Resident Application Form

1.PROPERTY DETAILS

What is the address of the property you would like to rent?

Lease commencement date?

Day Month Year

Lease term?

Years Months

How many tenants will occupy the property?

Adults Children Age of Children

2.PERSONAL DETAILS

Please give us your details

 Mr Ms Miss Mrs Other

Full Name

Driver's Licence number

Driver's licence expiry date

Driver's licence state

Passport No.(if applicable)

Pension type (if applicable)

Home phone No.

Mobile phone No.

Work phone No.

Fax No.

Email address

What is your current address?

How did you find out about this property?

 Newspaper The Internet Local Paper Office Office Window Sign Board at property Referral Other(specify)

3.APPLICANT HISTORY

How long have you lived at your current address?

Years Months

Why are you leaving this address?

Name of landlord or agent

Landlord/agent's phone No.

Weekly Rent Paid

What was your previous residential address?

How long did you live at this address?

Years Months

Was bond refunded in full?

If not why not?(If applicable)

5.EMPLOYMENT HISTORY

What is your occupation?

What is the nature of your employment?(FULL TIME/PART TIME/CASUAL)

Employer's name(inc. accountant if self employed or institution if student)

Employer's address

Contact name

Phone No.

Length of employment

Years Months

Net Income

6.CONTACTS/REFERENCES

Please provide a contact in case of emergency

Surname

Given name/s

Relationship to you

Phone No.

Please provide 2 personal references(not related to you)

1.Surname

Given name/s

Relationship to you

Phone No.

2.Surname

Given name/s

Relationship to you

Phone No.

7.OTHER INFORMATION

Car Registration

Please provide details of any pets

8.PAYMENT DETAILS

Property Rental

per week

First payment of rent in advance

Rental Bond(4 weeks rent)

Sub Total

Holding deposit(see below)

Amount payable on signing tenancy agreement(bank cheque or money order only)

9.HOLDING FEE

The holding fee can only be accepted after the application for tenancy is approved. The holding fee (not exceeding one week’s rent) of $............ keeps the premises off the market for the prospective tenant for 7 day. In consideration of the above holding fee paid by the prospective tenant, the landlord’s agent acknowledges that: (a) The application for tenancy has been approved by the landlord; and (b) The premises will not be let during the above period, pending the making of a residential tenancy agreement; and (c) If the prospective tenant(s) decide not to enter into such an agreement, the landlord may retain the whole holding fee; and (d) if a residential tenancy agreement is entered into, the holding fee is to be paid towards rent for the residential premises concerned. (e) The whole of the fee will be refunded to the prospective tenant if: (1) the entering into of the residential tenancy agreement is conditional on the landlord carrying out repairs or other work and the landlord does not carry out the repairs or other work during the specified period (2) the landlord/landlord’s agent have failed to disclose a material fact(s) or made misrepresentation(s) before entering into the residential tenancy agreement. I accept this condition