YOUR
CONTACT DETAILS
|
Date |
|
|
|
Property
ID
|
|
|
Street
Address |
|
|
|
Suburb
|
|
|
 |
Rent |
|
|
Bond |
|
|
|
Full
Name |
|
|
Email
Address |
|
|
Date
Of Birth |
|
|
Status |
|
|
|
Please
state who
else will
be residing
with you |
Name |
|
|
Relationship |
|
|
Age |
|
|
|
Name |
|
|
Relationship |
|
|
Age |
|
|
|
Name |
|
|
Relationship |
|
|
Age |
|
|
|
Are
you, of any
of the above
stated smokers? |
|
|
|
Your
Current Address |
|
|
|
Phone: |
|
|
|
Your
Previous Address |
|
|
|
Your
Occupation
|
|
|
Currently
Employed With |
|
|
Are
you are benificiary |
|
|
Benefit
Case Manager |
|
|
Benefit
Number |
|
|
Why
do you need
to vacate
your present
address? |
|
|
Do
you have rental
references?
|
|
|
What
type of accommodation
do you require?
(eg. House,
Flat? No of
bedrooms?
Garage?) |
|
|
When
do you need
a place by? |
|
|
Have
you any pets? |
|
|
Name
Of Next Of
Kin |
|
|
Contact
Ph No |
|
|
| |
|
I authorise
that the above
information
may be used
to carry out
a credit check
on me. I also
agree that
should I be
in breach
of any express
or implied
provision
of the tenancy
agreement
or any provision
of the residential
Tenancies
Act, that
I will pay
the Landlord's
costs' incurred
in undertaking
collection
action to
recover his/her
losses.
|
| |
|
|
