Rental Application

PLEASE ENSURE THAT ALL ESTATE AGENCY REFERENCES, EMPLOYER REFERENCES, PREVIOUS 2 PAY SLIPS, RENTAL RECEIPTS, IDENTIFICATION AND PERSONAL REFERENCES ARE ATTACHED TO THIS APPLICATION PRIOR TO SUBMITTING IT TO THE AGENT. PLEASE NOTE THAT WE WILL NOT PHOTO COPY SUCH DOCUMENTS ON YOUR BEHALF.

Property Details

Property Address

Rental Amount

Bond

Commencement Date

Lease Term

Number of Adults

Number of Children

Ages of Children

Pets

Personal Details - Applicant 1

Surname

Given Names

Telephone (Mob)

Telephone (Home)

Telephone (Work)

Drivers Licence No.

Drivers Licence Expiry

Passport No.

Do you own a Motor Vehicle?

Yes
No

Make & Model

Registration No.

Personal Details - Applicant 2

Surname

Given Names

Telephone (Mobile)

Telephone (Work)

Telephone (Home)

Drivers Licence No.

Drivers Licence Expiry

Passport No.

Do you own a Motor Vehicle?

Yes
No

Make & Model

Registration No.

Present Address

Address

How long at this address?

From

To

Rent per week

Agent/Landlord

Landlord Address

Landlord Telephone

Reason for Leaving

Rental History

Click Me to Edit

How long at this address?

Rent paid per week

Agent/Landlord

Address of Agent

Agent's Telephone

Reason for Leaving

Employment

Occupation

Current Employer

How Long employed there

Employment Type

Full Time
Part Time
Casual

Address

Telephone

Contact Name

Nett income per week

Other nett income per week (eg Centrelink Payments)

Emergency Contact

Name

Telephone (BH)

Telephone (AH)

Address

Personal/Character Reference

Name

Relationship

Contact No.

I DECLARE THAT THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND AGREE THAT THE AGENT MAY CONDUCT INDEPENDENT EVALUATION CHECKS AND USE THE INFORMATION SUPPLIED IN PROCESSING THIS APPLICATION. THE AGENT WILL ONLY DISCLOSE INFORMATION TO OTHER PARTIES TO ACHIEVE THE PURPOSES OF THIS TENANCY APPLICATION OR OTHERWISE ALLOWED UNDER THE PRIVACY ACT 1988

Please Select

I/We Agree
I/We Do Not Agree

REASONS CANNOT AND WILL NOT BE GIVEN TO THE SUCCES OR OTHERWISE OF ANY APPLICATION. ONLY SUCCESFUL APPLICANTS WILL BE CONTACTED REGARDING THIS APPLICATION

Attach Rental References

Attach Pay Slips

Attach Personal References

Utility Connections

If you would like assistance (at no additional charge) with the connection of telephone, gas, water, electricity or pay TV to your home then tick the box below. Direct Connect will then contact you and explain the details of the services available. If the box in this section is ticked, Direct Connect will use the information on this application to explain the services offered and to undertake any connection services authorized (including providing your details to any utility company accepted by you). All details on the application must be provided in order to have this service become available to you.

Contact me regarding CONNECTION of my utilities

Yes
No

Privacy Statement

The personal information the prospective tenant provides in this application or that which is collected from other sources are necessary for the Agent to verify the Applicant's identity and to process and evaluate the application and to manage the tenancy if the Agent has been engaged to manage the Property.

The personal information collected about the Applicant may be disclosed, by use of the Internet or otherwise, to other parties, including media organizations, the landlord, trades people, referees, solicitors, financial institutions, parties engaged to evaluate the property. Bodies corporate, other agents, clients of the Agent both existing and potential, third party operators of tenancy reference databases, government and statutory bodies and other third parties as required by law. Information already held on tenancy reference databases may also be disclosed to the Agent and/or landlord. Unless you advise the Agent to the contrary.

The Agent may also disclose such information to The Real Estate Institute of Victoria Ltd (REIV) for the purpose of documenting all leasing data in the area for the benefit of its members as part of membership services and for others in the property or related industries and so as to assist them in continuing to provide the best possible service to their clients. In providing this information, you agree to its use, unless you advise the Agent differently. The privacy policy of the REIV can be viewed on its website www.reiv.com.au

The Agent will only disclose information in this way to other parties to achieve the purposes specified above or as otherwise allowed under the Privacy Act. If the Applicant would like to access this information they can do so by contacting the Agent at the address and contact numbers contained in this Application or the REIV on (03) 920 6666. The Applicant can also correct this information if it is inaccurate, incomplete or out of date. If the information is not provided, the Agent may not be able to process the application.

I / WE HAVE READ AND HAVE UNDERSTOOD THE CONTENTS OF THIS PRIVACY COLLECTION NOTE:

I/We Agree
I/We Do NOT Agree

Date

33 Douglas St, Noble Park Ph. 9546 3166 Fax 9548 0072

Rental Application

Property Details

Personal Details - Applicant 1

Personal Details - Applicant 2

Present Address

Rental History

Employment

Emergency Contact

Personal/Character Reference

Utility Connections

Privacy Statement