Tenancy Application

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

Premises*

NUMBER OF APPLICANTS

Adults
Children
Pets
Available to move in
DD slash MM slash YYYY

PERSONAL DETAILS (APPLICANT 1)

Surname
Given Name*
Address
Date of Birth
Private Phone
Work Phone
Mobile
Email*
Driver's Lic No.
Car Reg

EMPLOYMENT HISTORY

Occupation
Employer
Work Address
Contact
Phone
Period Employed

TENANCY HISTORY 1

Landlord/Agent
Address*
Contact
Phone
Address Of Premises
Period Of Tenancy
Rent (per week) $

TENANCY HISTORY 2

Landlord/Agent
Address*
Contact
Phone
Address Of Premises
Period Of Tenancy
Rent (per week) $

TENANCY HISTORY 3

Landlord/Agent
Address
Contact
Phone
Address Of Premises
Period Of Tenancy
Rent (per week) $

REFERENCES

Referee 1.
Referee 2.

PERSON TO BE NOTIFIED IN AN EMERGENCY

Name
Address
Private Phone
Work Phone

PERSONAL DETAILS (APPLICANT 2)

Surname
Given Names
Address
Date of Birth
Private Phone
Work Phone
Mobile
Email
Driver's Lic No.
Car Reg

EMPLOYMENT HISTORY

Occupation
Employer
Work Address
Contact
Phone
Period Employed

TENANCY HISTORY 1

Landlord/Agent
Address*
Contact
Phone
Address Of Premises
Period Of Tenancy
Rent (per week) $

TENANCY HISTORY 2

Landlord/Agent
Address*
Contact
Phone
Address Of Premises
Period Of Tenancy
Rent (per week) $

TENANCY HISTORY 3

Landlord/Agent
Address
Contact
Phone
Address Of Premises
Period Of Tenancy
Rent (per week) $

REFERENCES

Referee 1.
Referee 2.

PERSON TO BE NOTIFIED IN AN EMERGENCY

Name
Address
Private Phone
Work 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

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.
*
- * I/We acknowledge that the agent has permission to check our details as per this application