* = required information
My Status: I haven't seen the property at all yet I have seen the outside but not yet been inside I have seen through the property and am keen to sign up
Given names: Surname: Date of Birth:
Home phone: Work phone: Mobile phone:
Email address:
Do you have any history of a debt collection or default? Yes No
Number of people intending to reside (including applicant): Probable length of stay: Less than 3 months 3-6 months 6-12 months 12 months plus
Current situation: Renting Own my own home Boarding Recently arrived Other (please specify)
Current address: How long have you lived there? Less than 3 months 3-6 months 6-12 months 12 months plus Current rent: $
I consent to you contacting my current/previous landlord (below):- Landlord/property manager's name: Phone:
Current source of income: Work Benefit Student loan/allowance Other (please specify) Weekly income after tax: $
Current employer: Phone: Your position:
Brief details of previous employment:
Do you have a pet? No pets Cat(s) Dog(s) Other (please specify)
I agree to you contacting the following referees:-
First Referee Name: Relationship to you: Phone/Email:
Any other comments related to your application:
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