Rental application form

Property Address:

Suburb:

Rent per week:

No of applicants:

Length of tenancy:

months

Tenant start date:

First Name:

Last Name:

Birth date:

Email:

Mobile:

Work:

Driver License No.:

Vehicle Registration No.:

Preferred gas/electricity company:

Pets

Smoking

Employment references

Net weekly income.:

Name of company.:

Contact Person.:

Position.:

Length of employment.:

years

Phone.:

Fax.:

If employed for less than 6 months, previous employer

Contact.:

Phone.:

Agent/Landlord references

Name of current Real Estate agency/ Landlord

Contact:

Phone:

Contact.:

Phone.:

Address of premise rented:

Length of occupancy:

months

Rent per week:

If sharing, was your name on the lease:

Reason of Leaving

Date:

Other references

Name:

Mobile:

Relationship

Name:

Mobile:

Relationship

Emergency contact:

Emg_phone:

Relationship:

Remarks:

ID/Passport Upload:

Bank Statement Upload:

Payslip Upload: