Application Address Date Inspected Weekly Rent Bond Amount Lease Commencement Date Preferred Lease Term 6 months1 year2 years3 years Adults Children Vehicles Pets How did you find out about this property? www.realestate.com.ausignboardwww.domain.com.auwww.rent.com.auwww.homely.com.auword of mouthebrochurecurrent client Full Name Phone Number Sex Date of birth ID Type Drivers Licence Passport NumberID Card ID Number ID Issue Location ID Expiry Email Current Address Emergency Contact Relationship Phone Contact Address Your Current Address I am currently Renting through an agentRenting through a landlordOwn my own houseHousing commission Length of stay Weekly Rent Was bond fully refunded? Agent or Landlord Name Phone Email Reason for leaving Previous Address I was previously Renting through an agentRenting through a landlordOwn my own houseHousing commission Length of stay Weekly Rent Was bond fully refunded? Agent or Landlord Name Phone Email Reason for leaving Reference 1 name Reference 1 phone Reference 1 relationship Reference 2 name Reference 2 phone Reference 2 relationship Reference 3 name Reference 3 phone Reference 3 relationship Why is this property right for you? Utility connection I WOULD like to be contacted about utilities I WOULD NOT like to be contacted about utilities Are you a student yesno Other occupant Name Phone Relationship Age On the lease? Email Other occupant Name Phone Relationship Age On the lease? Email Other occupant Name Phone Relationship Age On the lease? Email Other occupant Name Phone Relationship Age On the lease? Email Cars Make of vehicle Vehicle registration Applied for other properties? yesno Tenancy ever been terminated? yesno Have you been in arrears? yesno Do you currently own a property yesno Current Employment Manager Name Phone Email Company Address Industry Position Nature of employment Length of employment Date started Annual Salary Previous Employment Manager Name Phone Email Company Address Industry Position Nature of employment Length of employment Date started Annual Salary Send
