Rental Application Form Please download the rental application form and email, fax, or return it back to our office. Download Rental Application Form Online Rental Application Form Please fill out all applicable fields below. Tenancy start date Property Address* Suburb* Rent per week Bond Your Details Full Name* Your Email* After Hours Phone Business Hours Phone Mobile Phone Your Date Of Birth Please indicate who else will be residing with you Person One Name Relationship Age range —Please choose an option—Less than 11-56-1011-2021-3031-4041-5051-6071-80Greater than 80 Person Two Name Relationship Age range —Please choose an option—Less than 11-56-1011-2021-3031-4041-5051-6071-80Greater than 80 Person Three Name Relationship Age range —Please choose an option—Less than 11-56-1011-2021-3031-4041-5051-6071-80Greater than 80 Do any of you smoke? YesNo References Your current address* Your previous address* Agent Details (if rental) Company Name Contact Person Phone Number Second Agent Details (if rental) Company Name Contact Person Phone Number Have you ever owned a home? YesNo Employment Your Occupation Currently Employed With Length of current employment General Information What type of accommodation do you require? (e.g. House, flat? No of bedrooms? Garage? etc) Rental range (weekly) Do you have pets? YesNo Drivers License Number Drivers License State —Please choose an option—VICNSWQLDTASACTSANTWA Closest relative not living with you Phone number Personal Reference Additional comments I authorise that the above information may be used to carry out a credit check on me. I also agree that should I be in breach of any express or implied provision of the tenancy agreement or any provision of the Residential Tenancies Act, that I will pay the Landlord's costs incurred in undertaking collection action to recover his/her losses. YesNo