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TENANCY APPLY FORM
General Details
Date
Address
*
Suburb
*
Rent per week $
*
Bond $
*
Personal Information
Full Name
*
Email Address
*
Date of Birth
*
Please state who else will be residing with you
Name
Relationship
Age
Name
Relationship
Age
Name
Relationship
Age
Are you, or any of the above stated, smokers?
Yes
No
Contact Information
Your current address
*
Home Phone
*
Work Phone
Mobile Phone
Previous Address
Agent Details (if rental)
Agent / Landlord Reference 1
Company Name
Contact Person
Phone Number
Agent / Landlord Reference 2
Company Name
Contact Person
Phone Number
Have you ever owned a home?
Yes
No
Employment
Your Occupation
*
Currently employed with
*
Additional Information
What type of accomodation do you require?
(eg. House, Flat? No of Bedrooms? Garage?)
Rental Range (weekly)
Have you any pets?
Yes
No
Drivers Licence Number
Drivers Licence State
Select a State
VIC
NSW
QLD
ACT
WA
NT
Closest relative not living with you
Address
Contact Ph No
Additional Comments
By pushing the submit button below, 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 action to recover his/her losses.
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