Pre-Tenancy Application Form

Property/ies interested in:

Price Range: Pets: yesno , if yes type of pet:

1. Please complete the following details to apply for the tenancy at the above address or to go on a waiting list for other properties.
2. The information you provide is for the purpose of applying for this tenancy only and may be used for a credit and reference check. Your privacy is protected under the Privacy Act 1993.

Applicant Details

Your Name (required)
Your Email (required)

Your Phone (required)

(Home), (Work), (Mobile)

Date of Birth:

Are you currently renting or boarding?rentingboardingAddress of where you live now:

Current Landlords Details

Landlord Name/s:

Landlords Phone:

(Home), (Work), (Mobile)

How long have you lived there? (Years), (Months)

Please state why you are leaving this address:

Do you agree to me contacting this person for a reference? yesno

If you have lived there less than a year what was your previous address:

Previous Landlords Phone:
(Home), (Work), (Mobile)

Do you have any criminal offences we need to be aware of?yesno, if yes please explain:

How many people is this Tenancy Application for? 1234

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Referees

Please provide two referees (include telephone numbers) that I can contact. Referees can be someone you have worked with, your case manager, your employer or someone from your community who knows you well.
One of your referees should be someone who can provide a reference about your CREDIT WORTHINESS.
(If you have already provided your current landlord’s details above, one additional referee is enough.) Please let these people know I may be contacting them for a reference about you.

Referee 1:

Referee 2:

Identification

Please upload a copy of some photo identification, such as your driver’s licence or passport

Employment

Company Name:
Contact Person:
Phone:

Acknowledgement

I have read and understood this application form. I agree to this information being used as necessary to obtain personal references and a credit check.