Application Form

RESIDENTIAL APPLICATION FORM

PROPERTY ADDRESS:*


RENT:

$wk

COMMENCEMENT DATE:*

LEASE TERM:*


PERSONAL DETAILS:



Salutation:* MrMsMissMrsDrOther
if Other: (please specify)

First Name*:
Last Name*:

Current Address*:
Mobile*:
Home:
Work:
Email Address:*
Date of Birth:*
Driver’s Licence Number and State:*
Passport Number:*
Passport Country:*
Motor Vehicle Make & Model:*
Registration Number:*
Pets*:YesNo
If Yes please provide details including names:

Smoker*:YesNo
If Yes, do you smoke inside?

Number of persons to occupy the property*

Names of others to occupy the property*
(all adult residents must submit a tenancy application form, even if they are not to be named on the lease)

Emergency Contact Person: Full Name:*

Mobile:*
Home:*
Work:*
Current Address:*

If paying rent by a Company Cheque, the name of Company


If your rent is to be paid by a company as part of your salary package then the Company may have to be the tenant and you the approved applicant – please discuss this with us.


RENTAL HISTORY

Immediately prior to this application I was residing in my own home*
YesNo
If yes, the reason you vacated, otherwise please complete the next section.


CURRENT LANDLORD’S / AGENT’S NAME:*

Email Address:*
Work:*
Mobile:*
After Hours:*
Length of this tenancy:*
Weekly Rental:*
$

Reason for leaving:*

PREVIOUS LANDLORD (if above is less than 3 years)
Landlord's Name:*
Property Address:*
Work:*
Mobile:*
After Hours:*
Length of this tenancy:*
Weekly Rental:*

$

Reason for leaving:*


EMPLOYMENT HISTORY

(PAYE only – self employed applicants please request an alternative form)

1.Current Employer:*

Contact Person:*
Email:*
Work:*
Mobile:*
After Hours:*
Your Position held:*
Annual Salary:*

$

Your duties:*
Length of Employment*:

2.Previous Employer (if above is less than 5 years)
Employer's Name & Contact person

Telephone no:
Bus:*
Mobile:*
Fax:*
Position held:*
Annual Salary:*

$

Reason for leaving:*

Any other income sources that are relevant:*


IF STUDYING, PLEASE COMPLETE THIS SECTION

(*Please request for a Parental Guarantee Form)

Course Name:*
Name of Institution:*
Enrolment Number (ID):*
What Year Are You In:*
Length of Course (Start date & End Date/Expected Date Of Completion):*
Parents Name:*
Parents Phone Number:*
Are you receiving financial support?*
YesNo
if Yes, Please Specify How Much?*


ADDITIONAL INFORMATION

Do you have any other applications pending on other properties?
YesNo

How did you find out about this property?
NDL Realty Websiterealestate.com.audomain.com.auPersonal referralOthers
if Others (please specify)

Other information that may support your application:


CONSENT

This property is offered subject to the owner's approval and no action shall be taken by the applicant against the landlord and NDL Realty should any circumstances arise whereby the property is not available for occupation on the due date.
I/We declare that the information supplied is true and correct and that the supply of false information shall be grounds for immediate termination of the lease should the lease be granted on the basis of this false information.

SIGNATURE:

DATE:


100 POINT TENANT CHECK

For your application to be considered, you must submit any combination of the following documents to accrue your point score. Please use the list below as a check list. If you are unable to meet 100 points please discuss this with the relevant property manager to organize alternative arrangements.
Please attach photocopies of your 100 point check documents including ID with your application.

Recent Bank Statement(s) (40 points)Recent Pay Slips (10 points)Current Driver’s License (30 points)Current Passport (Any) (30 points)Valid Credit Card / Bank / ATM Card (10 points)Medicare / Health Care Card (10 points)Other Photo ID (eg. Student Card) (10 points)Recent Copy of Phone, Gas, Electricity or Phone Bills (10 points)Current car / motor bike registration papers (20 points)University Acceptance / Offer Letter (20 points)Your last (4) rental receipts (10 points)2 written references from previous landlord / agents (10 points)Recent Rental Bond Receipts (10 points)

Other form of identification that may support your application:



Attach other form of identification here:






PRIVACY STATEMENT

I hereby offer to rent the 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 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 authorise the Agent to obtain personal Information from:

  • The owner or the Agent of my current or previous residence;
  • My personal referees and employer/s;
  • Any record listing or database of defaults by tenants;

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:

  • communicate with the owner and select a tenant
  • prepare lease/tenancy documents
  • allow tradespeople or equivalent organisations to contact me
  • lodge/claim/transfer to/from a Bond Authority
  • refer to Tribunals/Courts & Statutory Authorities (where applicable)
  • refer to collection agents/lawyers (where applicable)
  • complete a credit check with NTD (National Tenancies Database)
  • transfer water account details into my name

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/tenancy of the premises. I am aware that I may access personal information on the contact details above.

SIGNATURE:

DATE:

Answer the numbers: