An Application Form Is Required for Each Adult Applicant

An application form is required for each adult applicant.

Ensure all sections are completed or your application may NOT be processed.

If there is more than one applicant, all applications MUST be submitted together.

Address

______

Commencement Date Rent per week

______

How many tenants will occupy the property?

Adults______Children______

Please specify ages of children ______

Full name

______

Date of Birth

______

Home number Mobile Number

______

Email Address (can you be contacted on this Y or N)

______

Current Address(if lease is in another name please specify)

______

How long have you lived at this address

Years ______Months______

Landlord/Agent Details for this property

Name of Landlord/Agency

______

Contact numberRent per week

______

Reason for leaving this address

______

Previous Address(if lease is in another name please specify)

______

How long did you live at this address

Years______Months______

Landlord/Agent Details for this property

Name of Landlord/Agency

______

Contact Number Rent per week

______

Reason for leaving this address

______

Whatis your occupation?Institution Name

______

Please circle as applies: FULL TIME PART TIME CASUALInstitution Address

Employer’s Name______

______Course being undertaken

Employer’s Address______

______Campus contact Phone Number

Contact NameContact Number______

______Source of Income (please circle)

Length of employmentParentsScholarship

Years______Months______Other ______

Net weekly income______Income per week ______

(please attached your last 3 payslips)Parent/Guardian Name/s

If you have been employed for less than 12 months by ______

your current employer, please complete previous Parent/GuardianPhone Numbers

employment details:______

What was your occupation?Parent/Guardian Address

______

Please circle as applies: FULL TIME PART TIME CASUAL

Previous employer’s nameHow many vehicles will be at the property?

______

Contact NameContact NumberIf you have pets please provide breed/s-type/s

______

Length of employment______

Years______Months______

Name

Source of income______

______Relationship to applicant

Amount per week______

______Home Phone Work Phone

If you are on Centrelink please provide your latest______

Centrelink statement. Name

______

Relationship to Applicant

Business Name______

______Home Phone Work Phone

Business Address______

______

ABNBusiness Phone

______

Business Email

______

How long have you had this business?

Years______Months______

Accountant Phone

______

Solicitor Phone

______