Residential Application Form Page 2
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210. Landlord/Agent details of this property (if applicable)
Relationship to you
Phone Number
Name of Landlord/Agent
17. Please provide 2 personal references (not related to you)
Landlord/Agent phone number Weekly Rent
1. Surname
Given Name/s
$
11. What was your previous residential address?
Relationship to you
Phone Number
Postcode
2. Surname
Given Name/s
12. How long did you live at this address?
Years
Months
Relationship to you
Phone Number
13. Landlord/Agent details of this property (if applicable)
Name of Landlord/Agent
H. OTHER INFORMATION
18. Car Registration
Landlord/Agent phone number Weekly Rent
$
19. Please provide details of any pets
Was bond refunded in full?
If not, why?
Breed/Type
Council Registration No.
F. EMPLOYMENT HISTORY
PLEASE NOTE
14. Please provide your employment details
Initial payments must be made by bank cheque or money order
What is your occupation?
within 24 hours after approval of application. No Personal Cheques
accepted.
- I acknowledge that my application is subject to the owners’
What is the nature of your employment?
approval and the availability of the premises on the due date. No
Full Time
Part Time
Casual
action will be taken against the Landlord or Agent if the applicant is
unsuccessful or upon acceptance should the premises not be ready
Employer Name
(incl. accountant if self employed or institution if student)
for occupation on this date, for whatever reason.
- I accept that rental amounts are subject to change by providing the
required notice.
ABN Number (if self employed)
As a result of the introduction of the Australian Privacy Principles, we
have reviewed our privacy policies and procedures to ensure ongoing
compliance. Our new Privacy Policy is available on our website at
Employer Address
DISCLAIMER
Postcode
I confirm the following:
Contact Name
Contact Number
- During my inspection of the property, I found it to be in a relatively
clean condition
OR
- I have inspected the property and believe the following items
Length of Employment
Net Income
should be attended to prior to my tenancy commencing. I
$
Years
Months
acknowledge that these items are subject to the owners approval.
15. Please provide your previous employment details
Occupation
Employer’s Name
Signature
Date
Length of Employment
Net Income
How did you find out about this property?
$
Years
Months
Board
Internet
Local paper
Counter Rental list
Other __________________________________________
G. CONTACTS/REFERENCES
16. Please provide a contact in case of emergency
PLEASE PROVIDE US WITH 100 POINTS OF ID.
Surname
Given Name/s
50 - Driver’s License
30 ea. – Copy of Gas/Water/Electricity Acct.
50 – Passport
20 – Copy of Mobile Phone Account
50 - Proof of Age Card
20 – Copy of Medicare Card
50 - Student ID Card
10 – Concession/Pension Card
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Parent category: Business