Tenancy Application Form

Please be advised that this application will only be processed once ALL details have been completed and all copies of all supporting documents sent into [email protected].

Each applicant must submit an individual form.

You can either fill out the form below or print out this PDF and return it to us.

1 Property Details

2 Personal Details

3 Rental History

4 Employment Details

5 Student Details

6 Referees

Property Details
Address of Property
Street Address Address Line 2 Suburb State Post Code Country
Lease commencement date
Date Format: MM slash DD slash YYYY
Lease term
Rent per week?
Number and type of pets

Names of all other occupants for the property

Names and ages of any children to occupy the property

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Personal Details
Name
Given Name(s) Surname
Current Address
Street Address Address Line 2 Suburb State Post Code Country
Home Phone
Work Phone
Mobile
Fax
Email
Date of Birth
DD
MM
YYYY
Drivers Licence Number
Drivers Licence State
Passport Number
Passport Country
Next of Kin
Name
Given Name(s) Surname
Address
Street Address Address Line 2 Suburb State Post Code Country
Relationship
Phone
Mobile
Email

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Current Tenancy Details
Length of time at current address
Rent per week
Reason for leaving
Name of Landlord/Agent
Landlord/Agent Phone
Previous Rental History 1
Address
Street Address Address Line 2 Suburb State Post Code Country
Length of time at above address
DD
MM
YYYY
From
DD
MM
YYYY
To
Weekly rent paid
Name of Landlord/Agent
Landlord/Agent Phone
Was Bond refunded in full?
If no, please specify reasons why
Previous Rental History 2
(if current tenancy is less than 6 months)
Address
Street Address Address Line 2 Suburb State Post Code Country
Length of time at above address
DD
MM
YYYY
From
DD
MM
YYYY
To
Weekly rent paid
Name of Landlord/Agent
Landlord/Agent Phone
Was Bond refunded in full?
If no, please specify reasons why

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Current Employment Details
Occupation
Current Employer
Employer's Address
Street Address Address Line 2 Suburb State Post Code Country
Contact Name (payroll / manager)
Contact Number
Length of Employment
Self Employment Details
Company Name
Business Type
Business Address
Street Address Address Line 2 Suburb State Post Code Country
Position Held
ABN
Accountant Name
Phone
Accountant's Address
Street Address Address Line 2 Suburb State Post Code Country
Income
Net weekly employment income
Net weekly income from other sources

Source(s) of other income

Previous Employment
If current employment is less than 6 months)
Occupation
Previous Employer
Employer's Address
Street Address Address Line 2 Suburb State Post Code Country
Contact Name (payroll / manager)
Contact Number
Length of employment
DD
MM
YYYY
From
DD
MM
YYYY
To
Net weekly income

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Student Information
Place of Study
Course Name
Course Length
Enrolment / student number
Campus Contact
Contact Number
Course Co-ordinator
Contact Number

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Referees
Business referee
Relationship
Phone
Mobile
Personal referee
Relationship
Phone
Mobile
Privacy statement acceptance*
- I the applicant acknowledge that I have read the Privacy Disclosure statement. I authorise the Agent to collect information about me from:
  1. My previous letting agents and/or landlords;
  2. My personal referees;
  3. Any Tenancy Default Database which may contain personal information about me.I also authorise the Agent to disclose details about any defaults by me under the tenancy to which this application relates to any tenancy default database to which it subscribes including Tenancy Information Centre of Australia (TICA), National Tenancy Database (NTD) and/or Trading Reference Australia (TRA).
  
  I authorise the Agent to disclose the personal information collected about me to the owner of the property even if the owner is resident outside Australia and to any third parties – valuers, contractors, sales people, insurance companies, bodies corporate, other agents and tenancy default databases.
Applicant's Signature*
By signing this you are confirming that the information in this form is accurate and that you are aware you still need to provide supporting documentation via email.
Applicant Name*
Today's Date*
Date Format: MM slash DD slash YYYY
Free Utility Connection Service
myconnect is a FREE and easy to use utility connection service
- Yes Please Contact Me
- Interpreter required
Phone: 1300 854 478
Fax: 1300:854 479
Email: [email protected]
Web: www.myconnect.com.au
- Unless I have opted out of this section, I/we: Consent to the disclosure of information on this form to myconnect ABN 34121 892 331 for the purpose of arranging the connection of nominated utility services; consent to myconnect disclosing personal information to utility service providers for the stated purpose and obtaining confirmation of connection; consent to myconnect disclosing confirmation details (including NMI, MIRN, utility provider) to the Real Estate Agent, its employees and myconnect may receive a fee/incentive from a utility provider in relation to the connection of utility services; acknowledge that whilst myconnect is a free service, a standard connection fee and/or deposit may be required by various utility providers; acknowledge that, to the extent permitted by law, the Real Estate Agent, its employees and myconnect shall not be liable for any loss or damage (including consequential loss and loss of profits) to me/us or any other person or any property as a result of the provision of services or any act or omission by the utility provider or for any loss caused by or in connection with any delay in connection or provision of, or failure to connect or provide the nominated utilities. I acknowledge that myconnect record all calls for coaching, quality and compliance purposes.
  
  Unselect to optout

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Tenancy Application Form

Property Details

Personal Details

Next of Kin

Current Tenancy Details

Previous Rental History 1

Previous Rental History 2

Current Employment Details

Self Employment Details

Income

Previous Employment

Student Information

Referees

Free Utility Connection Service

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