Tenancy Application

Please complete this form and specify the address for which you are applying for. The information you provide is for applying for this tenancy and may be used for a credit and reference check.

Tenancy Details

Property Address

Commencement of Tenancy

YYYY

Applicant Details

Name

First Name

Last Name

Date of Birth

YYYY

Phone

Current Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How long have you lived there?

Please state why you are leaving this address.

Identification

PLEASE PROVIDE PHOTO IDENTIFICATION, SUCH AS YOUR DRIVERS LICENSE.

Driver's License Number

Version Number (if applicable)

NB: Provision of this number is voluntary and will only be used to verify your identity and for carrying out a credit check.

Car Vehicle/ Registration Number

Make and Model

Alternative form of ID:

Emergency Contact

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

Current Landlord's Details

IF YOU ARE CURRENTLY RENTING, PLEASE PROVIDE YOUR LANDLORD`S NAME AND CONTACT DETAILS

Name

First Name

Last Name

Phone

Please tick if I may contact this person for a reference?

References

PLEASE PROVIDE TWO REFEREES THAT I CAN CONTACT. REFEREES CAN BE A CO-WORKER, YOUR EMPLOYER ETC. ONE OF YOUR REFERENCES SHOULD BE ABLE TO PROVIDE A REFERENCE ABOUT YOUR CREDITWORTHINESS. 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.

Reference 1

First Name

Last Name

Phone

Relationship to you

Reference 2

First Name

Last Name

Phone

Relationship to you

Authorisation

BY SUBMITTING THIS APPLICATION I AUTHORISE THE LANDORD/PROPERTY MANAGER TO: - COLLECT, RETAIN AND USE THIS INFORMATION FOR THE PURPOSE OF ASSESSING MY CREDITWORTHINESS AND SUITABILITY FOR THE TENANCY; AND - DISCLOSE INFORMATION ABOUT ME, WHETHER COLLECTED FROM ME DIRECTLY OR FROM ANOTHER SOURCE, TO ANY OTHER CREDIT PROVIDER OR ANY CREDIT REPORTING AGENCY FOR THE PURPOSES OF PROVIDING OR OBTAINING A CREDIT REPORT (WHICH WILL INVOLVE THE CREDIT REPORTING AGENCY PROVIDING INFORMATION ABOUT ME TO THE LANDLORD/PROPERTY MANAGER)