PERSONAL DETAILS Title: Mr Mrs Miss Ms Full Name: Current Address: Date of Birth: January February March April May June July August September October November December Home Phone: Mobile: Work Phone: Fax: Email: Drivers Licence No: State: Rego: Other Identification: Occupation: Employer's Name: Employer Address: Employer Phone: Length of Employment: Previous Occupation: (If current employment is less than 1 year) Employer's Name: Address: Contact Phone: Length of Employment: CONTACT IN CASE OF EMERGENCY Name: Relationship to you: Address: Contact No: ACCOMMODATION REQUIRED Type of accommodation: House Unit Flat Rural No. of bedrooms: Maximum rent payable: Date required: No. of persons who will occupy the premises: Adults: Children: Age of Children: Pets: Yes No State No. and Type: APPLICANT HISTORY How long have you lived at your current address: Is the above property: Rented Accommodation Own Home Board / Other Please state the current rent you pay per week: Name of current Landlord / Agent: Phone No: Address: Please state your previous address: Was this: Rented Accommodation Own Home Board / Other Rental amount you paid per week: Time lived at address: Name of previous landlord / agent: Phone No: Address: Was your bond refunded in full: Yes No If not, please state why: Have you ever been evicted or refused a property: Yes No If yes, please state why: Are you in debt to another landlord or agent: Yes No If yes, please state why: Personal Reference: 1 Relationship to you: Contact Phone No: Personal Reference: 2 Relationship to you: Contact Phone No: 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.
-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.
