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 rentals@mcintyreproperty.com.au.

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.

"*" indicates required fields

1Property Details

2Personal Details

3Rental History

4Employment Details

5Student Details

6Referees

Property Details

Address of Property

Street Address Address Line 2 Suburb State Post Code Country

Lease commencement date

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

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

Date of Birth

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

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

From

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

From

Weekly rent paid

Name of Landlord/Agent

Landlord/Agent Phone

Was Bond refunded in full?

If no, please specify reasons why

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

From

Net weekly income

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*

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: enquiry@myconnect.com.au
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

This field is for validation purposes and should be left unchanged.

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

Speak to our Canberra based real estate agents, we'd love to chat

LINKS

TUGGERANONG