Online Tenancy Application Form

Mr Mrs Ms Miss Dr

Current Address *

Identification

Other Identification

Employment History

Employer's Address

Previous Employer's Address

Emergency Contact Information

Emergency Contact Address

Accommodation Required

Pets Yes No

Applicant History

Rental Accommodation Owner Occupier Board / Other Current Landlord / Agent Address

Previous Address Rental Accommodation Owner Occupier Board / Other Previous Landlord / Agent Address

Was your bond refunded in full? Yes No

Have you ever been evicted or refused a property? Yes No

Personal References

Disclosure

• To process your application you are requested to answer all the questions to the best of your ability. Any false information provided could jeopardise your application.
• The completion of this application does not constitute an offer of acceptance.
• Upon approval and acceptance of your application a holding deposit must be paid and if you the applicant decide not to enter into a residential tenancy agreement and the premises are not let or otherwise occupied during the reservation period, the landlord may retain the protion of the fee representing the rent that would have been paid during the reservation period; The whole fee will be refunded if the landlord does not decide to enter into a residential tenancy agreement for the premises during the reservation period.

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