Select a branch near you Anglesea Barwon Heads Ocean Grove Torquay
PLEASE BE ADVISED THAT THIS APPLICATION WILL ONLY BE PROCESSED ONCE ALL DETAILS HAVE BEEN COMPLETED AND ALL COPIES OF ALL SUPPORTING DOCUMENTS ATTACHED. EACH APPLICANT MUST SUBMIT AN INDIVIDUAL FORM.
Property
I HAVE COMPLETED AN INTERNAL INSPECTION OF THE PROPERTY AND ACCEPT THE PROPERTY IN IT’S CURRENT CONDITION
YES NO
PERSONAL DETAILS
Given Name/s
Surname
Address State Postcode
Date of Birth
/ /
Driver’s Licence No
CONTACT DETAILS
(H)
(M)
LEASE DETAILS
Rent $ per week / per month
Bond $ Will you be applying for Bond Assistance via DOH YES NO
Term Of Lease
12 months 6 months Other (please specify) months
Commencement Date
No of Adults No of Children (please supply ages of children)
PETS
Number of Pets
Type (ie dog/cat etc)
Breed
PLEASE NOTE THE FOLLOWING
I declare that the information supplied with and in this application is true and correct and agree that the agent is permitted to make independent enquiries to provide information to the landlord for the purpose of assessing my eligibility to rent the property. I confirm that I have inspected the property internally. I confirm agreement to the above terms and conditions.
yes
CURRENT LIVING ARRANGEMENTS
Renting Boarding Own Home Other (please specify) Rent Paid (per week) $
Landlord/Agent/Sales Rep
Contact Person
Phone
Period of Occupancy
From / / To / /
Reason for Leaving
PREVIOUS LIVING ARRANGEMENTS (where you have been in above property less than 2 years)
Renting Boarding Own Home Other (please specify) Rent Paid $ per week
EMPLOYMENT DETAILS
Current Employer
Occupation
(Needs to be a supervisor or human resources dept)
Period of Employment
Income $ Income proof required YES NO
NOTE – IF SELF EMPLOYED PLEASE SPEAK WITH THE PROPERTY MANAGER ABOUT INFORMATION REQUIRED
PERSONAL / PROFESSIONAL / CHARACTER REFERENCES (must not be relatives)
Name
Contact Details
EMERGENCY CONTACT / NEXT OF KIN
Relationship to You
NEAREST RELATIVE NOT LIVING WITH YOU
RENTAL HISTORY
Have you ever been evicted by a landlord or agent?
If yes give details
Are you in debt to another landlord or agent?
Were any deductions made from your last rental bond?