Tenancy Application - Key Residential

NOTE: This document is not a residential tenancy agreement and does not grant any right to occupy the premises

Property address applying to rent

Suburb

Post Code

You require the tenancy for a period of how many months?

From

At a rent of $

Per

Weekly

Fortnightly

Monthly

Total number of persons to occupy the Premises:

Adults

Children

Ages of Children

Do you intend applying for a residential bond from a State Government Department?

Yes

How much?

From which Branch?

Tenant's Special Conditions required by You:

NOTE: The owner may not accept any of the Tenant's Special Conditions.

Agreement to terms and conditions

You declare that You are not bankrupt and that all of the information supplied in this Offer is true and correct and is not misleading in any way.

Agreement to terms and conditions

You acknowledge that, having inspected the Premises and if Your Offer is accepted and the Option is exercised, You will accept possession of the premises in the condition it was in as at the date of inspection.

Agreement to terms and conditions

You make this Offer jointly and severally. Service of any notices to any one of You will be deemed to be service on all of You.

YOUR (First Person's) PARTICULARS

First Name

Middle Name

Last Name

Present Address

Address

Suburb

Post Code

Work Phone

Mobile Phone

Date of Birth

Home Phone

Nationality

Documents to confirm your identity

Identity Documents (Driver’s license, Passport, etc.)

Choose File

Drivers Licence No

Passport No

State

Other Proof of Identification (Medicare number and expiry date)

Vehicle Type & Registration No

Anything else to support Your Application

Are you a smoker?

Yes

Personal References

Name

Telephone

Name

Telephone

Current Address of Managing Agents or Landlord

Name of owner or managing agent to whom rent is paid

Address

Phone No

Rental Paid $

Period Rented From

Reason for leaving

Previous address

Previous address of Applicant

Period Rented From

Phone No

Rental Paid $

Name of previous owner or managing agent to whom rent is paid

Reason for leaving

Employment

(Note: Your Employer may be contacted to verify employment & wage amount)

Occupation

Wage $

Payslip

Choose File

Employer

Phone No

If less than 12 months, name and address of previous employer

Period of Employment

Explanation if no employment

Next of Kin

Note: These people may be contacted to verify particulars

Name

Address

Telephone

Name

Address

Telephone

Emergency Contact

Note: These people may be contacted to verify particulars

Name

Address

Telephone

Name

Address

Telephone

YOUR (Second Person's) PARTICULARS

First Name

Middle Name

Last Name

Present Address

Address

Suburb

Post Code

Work Phone

Mobile Phone

Date of Birth

Home Phone

Nationality

Documents to confirm your identity

Identity Documents (Driver’s license, Passport, etc.)

Choose File

Drivers License No

Passport No

State

Other Proof of Identification (Medicare number and expiry date)

Vehicle Type & Registration No

Anything else to support Your Application

Are you a smoker?

Yes

Personal References

Name

Telephone

Current Address of Managing Agents or Landlord

Name of owner or managing agent to whom rent is paid

Rental Paid $

Period Rented From

Address

Phone No

Reason for leaving

Previous address

Name of previous owner or managing agent to whom rent is paid

Rental Paid $

Period Rented From

Address

Phone No

Reason for leaving

Employment

Note: Your Employer may be contacted to verify employment & wage amount

Occupation

Employer

Phone No

If less than 12 months, name and address of previous employer

Period of Employment

Wage $

Payslip

Choose File

Explanation if no employment

Next of Kin

Note: These people may be contacted to verify particulars

First next of Kin

Second next of Kin

Name

Address

Telephone

Emergency Contact

Note: These people may be contacted to verify particulars

First Contact

Second Contact

Name

Address

Telephone

YOUR (Third Person's) PARTICULARS

First Name

Middle Name

Last Name

Present Address

Address

Suburb

Post Code

Work Phone

Mobile Phone

Date of Birth

Home Phone

Nationality

Documents to confirm your identity

Identity Documents (Driver’s license, Passport, etc.)

