Pre-tenancy Application Form

Please complete this form to apply for tenancy at the address below. The information you provide is for applying for this tenancy and may be used for a credit and reference check. Your privacy is protected under the Privacy Act 1993.

Note: Fields marked with a * are required

Tenancy details
Property address: *
Commencement of tenancy:*		Date:

Applicant Details

Full Name:*

Phone:*

Mobile:

Email:

Current Address:*

How long have you lived there?

Years

Months

Please state why you are leaving this address:*

Identification
Please provice photo identification, such as your driver's licence or passport.
Driver's licence or passport number:
Car/vehicle registration number:
Make and module:
Alternative form of ID:

Emergency Contact
Name:*
Address:*
Phone:*		Mobile:
Email:

Current Landlord's details
If you are currently renting, please provide your landlord's name and contact details.

Landlord's name:

Phone:

Mobile:

May I contact this person for a reference?

Yes

References

Please provide two referees that I can contact. Referees can be a friend, co-worker, your employer or someone who knows you well.

One of your referees should be able to provide a reference about your credit worthiness. If you have already provided your current landlord's details, only one additional referee is needed. Please let these people know I may be contacting them for a reference.

Referee name 1:*

Phone:*

Email:

Referee name 2:

Phone:

Email:

Terms and conditions

I agree that I have read and understood this application form. I agree to this information being used as necessary to obtain personal references and a credit check.

Enter Verification Code: