Property applying forApplication address(Required) Tenancy start date MM slash DD slash YYYY Rent per week(Required) Bond AmountPreferred lease length Personal informationFull name(Required) Date of birth(Required) MM slash DD slash YYYY Email(Required) Mobile(Required) Business hours phone After hours phone Marital statusNothing SelectedDivorcedEngagedMarriedPartner living with meSeparatedSingleWidowCurrent address(Required) Previous address(Required) Drivers licence number Licence stateNothing SelectedACTNSWNTQLDSATASVICWACurrent agents details (if rental)Agency Name Agency contact person Agency phone number General informationOccupation Employer Previous homeowner?Nothing selectedNo, I have not owned a houseYes, I have owner a housePets?Nothing selectedNo, I do not have petsYes, I do have petsPlease state who else will be residing with youResident 1 - Full Name Resident 1 - Relationship Resident 1 - AgeNothing selectedLess than 11 - 56 - 1011 - 2021 - 3031 -4041 - 5051 - 6061 - 7071 - 80Greater than 80Resident 2 - Full Name Resident 2 - Relationship Resident 2 - AgeNothing selectedLess than 11 - 56 - 1011 - 2021 - 3031 -4041 - 5051 - 6061 - 7071 - 80Greater than 80Smokers?Nothing selectedNo, we are non-smokersYes, we are smokersAdditional InformationWhat type of accommodation do you require? Rental range Contact name of Relative Contact name of nearest relative not living with youRelative's Phone Number CommentsAre there any additional comments that you would like to add?Authorisation(Required) I accept By ticking the I accept option and pushing the Send Application button below, 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.CAPTCHACommentsThis field is for validation purposes and should be left unchanged.
