Application Form

Tenancy Application Form

Please note that all fields are mandatory and each applicant is required to submit one application

Date

17 May 2012

Property Applying For

1. Tenancy Start Date (When could you move in?) *Required (dd/mm/yyyy)
2. Lease Terms (Months) *Required
3. Address *Required
4. Suburb *Required
5. Rental Per Week ($) *Required
6. Bond ($) *Required

Your Details

1. Fullname *Required
2. Email Address *Required
3. Date of Birth *Required

Please indicate who else will be residing with you

1. Total Number of Applicants *Required
2. Name *Required
3. Relationship *Required Age Range -select- <20 20-30 30-40 40-50 >50 *Required
4. Name *Required
5. Relationship *Required Age Range -select- <20 20-30 30-40 40-50 >50 *Required
6. Name *Required
7. Relationship *Required Age Range -select- <20 20-30 30-40 40-50 >50 *Required
8. Do any of you smoke? Yes No *Required

Contact information

1. Your Current Address *Required

   Renting
   Sharing
   Owned
   Other *Required

2. Your Contact Number (Business Hours) *Required (After Hours) *Required
3. Mobile *Required
4. Period of occupancy at current address? Years *Required Months *Required
5. Landlord Name *Required Contact Number *Required
6. Amount of Rent *Required
7. Reason for Leaving *Required
8. Previous Address *Required

Agent Details (if rentals)

Agent/Landlord Reference 1

1. Company Name *Required
2. Contact Person *Required Contact Number *Required

Agent/Landlord Reference 2

1. Company Name *Required
2. Contact Person *Required Contact Number *Required
3. Have you ever owned a home? Yes No *Required
4. Have you ever been evicted from a premises? Yes No *Required
5. Are you currently in arrears? Yes No *Required

Employment

1. Your occupation *Required
2. Currently employed with *Required
3. Duration of Employement Years *Required Months *Required
4. Weekly income ($) *Required
5. Employer address *Required Contact Number *Required
6. I consent to you contacting my employer Yes No *Required

General Information

1. What type of accomodation do you require?eg. House, Flat? No of Bedrooms? Garage? *Required
2. Rental Range (weekly) *Required
3. Do you have any pets? Yes No *Required

   Type: *Required
   Breed: *Required
   Number: *Required

4. Driver license number *Required
5. Drive license state Australian Capital Territory New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia Norfolk Island Heard and McDonald Islands Offshore *Required
6. Closest relative not living with you *Required
7. Address *Required Contact Number *Required

Personal Reference

1. Business Referee 1 *Required Contact Number *Required
2. Relationship *Required
3. Business Referee 2 *Required Contact Number *Required
4. Relationship *Required
5. Personal Referee 1 *Required Contact Number *Required
6. Relationship *Required
7. Personal Referee 2 *Required Contact Number *Required
8. Relationship *Required

Emercency Contact

1. Name *Required
2. Address *Required Contact Number *Required
3. Relationship *Required
4. Additional Comments *Required

100 POINTS ID CHECKLIST

We agree to supply all of the following information to assist in the processing of this application and agree that the agent may photocopy any item and retain as part of this application

1. 4 Current rent receipts Yes No *Required
2. Proof of income (Pay slips, bank statement) Yes No *Required
3. Copy of Motor Vehicle Registration Certificate Yes No *Required
4. Copy of paid account : Telstra, Energex Yes No *Required
5. Driver License / Passport / 18 Plus Identity Card Yes No *Required
6. Rental References Yes No *Required
7. Please indicate how you would supply us the documents above Fax (07 5543 5559) Email (admin@geoffbrand.com) *Required

Privacy Act

Click here to view our Privacy Act

1. I acknowledge that I have read the Privacy Act and agree to the Terms & Conditions Yes No *Required

Privacy Act

I authorized 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 of implied provision of the Residential Tenancies Act, that I will pay the Landlord's costs incurred in undertaking collection action to recover his/her losses. Yes No *Required