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Online Rental Application Form
Tenancy start date
Property Address*
Suburb*
Rent per week
Bond
Your Details
Full Name*
Your Email*
After Hours Phone
Business Hours Phone
Mobile Phone
Your Date Of Birth
Please indicate who else will be residing with you
Person One
Name
Relationship
Age range
Please select
Less than 1
1-5
6-10
11-20
21-30
31-40
41-50
51-60
71-80
Greater than 80
Person Two
Name
Relationship
Age range
Please select
Less than 1
1-5
6-10
11-20
21-30
31-40
41-50
51-60
71-80
Greater than 80
Person Three
Name
Relationship
Age range
Please select
Less than 1
1-5
6-10
11-20
21-30
31-40
41-50
51-60
71-80
Greater than 80
Do any of you smoke?
Yes
No
References
Your current address*
Your previous address*
Agent Details (if rental)
Company Name
Contact Person
Phone Number
Second Agent Details (if rental)
Company Name
Contact Person
Phone Number
Have you ever owned a home?
Yes
No
Employment
Your Occupation
Currently Employed With
Length of current employment
General Information
What type of accommodation do you require? (e.g. House, flat? No of bedrooms? Garage? etc)
Rental range (weekly)
Do you have pets?
Yes
No
Drivers License Number
Drivers License State
Please select
VIC
NSW
QLD
TAS
ACT
SA
NT
WA
Closest relative not living with you
Phone number
Personal Reference
Additional comments
I authorise that the above information may be used to carry out a credit check on me. I also agree that should I be in breach of any express or implied provision of the tenancy agreement or any provision of the Residential Tenancies Act, that I will pay the Landlord's costs incurred in undertaking collection action to recover his/her losses.
Yes
No
What is
?
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