Tenancy Application

Ready to move in?

I/We apply for tenancy of the premises described below upon the terms set out below:

Premises applying for:*
Available to move in from:
Date Format: DD slash MM slash YYYY
Adults moving in
Children moving in
Pets moving in
Applicant One: Personal Details
Name*
First Last
Date of Birth
Date Format: DD slash MM slash YYYY
Address
Street Address Address Line 2 Suburb State Postcode Country
Mobile Phone
Email*
Driver's Licence Number
Car Registration
Applicant One: Employment History
Employer
Job Title
Contact Name
Workplace Address
Street Address Address Line 2 Suburb State Postcode Country
Period Employed
Contact Number
Applicant One: Tenancy History
Landlord Name
First Last
Address of Landlord
Street Address Address Line 2 Suburb State Postcode Country
Address of Premises
Street Address Address Line 2 Suburb State Postcode Country
Landlord Phone
Weekly Rent
Period of Tenancy
Applicant One: References
Reference One
First Last
Phone
Reference Two
First Last
Phone
Applicant One: Emergency Contact
Emergency Contact Name
First Last
Emergency Phone
Applicant Two: Personal Details
Name
First Last
Date of Birth
Date Format: DD slash MM slash YYYY
Address
Street Address Address Line 2 Suburb State Postcode Country
Mobile Phone
Email
Driver's Licence Number
Car Registration
Applicant Two: Employment History
Employer
Job Title
Contact Name
Workplace Address
Street Address Address Line 2 Suburb State Postcode Country
Period Employed
Contact Number
Applicant Two: Tenancy History
Landlord Name
First Last
Address of Landlord
Street Address Address Line 2 Suburb State Postcode Country
Address of Premises
Street Address Address Line 2 Suburb State Postcode Country
Landlord Phone
Weekly Rent
Period of Tenancy
Applicant Two: References
Reference One
First Last
Phone
Reference Two
First Last
Phone
Applicant Two: Emergency Contact
Emergency Contact Name
First Last
Emergency Phone
Authority by each applicant*
By submitting this form, I authorise the landlord's agent:
(a) to check with my previous or current employer, my previous or current landlord/agent, and the referees named as my suitability as a tenant;

(b) to request and receive from any tenancy recording services and from other real estate agencies information regarding my previous tenancies; and,

(c) to report any details of the tenancy to any Tenancy Recording Services as the Agent deems necessary, including breaches of the tenancy agreement or positive references.
Privacy Statement Acceptance*
The agent is committed to the principles of the Privacy Act 1998 (Cth).
All steps are taken to ensure that any personal information collected is protected from unauthorised use.

If you dispute part or all of the amount specified in this statement, and if you have been unable to resolve the dispute, you may apply to the Fair Trading Tribunal for a determination of the matter. By law legal action to recover the amount specified in this statement cannot be commenced until 28 days after it has seen served on you.

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Ready to move in?

Applicant One: Personal Details

Applicant One: Employment History

Applicant One: Tenancy History

Applicant One: References

Applicant One: Emergency Contact

Applicant Two: Personal Details

Applicant Two: Employment History

Applicant Two: Tenancy History

Applicant Two: References

Applicant Two: Emergency Contact

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