Please complete this form to apply for the tenancy at the address below. The information you provide is for applying for this tenancy and may be used for a credit and reference check.
Tenancy Details
Property address
Commencement of tenancy
Date
Applicant Details
*Full name
Date of Birth
Phone Number
Mobile number
Email
Current address
How long have you lived there?
Years
Months
Please state why you are leaving this address
Identification
Please provide photo identification, such as your drivers license.
Drivers license number
Version no. (if applicable)
NB: Provision of this number is voluntary and will only be used to verify your identity and for carrying out a credit check.
Car/vehicle registration number:
Make and model
Alternative form of ID:
Emergency contact
Name
Address
Phone Number
Mobile phone
Email
Current Landlord`s Details
If you are currently renting, please provide your landlord`s name and contact details
Landlords Name
Phone number
Mobile phone
Email
Please tick if I may contact this person for a reference?
References
Please provide two referees that I can contact. Referees can be a friend, co-worker, your employer or someone who knows you well.
One of your references should be able to provide a reference about your creditworthiness. If you have already provided your current landlord`s details, only one additional referee is needed. Please let these people know I may be contacting them for a reference.
Reference 1 name
Phone
Email
Reference 2 name
Phone
Email
Authorisation
By submitting this application I authorise the landord/property manager to:
- Collect, retain and use this information for the purpose of assessing my creditworthiness and suitability for the tenancy; and
- Disclose information about me, whether collected from me directly or from another source, to any other credit provider or any credit reporting agency for the purposes of providing or obtaining a credit report (which will involve the credit reporting agency providing information about me to the landlord/property manager)