Rental Application Form

Property Details

Details of the Property You Would Like to Rent
Property Address
Lease commencement date
Lease Term Years Months
Number of tenants Adults Children

Personal Details

Title
Surname
Given Name/s
Date Of Birth
Driver's Licence No
Driver's Licence Expiry Date
Driver's Licence State
Passport No
Passport Country
Pension's No (if applicable)
Pension Type
Please Provide Your Contact Details
Home Phone Number
Mobile Number
Work Phone Number
Facsimile
Email Address

Current Residency

Your current address
Property Manager Name
How Long have you lived at this address?
Period Years Months
Reason for leaving
Current Property Manager (if applicable)
Name of Landlord / Agent
Landlord / Agent's Phone

Previous Residency

Previous Address
How Long have you lived at this address?
Period Years Months
Landlord / Agent Details of this property (if applicable)
Name of Landlord or Agent
Landlord / Agent Phone No
Weekly Rent Paid
Was bond refunded in full? Yes No
If not why not?