TENANCY APPLICATION

All applicants over 18 must complete a separate form

This application will be subject to a full TICA Default

Tenancy Control Database verificaton prior to Name: ______________________________
processing.
Date of Birth: ______________________________
We do thorough property inspections of all buildings
Current Address: ______________________________
and areas of the property (including roof-space
checks) on a 3-monthly basis. ______________________________

Tenancy Details Home Ph: ______________________________

Mobile Ph: ______________________________

Rental Property Address:_____________________
Rent $_______pw, payable fortnightly in advance Relationship to applicant:________________________
Bond $________________ (6 wks’ rent - cash only)

Contact Details
Name: ______________________________
Your Full Name:_________________________
Date of Birth: ______________________________
Current Address:_________________________
_________________________ Current Address: ______________________________
Home Ph: _________________________
Mobile Ph: _________________________ ______________________________

Email Address: _________________________ Home Ph: ______________________________

Date of Birth: ____/____/_______
Driver’s Lic. No: ___________Which State?___ Mobile Ph: ______________________________

Relationship to applicant:________________________
Vehicle Reg. No(s):_______________________
Make/Model: _________________________
Colour: _________________________
Name: ______________________________
Your Next of Kin
Date of Birth: ______________________________
Name of closest relative not living with you:
Current Address: ______________________________
_________________________________________
Relationship to you:_________________________ ______________________________
Address:__________________________________
__________________________________ Home Ph: ______________________________
Home Ph:_________________________________
Mobile:___________________________________ Mobile Ph: ______________________________

Occupant Details – please list all other persons
who will occupy the property (include any children in
shared custody who may stay occasionally):
Relationship to applicant:________________________
*If more than 4 people, please attach their details on a
separate page.

Name: ______________________________ Pets

Date of Birth: ______________________________ None

Current Address: ______________________________
Yes Bird Dog Cat Other (specify)
______________________________
   _________
How many: ___ ___* ___ ____
Home Ph: ______________________________
Breed*______________________________________
Mobile Ph: ______________________________
Name(s)____________________________________
Relationship to applicant:________________________
Kept indoors? Y N
Tenancy History
Current Address: ______________________________
______________________________
Name of Agency/Landlord:_______________________
______________________________
Agents/Landlords Phone: ______________________
Mobile:_______________________________________
Lease start and end dates: From ___/___/_____ till
___/___/_____ Rental per week: $_____________
Tenancy terminated by: Tenant Landlord
End of lease Breach of lease
Reason for leaving:______________________________
______________________________________________
______________________________________________
Previous Address:______________________________
______________________________
Name of Agency/Landlord:_______________________
______________________________
Agents/Landlords Phone: ______________________
Mobile:_______________________________________
Lease start and end dates: From ___/___/_____ till
___/___/_____ Rental per week: $_____________
Tenancy terminated by: Tenant Landlord
End of lease Breach of lease
Reason for leaving:______________________________
______________________________________________
______________________________________________
Previous Address:______________________________
______________________________
Name of Agency/Landlord:_______________________
______________________________
Agents/Landlords Phone: ______________________
Mobile:_______________________________________
Lease start and end dates: From ___/___/_____ till
___/___/_____ Rental per week: $_____________
Tenancy terminated by: Tenant Landlord
End of lease Breach of lease
Reason for leaving:______________________________
______________________________________________
______________________________________________
Business/Credit Reference 1
Name: _______________________________________
Occupation:_____________________________________
Address: _______________________________________
_______________________________________
Phone: _______________________________________
Mobile Ph:______________________________________
Employment Details
If studying, please also include details of your course
name, institution and student number. Include details
of any rent assistance you receive from private or
Government sources, on a separate sheet of paper.
Current Occupation:________________________________
Current Employer:_________________________________
Workplace Address:________________________________
_________________________________
Supervisor/Manager’s Office Ph:______________________
Name of contact person:____________________________
Period of Service with Current Employer:______________
Terms of Employment: Full time
Part time
Casual
Contractor
Gross Income per annum: $_________________
Fortnightly Take-Home Salary: $_________________

if you have been employed by your current employer for
less than 12 months, please fill out the details for ‘Previous
Occupation” below:
Previous Occupation:_______________________________
Previous Employer:________________________________
Workplace Address:________________________________
_________________________________
Supervisor/Manager’s Office Ph:______________________
Name of contact person:____________________________
Period of Service with Previous Employer:______________
Terms of Employment: Full time
Part time
Casual
Contractor
Gross Income per annum: $_________________
Fortnightly Take-Home Salary: $_________________
Business/Credit Reference 2
Name: _______________________________________
Occupation:_____________________________________
Address: _______________________________________
_______________________________________
Phone: _______________________________________
Mobile Ph:______________________________________
Personal Reference

Name:________________________________________ PRIVACY AUTHORISATION

Occupation:____________________________________

Address: ______________________________________
To Whom It May Concern:
______________________________________

Phone:________________________________________ I,__________________________________(Your name)

Mobile Ph:_____________________________________
Of_________________________________________

___________________________________________
Declaration (Current address)

I hereby declare and acknowledge:

hereby authorise all information pertaining to :
1. That the information supplied is true and
correct.
 My rental history
2. That none of the applicants is a bankrupt
or undisclosed bankrupt.
 My employment history
3. That I will pay in cash a Security Bond of 6
weeks’ rent plus two weeks’ rent in  My credit history
advance upon entering a Tenancy
Agreement for the property.
to be made available to the bearer of this form.
4. That only those persons listed above as
occupants will reside permanently at the
premises.
I agree to the use of this information to determine the
5. That having inspected the property, I am suitability of my Tenancy Application dated
happy with its condition as is, and wish to _____/_____/_______, and for management of any
enter into a Tenancy Agreement for the resulting tenancy.
premises. I understand that if the Landlord
accepts this application, a formal Tenancy Please note that if such information is withheld, the
Agreement will need to be signed, subject said Tenancy Application will not be processed.
to the terms and conditions set out therein.
Authorised by:
Signed:_______________________________________

Date: _______________________________________
_______________________________________
(Your name – please print)

What to do next:

Check that you have completed all relevant sections, _______________________________________

including the Privacy Authorisation section that follows. (Signature)
This form allows us to obtain verification of employment,
credit and rental history details. If not filled in, it may not
be possible to process your application.
_______________________________________
Please scan your completed forms and email to the email (Date)
address supplied to you. This will ensure your application
can be processed promptly. Processing an application is
usually complete in most cases by the next business day.

You will be contacted as soon as is practicable to let you

know the outcome of your application.
Use of information collected complies with the National
Privacy Principles contained in the Privacy Act 1988.