Preliminary Tenancy Application
I/We apply for tenancy of the premises described below upon the terms set out below:
Premises:
PERSONAL DETAILS (APPLICANT 1)
Surname:
Given Names:
Address:
Date of Birth:
Private Phone:
Business Phone:
Mobile Phone:
Driver's Lic No.:
Car Reg:
Number of Applicants: Adults:
Children:
Pet(s)
EMPLOYMENT HISTORY
Occupation:
Employer:
Business Address:
Contact:
Phone:
Period Employed:
TENANCY HISTORY
Name of Last or Present Landlord/Agent:
Address:
Contact:
Phone:
Address Of Premises:
Period Of Tenancy:
Rent (per week): $
REFERENCES (Give names and phone numbers)
Referee 1.:
Referee 2.:
PERSON TO BE NOTIFIED IN AN EMERGENCY
Name:
Address:
Telephone - Private:
Telephone - Business:
PERSONAL DETAILS (APPLICANT 2)
Surname:
Given Names:
Address:
Date of Birth:
Private Phone:
Business Phone:
Mobile Phone:
Driver's Lic No.:
Car Reg:
Number of Applicants: Adults:
Children:
Pet(s)
EMPLOYMENT HISTORY
Occupation:
Employer:
Business Address:
Contact:
Phone:
Period Employed:
TENANCY HISTORY
Name of Last or Present Landlord/Agent:
Address:
Contact:
Phone:
Address Of Premises:
Period Of Tenancy:
Rent (per week): $
REFERENCES (Give names and phone numbers)
Referee 1.:
Referee 2.:
PERSON TO BE NOTIFIED IN AN EMERGENCY
Name:
Address:
Telephone - Private:
Telephone - Business:
Date    
Are you a smoker?
Signed Authority:*  
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.

 

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