Rental Application

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A. Rental Property Address

1. Select Property


Please complete one application per person.

2. Preferred Commencement Date

3. Term

4. Rental Amount

B. Applicant Details

5. Name



6. Other Applicant Names (All adults to reside at the property must be listed)



7. Number of People to Occupy



8. Identification (attach photocopy)

Date of Birth





9. Current Address


10. Contact Details

C. Current Landlord/Agent
If you are not renting go to Q12

11. Name of current Estate Agent/Private Landlord





(If you have previously rented please provide a receipt history. If rented form a private landlord please provide a copy of the lease agreement or formal written reference.)

12. Details if home owner

This home is to be:

Details of Selling/Leasing Agent





How long have you owned this home


D. Previous Landlord/Agent Details

13. Previous Address


14. Previous Landlord/Agent (If you were not renting go to Question 15)




Length of Tenancy

(If you have previously rented please provide a receipt history. If rented form a private landlord please provide a copy of the lease agreement or formal written reference.)

15. Details if home owner

This home is to be:

Details of Selling/Leasing Agent




Length of Stay

E. Employment

16. Current Employer





Per Month
Status:


If self employed:


Do you intend to operate any part of your business from home?

Additional Sources of Income
(Please provide details)

17. Previous Employer



Full Time Students please complete




Photocopy of student card must be supplied
F. References (Not next of Kin)

18. Professional Reference



19. Personal References



G. Emergency Contact (Not residing with you)


H. Tenancy Disclosure Statement
The information on this form is being collected by Jellis Craig. It is a condition of application for tenancy that you consent to the collection and use of this information by Jellis Craig of your personal information. We require this information so that we may consider your application to tenant/lease a property. We may provide this information and any or all of the information provided to us by any party to any third parties including Landlords, Landlords Agents and Solicitors and various government or statutory authorities in the interests of openness and transparency between all parties concerned. We may also contact personal and credit referees you nominate and exchange personal information according to normal commercial practice. Your personal information will be added to our database and may be used for the secondary purpose of providing you with further information about properties and services offered by Jellis Craig. It is your responsibility to ensure information you provide to us is correct at all times. To view our full privacy statement please visit our website www.jelliscraig.com.au.
I. National Tenancy Database Disclosure Statement
You can contact National Tenancy Database Pty Ltd (ABN 26 000 602 862) (NTD) by

Telephone: 1300 563 826
Facsimile: 07 3009 0619
Email: info@ntd.net.au
Website: www.ntd.net.au
Address: P.O. Box 13294 George St, Brisbane QLD 4003

PRIMARY PURPOSE
NTD collects your personal information to provide to its members and others listed below, historical tenancy and public record information on individuals and companies who/which lease residential and commercial property from or through licensed real estate agent members of NTD.
NTD also provides credit information on companies / directors applying for commercial leases.
The real estate agent / property manager will advise NTD of your conduct throughout the lease / tenancy, and the information will form part of your tenant history.
NTD usually discloses information to:
  • Licensed real estate agent members
  • National Tenancy Database is a division of Veda Advantage
Information Services and Solutions Limited, Collection House Limited
  • ABN 26 000 602 862 and its subsidiaries and related entities
  • Credit Bureaus
If your personal information is not provided to NTD the real estate agent / property manager will not be able to carry out their professional responsibilities and will not be able to provide you with a lease / tenancy of the premises.

I confirm that I have been notified of the tenancy database contact details & the reason for use.

APPLICANT
J. Declaration
  • I acknowledge that this is an application to lease this property and that my application is subject to the owners approval and the availablity of the premises on the due date. No action will be taken against the Landlord or Agent if the application is unsuccessful or should the premises not be ready for occupation on the date for whatever reason.
  • The tenant is responsible for the connection and payment of gas, electricity, telephone and water consumption. I acknowledge that I am responsible to turn the main power switch off before power is connected.
  • The tenant acknowledges that the premises are a "Smoke Free Zone" and will ensure they and their invitees do not smoke inside the premises.
  • I acknowledge that I have read and understood the privacy statements on this page.
  • During my inspection of this property I found it to be in reasonably clean condition and I accept the property in the current condition.
If this is not the case, please indicate any items you would like attended to prior to your tenancy. I acknowledge that these items are subject to the owners approval:



Please note, should your application be successful you will be required to sign a lease within 24 hours of approval providing a payment for your first months rental and your bond.
Where did you first see the property advertised?
K. Utility Connections
This is a free service that connects all your utilities.

