Untitled Document

Tenancy Application Form

Fill out the form below to make a Application Form Request
Fields marked with * must be filled
       
  Property Applying For    
Address (*) :
Suburb (*) :
Rent per week (*) $ :
Bond $ :
 
Your Details
Full Name (*) :
Email Address (*) :
Date of Birth :
Status (*) : SingleMarried SoloDefacto
 
Please state who else will be residing with you
Name 1 :
Relationship 1 :
Age 1 :
 
Name 2 :
Relationship 2 :
Age 2 :
 
Name 3 :
Relationship 3 :
Age 3 :
 
Are you, or any of the above stated, smokers ? (*) : NoYes
Your current address (*) :
 
Your contact phone numbers
Home :
Work :
Mobile (*) :
Previous Address (*) :
Your Occupation (*) :
Currently employed with (*) :
Do you have rental references ? (*) : NoYes
 
Accomodation
What type of accomodation do you require?
(eg. House, Flat? No of Bedrooms? Garage?) (*)		 :
Maximum rent you can afford (*) $ :
When do you need a place by? (*) :
Have you any pets? (*) : NoYes
Drivers Licence Number :
Name of the next kin :
Contact Phone (*) :
Additional Comments :
 
  I authorise that the above information may be used to carry out a credit check on me. I also agree that should I be in breach of any express or implied provision of the tenancy agreement or any provision of the residential Tenancies Act, that I will pay the Landlord's costs's incurred in undertaking collection to recover his/her losses (*)
  No Yes
  (*) Required field