Residential Rental Application Form

Complete your online rental application form here or if you prefer to complete manually you can download the application and submit manually to our office.



Property Rental
How many tenants will occupy the property?


How long have you lived at your current address?

How long did you live at this address?
How long did you live at this address?


Please provide your employment details
Please provide your previous employment details


Please provide a contact in case of emergency
Please provide 2 personal references (not related to you)



  • Initial payments must be made by Electronic Transfer or Bank Cheque 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 residential rental provider and the agent should any circumstances arise where the property is not available for occupation on the due date.


  1. The tenant acknowledges that the Agent/Residential Rental Provider may send notices via electronic means, and pursuant to the Electronic Transactions (Victoria) Act 2000 the tenant acknowledges that;
  2. 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/Residential Rental Provider for the purpose of receiving suck notices.
  3. 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/Residential Rental Provider, 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.
  4. The tenant acknowledges to enter into a binding agreement if the contract is signed by electronic signature.


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


Unless I have opted out of this section, I/we:

Consent to the disclosure of information on this form to myconnect ABN 65 627 003 605 for the purpose of arranging the connection of nominated utility services; consent to myconnect disclosing personal information to utility service providers for the stated purpose and obtaining confirmation of connection; consent to myconnect disclosing confirmation details (including NMI, MIRN, utility provider) to the Real Estate Agent, its employees and myconnect may receive a fee/incentive from a utility provider in relation to the connection of utility services; acknowledge that whilst myconnect is a free service, a standard connection fee and/or deposit may be required by various utility providers; acknowledge that, to the extent permitted by law, the Real Estate Agent, its employees and myconnect shall not be liable for any loss or damage (including consequential loss and loss of profits) to me/us or any other person or any property as a result of the provision of services or any act or omission by the utility provider or for any loss caused by or in connection with any delay in connection or provision of, or failure to connect or provide the nominated utilities. I acknowledge that myconnect record all calls for coaching, quality and compliance purposes.


I hereby offer to rent the property from the Residential Rental Provider (RRP) under a lease to be prepared by the Agent. Should this application be accepted by the RRP I agree to enter in to a Residential Rental Agreement.

I acknowledge that this application is subject to the approval of the Residential Rental Provider. I declare that all information contained in this application (including the reverse side) is true and correct and given of my own free will. I declare that I have inspected the premises and am not bankrupt. I, the renter, accept the property in the condition it was in when inspected.

I authorise the Agent to obtain personal information about me from:
  1. The RRP or the Agent of my current or previous residences;
  2. My personal referees and employer/s;
  3. Any record listing or database of defaults by renters;
Any record listing or database of defaults by renters such as TICA, NTD or TRA for the purpose of checking your renting history.

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

I am aware that the Agent will use and disclose my personal information within this application in order to:
  1. communicate with the RRP and select a renter
  2. prepare lease/tenancy documents
  3. allow trades-people or equivalent organisations to contact me
  4. lodge/claim/transfer to/from a Bond Authority
  5. refer to Tribunals/Courts & Statutory Authorities (where applicable)
  6. refer to collection agents/lawyers (where applicable)
  7. complete a check with Tenancy Databases
  8. transfer water account details into my name via MyConnect

I am aware that if information is not provided or I do not consent to the uses to which personal information is put, the Agent cannot provide me with the lease/ rental of the premises. I am aware that I may access personal information on the contact details above.

Residential Application Form

Need more information?

Contact your local Noel Jones office today.

Good Job!

Thanks for taking the time to let me know about your needs.

I look forward to helping you find your new home.​

Buyer Requirements

Thank you!

I’ll be in touch soon with information on the suburb you’re buying in.

Find Out More