Residential Application

Residential Application Form

A. PROPERTY DETAILS
2. Property Rental
4. Lease term?
5. How many tenants will occupy the property?
B. PERSONAL DETAILS
6. Please provide your details
C. UTILITY CONNECTIONS
Unless I have opted out of this section, Unless I have opted out of this section, I/we:
Consent to the disclosure of information on this form to myconnect ABN 65 627 003605 for the purpose of arranging the connection of nominated utility services;consent to myconnect disclosing personal information to utility service providers forthe stated purpose and obtaining confirmation of connection; consent to myconnectdisclosing confirmation details (including NMI, MIRN, utility provider) to the RealEstate Agent, its employees and myconnect may receive a fee/incentive from autility provider in relation to the connection of utility services; acknowledge thatwhilst myconnect is a free service, a standard connection fee and/or deposit may berequired by various utility providers; acknowledge that, to the extent permitted bylaw, the Real Estate Agent, its employees and myconnect shall not be liable for anyloss or damage (including consequential loss and loss of profits) to me/us or anyother person or any property as a result of the provision of services or any act oromission by the utility provider or for any loss caused by or in connection with anydelay in connection or provision of, or failure to connect or provide the nominatedutilities. I acknowledge that myconnect record all calls for coaching, quality andcompliance purposes.
D. DECLARATION
I hereby offer to rent to property from the owner under a lease to be prepared by the Agent. Should this application be accepted by the landlord I agree to enter Into a Residential Tenancy Agreement.

I acknowledge that this application is subject to the approval of the owner/landlord. I declare that all information in this application (including the reverse side) is true, correct, and given my own free will. I declare that I have Inspected the premises and am not bankrupt. I authorise the Agent to obtain personal Information from:
(a) The owner or the Agent of my current or previous residence;
(b) My personal referees and employer/s;
(c) Any record listing or database of defaults by tenants such as NTD, TICA or TRA for the purpose of checking your tenancy history;

I am aware that I may access my personal information by contacting -
• NTD: 1300 563 826
•TICA: 1902 220 346
•TRA: (02) 9363 9244

If I default under a rental agreement, I agree that the Agent may disclose details of any such default to a tenancy default database, and to agents/landlords of properties, I may apply for in the future.

I am aware that the Agent will use and disclose my personal information in order to:
E. APPLICANT HISTORY
9. How long have you lived at your current address?
13. How long did you live at this address?
How long did you live at this address?
F. EMPLOYMENT HISTORY
16. Please provide your employment details
17. Please provide your previous employment details
G. CONTACTS / REFERENCES
18. Please provide a contact in case of emergency
19. Please provide 2 personal references (not related to you)
I. OTHER INFORMATION
21. Please provide details of any pets
PLEASE NOTE
Initial payments must be made by Electronic Transfer or BankCheque within 24 hours after approval of the application. No personal cheques are accepted.

Keys will not be handed over until the lease agreement has beensigned by all applicants.

This application is accepted subject to the availability of the property on the due date and no action shall be taken by the applicant against the landlord and the agent should any circumstances arise where the property is not available for occupation on the due date.
ELECTRONIC SERVICE OF DOCUMENTS
a. The tenant acknowledges that the Agent/Landlord may send notices via electronic means, and pursuant to the ElectronicTransactions (Victoria) Act 2000 the tenant acknowledges that;

b. The tenant consents to the receiving of certain notices and this application in writing and confirms that the email address provided in the original application form will be used by the agent/Landlord for the purpose of receiving suck notices.

c. The tenant acknowledges that if they change email addresses during the term of the tenancy then it is the tenant's responsibility to notify the Agent/Landlord, in writing, of the new email address for the purpose of receiving Notices via electronic means. A failure to do so, shall not render notice invalid.

d. The tenant acknowledges to enter into a binding agreement if the contract is signed by electronic signature.
PLEASE PROVIDE US WITH 100 POINTS OF IDENTIFICATION
Driver’s Licence - 50
Passport - 50
Proof of Age Card - 50
Student ID Card - 50
Copy of Mobile Phone Account - 20
Copy of Medicare Card - 20
Concession / Pension Card - 10
Copy of gas/Water/Electricity account - 30 each
OFFICE USE ONLY
Property Rental

Need more information?

Contact your local Noel Jones office today.