Application For Tenancy

OFFICE USE ONLY

Agents Name*

Address*

Suburb*

State*

Postcode*

Phone

Fax

Email*

PREMISES

Address of Premises applied for:

Suburb

State

Postcode

Car space/garage/storeroom number

Excluding:

APPLICANT

PERSONAL DETAILS

Title:

Date of Birth

Gender

Given Name

Last name

Present address

Suburb

State

Postcode

Phone (Work)

Phone (Home)

Email

Mobile

Vehicle registration No.

Driver's Licence No.

State of Issue

Passport No.

Expiry Date

Country of Issue

Bank or Building Society

Branch

BSB

Account Number

Medicare Card Number

Reference Number

Colour of Card

Expiry Date

PERSONAL REFERENCES

Referee 1

Name

Phone Work*

Mobile

Fax

Email

Referee 2

Name

Phone Work

Mobile

Fax

Email

EMPLOYMENT HISTORY

Occupation of Applicant

Date commenced

Gross weekly wage/salary

Employer's name

Employer's address

Suburb

State

Postcode

Phone Work

Mobile

Fax

Email

Previous employer's name

Previous employer's address

Suburb

State

Postcode

Phone work

Fax

Email

Period of employment

EMERGENCY CONTACT

- in case of an emergency, name of friend or relative

Name

Relationship

Address

Suburb

State

Postcode

Phone work

Mobile

Phone Home

Email

TENANCY HISTORY

Name of present Landlord/Agent

Phone Work

Mobile

Email

Reason for leaving

Length of time at present address

Current rent paid

Name of previous Landlord/Agent

Phone work

Mobile

Email

Reason for leaving

Address of previous premises rented

Suburb

State

Postcode

OCCUPANT(S) DETAILS

Number of persons who will occupy Premises:

Adults Children Ages of Children

Pets

Yes
No

If Yes, number and type

Smoker(s)

Yes
No

Note: the Applicant acknowledges and consents to the Agent verifying personal and employment references and tenant history references.

Signature of Applicant

Date

DETAILS OF RENTAL - OFFICE USE ONLY

Type of Premises:

Furnished
Unfurnished

Rent

per

commencing from

for a period of

months/weeks

Note: A tenant must be permitted to pay the rent by at least one means for which the tenant does not incur a cost (other than bank fees or other account fees usually payable for the tenant's transactions) and that is reasonably available to the tenant. Residential Tenancy Agreement

Residential Tenancy Agreement to be signed on

at

INITIAL PAYMENT

Rental Bond

Note: A Rental Bond must not exceed 4 weeks rent. A Rental Bond cannot be required prior to the execution of a Residential Tenancy Agreement

Rent

months/weeks/days Note: A tenant cannot be required to pay more than 2 weeks rent in advance,

Sub Total

Total

Initial payment must be made by Personal cheques will not be accepted.

APPLICATION

I, the Applicant hereby apply for approval by the owner of the Premises referred to in this form to become the tenant of those Premises on the terms and conditions contained in this form and in the Residential Tenancy Agreement to be drawn up by the owner’s Agent.

I, the Applicant, do solemnly and sincerely declare that I am not a bankrupt or an undischarged bankrupt and affirm that the above information is true and correct.

I have inspected the abovementioned Premises and wish to take a tenancy for such Premises for a period of

weeks,

at a rental of

per week and I declare that the rental to be paid is within my means. I undertake to pay a rental bond in cash or as requested upon the signing of a Residential Tenancy Agreement.

I/We,

Trading as

the Agents acting for the owner of the above Premises, acknowledge receipt of the above Application and, if the Applicant is approved, agree to prepare a Residential Tenancy Agreement/Lease of the Premises.

