Residential Tenancy Application

1. Agent Details:
Address: PO Box 271, North Essendon VIC 3041
Phone: 0410 465 020
Email: michael@forefrontrealestate.com.au
ID: 28539

2. Property Details

Property Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Number of other applicants to occupy the property*

Please list number of adults and children separately.

Lease Term*

Please list in terms of years and/or months.

Date Property is to be occupied*

3. Personal Details

Name*

First Last

Date of Birth*

Age (Years/Months)*

Drivers License No.

State of Issue

Alternate ID No.

(eg. Passport)

Pension Type

(if applicable)

Home Phone

Mobile

Email*

Occupation

Work Phone

Current Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

4. Emergency Contact

Please provide an emergency contact not residing with you.

Name*

First Last

Relationship*

Phone*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

5. Payment Details

Property Rental $*

Payment Cycle*

Rental Bond (1 Month Rent) $*

6. Utility Connection Services

Phone: 1300 554 323 Fax: 1300 889 598 Email: info@connectnow.com.au
Website: connectnow.com.au

Moving home has never been easier

Connectnow is dedicated to helping you move home more easily. We can connect your utilities including electricity, gas, phone, internet and pay TV to a broad choice of leading providers. We can also organise your disconnections and offer a range of additional services, such as cleaning and food services, removalists and vehicle hire.

What’s more, you pay no extra charges as a result of using the connectnow service. We will make all reasonable efforts to contact you within 1 working day of receiving this application to explain the details of the services offered. If we are unable to contact you within this period please call 1300 554 323 to ensure your services can be addressed by the required date.

DECLARATION AND EXECUTION/PRIVACY NOTICE: By signing this application and ticking the ‘YES’ box below, I: consent to the collection of my personal information by Connectnow Pty Ltd (ABN 79 097 398 662) (“connectnow”) for the purposes of contacting me to talk about arranging the connection and disconnection of moving and utility services and related services and to inform me about other products and services that may compliment my home/lifestyle needs; consent to the disclosure by connectnow of my personal information contained in this application to other parties, including the relevant third party service providers, connectnow’s related companies and third parties who provide connectnow with services in connection with the ordinary operation and administration of connectnow’s business or where otherwise required or authorised by law; understand that protecting my privacy is important to connectnow and that I can obtain further details about how connectnow manages my personal information, including how I may access and seek correction of my personal information, how I may complain about a breach of my privacy and how connectnow will deal with that complaint, by viewing connectnow’s Privacy Policy at www.connectnow.com.au or contacting their Privacy Officer at info@connectnow.com.au; understand that whilst connectnow is unlikely to disclose my personal information to recipients located overseas, connectnow is not responsible for the privacy practices of any third party service providers, and accordingly, I accept that it is my responsibility to check the privacy policies of the relevant service providers if I wish to obtain further information about how they manage personal information (including whether or not they are likely to disclose such information to overseas recipients); understand that my consent to receive such marketing materials will continue until I opt-out by contacting info@connectnow.com.au; understand that the connection and disconnection of moving and utility services and related services (collectively referred to as “the nominated services”) will only be initiated once a connectnow representative has discussed the details with me and obtained my consent to the terms and conditions of supply of the relevant service providers; acknowledge that, to the extent permitted by law, neither connectnow nor my real estate agent accepts liability for loss caused by delay in, or failure to, connect and disconnect or provide the nominated services; acknowledge that the nominated services will be provided according to the applicable regulations and that the time frames and terms and conditions of the nominated service providers bind me and that after hours connections may incur additional service fees from utility providers; authorise the obtaining of a National Metering Identifier or a Metering Installation Registration Number for my residential address to obtain supply details; understand that it is the responsibility of the customer/homeowner to ensure that the electricity main switch is in the ‘Off Position’ for the required timeframe on the day of connection of the nominated utility services and that there is easy access to the meters; understand that connectnow may be paid a fee by the service provider and may pay a fee to a real estate agent in respect of the provision of the services provided to me by connectnow. By signing this application form, I warrant that I am authorised to make this application and to provide the consents, acknowledgements and other undertakings set out in this application form on behalf of all applicants listed on this application form. Where I have nominated an alternative contact person on this application, I authorise connectnow to speak to them about my move and connection and disconnection needs if connectnow is unable to contact me directly.

Yes, I consent to connectnow contacting me to organise my move home services and other products and services to suit my home or lifestyle needs.

I have read, understood and agree with the Terms and Conditions for the above services.

Date

7. Declaration

I acknowledge that this is an application to lease this property and that my application is subject to the owner’s approval and the availability of the premises on the due date. I hereby offer to rent the property from the owner under a lease to be prepared by the Agent pursuant to the Residential Tenancies Act 1997.

I acknowledge that I will be required to pay rental in advance and a rental bond, and that this application is subject to approval from 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 details of my credit worthiness from, the owner or Agent of my current or previous residence, my personal referees, any record, listing and National Tenancy Database (NTD) which lists defaults by tenants. If I default under a rental agreement, the Agent may disclose details of any such default to any person whom the Agent reasonably considers has an interest receiving such information including National Tenancy Database (NTD).

NTD: 1300 563 826 www.ntd.net.au

If a landlord or estate agent finds details of a prospective tenant on a database, they must advise the tenant in writing, within seven days, of:

the name of the database and the person who listed the information
the tenant’s information held in the database
how the tenant can check, change or remove the listing (ie, by contacting the person who listed them or the database operator).

I have read, understood and agree with the terms listed above.

Date

8. Applicant History

How long have you lived at your current address?*

Please list in terms of Years and/or Months

Name of Landlord/Agent

First Last

(if applicable)

Phone

Rent paid per month

Reason for leaving

Was bond repaid in full?

Yes
No

Please specify why:*

Previous Residential Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How long have you lived at your previous address?

Please list in terms of Years and/or Months

Name of Landlord/Agent

First Last

(if applicable)

Phone

Rent paid per month

Reason for leaving

Was bond repaid in full?

Yes
No

Please specify why:*

9. Employment Details

Occupation*

Employer Name*

Workplace Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Length at current employment

Please list in terms of Years and/or Months

Phone*

Contact Name*

First Last

Net Income Per Week $

Net Income Per Month $

10. Previous Employment Details

Occupation*

Employer Name*

Workplace Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Length at previous employment

Please list in terms of Years and/or Months

Phone*

Contact Name*

First Last

Net Income Per Week $

Net Income Per Month $

11. Centrelink Benefits

Type

$ Per Week

$ Per Month

12. If student, please complete the following

Place of study

Course being undertaken

Course length

Enrolment number

Parents Name

First Last

Phone

Parents Address Overseas

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Campus Contact

First Last

Phone

Course Coordinator

First Last

Phone

Income

13. Other information

Car Registration

Do you have pets?

Yes
No

Please specify:*

14. Personal Referees

1. Reference name*

First Last

Occupation*

Relationship*

Phone*

2. Reference name*

First Last

Occupation*

Relationship*

Phone*

15. How did you find out about this property?

Please tick*

Rent List
Internet
Office
For Lease Board
Other

Please specify:*

Residential Tenancy Application Form

Moving home has never been easier

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