Application form

Request Form

  • Property applying for

  • (When could you move in?)
  • Your details

  • Please indicate who else will be residing with you

  • Contact information

  • Agent details (if rental)

  • Agent / landlord reference 1

  • Agent / landlord reference 2

  • Employment

  • Previous employment

  • General information

  • (eg. House, flat? no of bedrooms? garage?)
  • Personal reference 1

  • Personal reference 2

  • I hereby offer to rent the property from the owner under a lease to be prepared by the agent. Should this application be accepted by the landlord I agree to enter into a residential tenancy agreement. I acknowledge that this application is subject to the approval of the owner/landlord. I declare that all information contained in this application (including the reverse side) is true and correct and given of my own free will. I declare that I have inspected the premises and am not bankrupt. I authorise the agent to obtain personal information from: The owner or the agent of my current or previous residence; My personal referees and employer/s; Any record listing or database of defaults by tenants; If I default under a rental agreement, I agree that the agent may disclose details of any such default to a tenancy default database, and to agents/landlords of properties I may apply for in the future. I am aware that the agent will use and disclose my personal information in order to: communicate with the owner and select a tenant prepare lease/tenancy documents allow tradespeople or equivalent organisations to contact me lodge/claim/transfer to/from a bond authority refer to tribunal/Courts & statutory authorities (where applicable) refer to collection agents/lawyers (where applicable) complete a credit check with TICA (tenancy information control association) transfer water account details into my name