PRIVACY POLICY

The Privacy Act 1988 (Cth) (the Act) allows certain information about the Applicant referred to in this Application to be collected, used and disclosed for the purpose for which it was collected, and otherwise in accordance with the Act. This Privacy Policy only applies to the extent the Agent collects, uses and discloses personal information. The Agent may amend, or amend and restate, this Privacy Policy from time to time and may subsequently notify the Applicant of any changes to this Privacy Policy by updating it on the Agent’s website or by other written notification to the Applicant. Any changes to this Privacy Policy take effect upon the earlier of the update to the website or other notification to the Applicant. This Application requires the collection of certain information including personal information about the Applicant. Personal information may be collected during each of the application, assessment and processing stage. The personal information the Applicant provides in this Application or collected from other sources is necessary for the Agent to: (a) identify and verify the Applicant’s identity; (b) process and assess the Application; (c) assess the Applicant’s ability to meet their financial and other obligations under the Residential Tenancy Agreement; (d) make recommendations to the Landlord; (e) manage the tenancy for the Landlord; (f) process any payment (including without limit the exchange of personal information with the relevant payment provider, where necessary); (g) liaise and exchange information with the Applicant, and the Agent’s or Applicant’s legal and other advisors in relation to or in connection with the Residential Tenancy Agreement; (h) comply with any applicable law; and (i) comply with any dispute resolution process. If the personal information is not provided by the Applicant, the Agent may not be able to carry out the steps described above and may therefore not be able to process the Application. Personal information collected about the Applicant in connection with this Application and, if successful, the tenancy may be disclosed by the Agent for the purpose for which it was collected to other parties including to the Landlord, the Landlord’s mortgagee or head-lessor (in either case, if any), referees, other agents, Courts, tribunals responsible for residential tenancy matters, third party operators of tenancy databases, other third parties instructed by the Applicant and any prospective or actual purchaser of the Premises including to their prospective or actual mortgagee (if any), or as required by any applicable law. Information held by tenancy databases may also be requested by and disclosed to the Agent and/or the Landlord. If the Applicant enters into a Residential Tenancy Agreement, and if the Applicant (as tenant) fails to comply with their obligations under that agreement, that fact and other relevant personal information collected about the Applicant (as Applicant or as tenant) may also be disclosed to the Landlord, third party operators of tenancy databases, other agents, Courts and tribunals responsible for residential tenancy matters. The Agent may also use the Applicant’s information including personal information for marketing and research purposes to inform the Applicant of products and services provided by the Agent, which the Agent considers may be of value or interest to the Applicant, unless the Applicant tells the Agent (see opt out option below) or has previously told the Agent not to. If the Applicant does not wish to receive any information about such products and services then please tick this box: or otherwise notify the Agent using the Agent’s contact details set out earlier in this Application. The Applicant has the right to request access to any personal information held by the Agent which relates to them, unless the Agent is permitted by law (including the Act) to withhold that information. Any requests for access to the Applicant’s personal information should be made in writing to the Agent at the contact details included in this Application. The Agent may charge a reasonable fee where access to personal information is provided (no fee may be charged for making an application to access personal information). The Applicant has the right to request the correction of any personal information which relates to the Applicant that is inaccurate, incomplete or out-of-date. The Agent will take reasonable precautions to protect the personal information it holds in relation to the Applicant from misuse, loss, and unauthorised access, modification or disclosure. By signing this Application, the Applicant acknowledges that it has read, understands and accepts the terms of this Privacy Policy and the permissions to collect, use and disclose personal information, and the Applicant authorises the Agent to collect, use and disclose, in accordance with the Act, their personal information for the purposes specified in this Privacy Policy.

NOTICE TO PROSPECTIVE TENANTS

The availability of telephone lines; internet services; analogue, digital or cable television (and the adequacy of such services); are the sole responsibility of the tenant(s) and tenants should make their own enquiries as to the availability and adequacy of such services before accepting the tenancy of the property. The landlord does not warrant that any telephone plugs, antenna sockets or other such service points located in the property are serviceable, or will otherwise meet the requirements of the tenant, and tenants must rely upon their own enquiries.

Applicant's Signature

Date

Agent's Signature

Date

Note: A copy of this document shall immediately after signing be delivered to the Applicant for retention.

How did you find this Property ?

Local Paper
Internet
Sign on Property
Agent's Window
Letterbox Drop
Referral
Other

OFFICE USE ONLY

References checked by

Employment

Present Landlord/Agent

Previous Finalished Credit

Bank

References

Notes