Once we have received this application Direct Connect will call to confirm your details.
Direct Connect will make all reasonable efforts to contact you within 24 hours of the nearest working day on receipt of this application to confirm the information on this application and explain the details of the services offered.

PLEASE TICK UTILITIES REQUESTED

direct_connect
PO Box 1519,
Box Hill, Victoria 3128
P: 1300 664 715
F:1300 664 185
www.directconnect.com.au

DECLARATION AND EXECUTION: By signing this application, I/we: consent to Direct Connect arranging for the connection and disconnection of the nominated utility services and to providing information contained in this application to utility providers for this purpose; acknowledge having been provided with terms and Conditions of Supply of Direct Connect and having read and understood them together with the Privacy Collection Notice set out below; declare that all the information contained in this application is true and correct and given of their own free will; expressly authorise Direct Connect to provide any information disclosed in this Application to a supplier or potential supplier of the Services in accordance with the Privacy Collection Notice and to obtain any information necessary in relation to the Services; expressly authorise Direct Connect to provide any information disclosed in this Application to an information provider for the purpose of that information provider disclosing it to a supplier or potential supplier of the Services in accordance with the Privacy Collection Notice and to obtain any information necessary in relation to the Services; consent to Direct Connect contacting me by telephone or by SMS in relation to the marketing or promotion of all of the services listed under the heading ÒUtility ConnectionsÓ above even if we/I have not applied for the connection of those services in this application. This consent will continue [for a period of 1 year from the date of our/my execution of this application/until [28] days after we/I disconnect the last of the services in respect of which this application is made]; acknowledge that this consent will permit Direct Connect to contact us/me even if the telephone numbers listed on this application form are listed on the Do Not Call Register; understand that under the requirements of the Privacy Act 1988, Direct Connect will ensure that all personal information obtained about me/us will be appropriately collected, used, disclosed and transferred and will be stored safely and protected against loss, unauthorised access, use, modification or disclosure and any other misuse; authorise the obtaining of a National Metering Identifier (NMI) for my residential address to obtain supply details; consent to Direct Connect disclosing my/our details to utility providers (including my/our NMI and telephone number); declare and undertake to be solely responsible for all amounts payable in relation to the connections and/or supply of the Services and hereby indemnify Direct Connect and its officers, servants and agents and hold them indemnified against any charges whatsoever in respect of the Services; acknowledge that, to the extent permitted by law, Direct Connect shall not be liable for any loss or damage (including consequential loss and loss of profits) to me/us or any other person or any property as a result of the provision of the services or any act or omission by the utility provider or for any loss caused by or in connection with any delay in connection, disconnection or provision of, or failure to connect or disconnect or provide, the nominated utilities; acknowledge that whilst Direct Connect is a free service I/we may be required to pay standard connection fees or deposits required by various utility providers; acknowledge that the Services will be provided according to the applicable regulations and that the time frames and terms and conditions of the nominated utility providers bind me/us and that after hours connections may incur additional service fees from utility providers; acknowledge that the real estate agent listed on this application form may receive a benefit from Direct Connect in connection with the provision of the service being provided to me/us by Direct Connect; and acknowledge the entitlement of Direct Connect and its associates, agents and contractors, to receive a fee or remuneration from the utility provider and that such fee or remuneration will not be refunded to me as a rebate in connection with the provision of the utility connection services. By signing this application form, I warrant that I am authorised to make this application and to provide the consents, acknowledgements, authorisations and other undertakings set out in this application form on behalf of all applicants listed in this application form.
Confirm and Submit