Choose File

Drivers License No

Passport No

State

Other Proof of Identification (Medicare number and expiry date)

Vehicle Type & Registration No

Anything else to support Your Application

Are you a smoker?

Yes

Personal References

Name

Telephone

Current Address of Managing Agents or Landlord

Name of owner or managing agent to whom rent is paid

Rental Paid $

Period Rented From

Address

Phone No

Reason for leaving

Previous address

Some description about this section

Name of previous owner or managing agent to whom rent is paid

Rental Paid $

Period Rented From

Address

Phone No

Reason for leaving

Employment

Note: Your Employer may be contacted to verify employment & wage amount

Occupation

Employer

Phone No

If less than 12 months, name and address of previous employer

Period of Employment

Wage $

Payslip

Choose File

Explanation if no employment

Next of Kin

Note: These people may be contacted to verify particulars

First next of Kin

Second next of Kin

Name

Address

Telephone

Emergency Contact

Note: These people may be contacted to verify particulars

First Contact

Second

Name

Address

Telephone

If your application requires more than 3 people, please contact our agency for a separate application form.

Privacy

You agree that for the purpose of this Offer, the Owner or Agent may make enquiries of the persons given as referees, next of kin or emergency contacts by You, and also make enquiries of such other persons or agencies as the Owner may see fit.

The personal information You give in this Offer or collected from other sources is necessary for the Owner or Agent to verify Your identity, to process and evaluate the Offer, to manage the tenancy and to conduct the Agents business. Personal information collected about You in this Offer and during the course of the tenancy if the Offer or Option is successful may be disclosed for the purpose for which it was collected to other parties including to the Owner, referees, other agents, third party operators of tenancy reference databases, and prospective buyers of the Premises. Information already held on tenancy reference databases may also be disclosed to the Agent or Owner. If You enter into the Lease or You fail to comply with your obligations under this offer, or the Lease that fact and other relevant personal information collected about You during the course of this Offer, or the Lease may also be disclosed to the Owner, third party operators of tenancy reference databases or other real estate agents.

If You would like to access the personal information the Owners or Agent holds, you can do so by contacting the Agent.

You can also correct this information if it is inaccurate, incomplete or out-of-date. If the information in this Offer, or the Lease is not provided, the Agent may not be able to process the Offer properly or manage the tenancy properly.

Your Signature (First Person)

Sign Here

Name

Date / Time

Your Signature (Second Person)

Sign Here

Name

Date / Time

Your Signature (Third Person)

Sign Here

Name

Date / Time

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This form is optional to complete

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.

PRIVACY CONSENT AND TERMS: By signing this form you consent and agree to the following: Connect Now Pty Ltd (ABN 79 097 398 662) (“connectnow”) will collect, use and disclose your personal information to contact you (including electronically) about providing moving, connection and disconnection services and to inform you about products and services offered by its related companies and third party suppliers. These other companies may also use your details to contact you directly about their products and services. See connectnow’s Privacy Policy for further details, including your rights to access and correct the information held about you at connectnow.com.au. Third party service providers (who may transfer your data overseas) may have their own Privacy Policy, which you can request from them. You consent to connectnow continuing to market to you unless you opt out, including by emailing privacy@connectnow.com.au. To the extent permitted by law, connectnow is not responsible or liable for delayed or failed connections or the service providers’ connection charges, which you must pay to them directly. Connectnow may be paid a fee by service providers and may pay a fee to real estate agents relating to services provided to you. If you nominate an alternative contact person on this application, you authorise them to act on your behalf to arrange moving, connection and disconnection services, including accepting third party terms. You warrant that you are authorised to make this application on behalf of all applicants and alternative contact persons listed and that each person has consented and agreed to the handling of their personal information on the same terms as you have.

YES I accept the Terms. Please call me to connect my new home services.

Signed

Sign Here

Date