous residence; My personal referees and employer/s; Any record listing or database of defaults by tenants; If I default under a rental agreement, I agree that the agent may disclose details of any such default to a tenancy default database, and to agents/landlords of properties I may apply for in the future. I am aware that the agent will use and disclose my personal information in order to: communicate with the owner and select a tenant prepare lease/tenancy documents allow tradespeople or equivalent organisations to contact me lodge/claim/transfer to/from a bond authority refer to tribunal/Courts & statutory authorities (where applicable) refer to collection agents/lawyers (where applicable) complete a credit check with TICA (tenancy information control association) transfer water account details into my name* I am aware that if information is not provided or I do not consent to the uses to which personal information is put. The agent cannot provide me with the lease/ tenancy of the premises. I am aware that I may access personal information on the contact details above. * Upload document Drop files here or Select files Max. file size: 64 MB. Terms & Conditions Δ
