Downloadable Tenant Application Form

In order to apply for a property please complete all required information in the application form.

[ Tenants Application Form ]
(Right mouse click and "Save Target As" to save a copy to your hard disk.)

Please download this form, complete and then fax it to 03 9867 5556 with a copy of your drivers license or passport.

Note: applications will only be processed after confirmation of inspection of the property.

PROPERTY DETAILS YOU WANT TO RENT (* required)
Property Street address *
Suburb/Town *
Postcode
Lease Commencement Date? *   calendar Click to enter date
Lease terms (months)  
Rent (months)  
Number of occupants * Adults
  Children
PERSONAL DETAILS
Title
First name *
Last name *
Date of birth
Contact number - BH *
Contact number - AH
Mobile number
Facsimile
Email *
Pets Yes No
If yes, what breed or type?
Council Registration number?
IDENTIFICATION
Current drivers licence or passport number
State of licence or country of passport
ABN/ACN number if self-employed
APPLICANT HISTORY
Current address *
How long have you lived at your current address? *
Why are you leaving this address?
Landlord/Agent details
Contact number
Mobile number
Length of stay (months)* Rent - monthly *
Is your rent paid up to date? Yes No
PREVIOUS LANDLORD/AGENT
Previous address
Landlord/Agent
Contact number
Mobile number
Length of stay (months) Rent - monthly
Was bond refunded in full? If not why not?
EMPLOYMENT HISTORY
Current employer
Contact
Contact number
Mobile number
Employers address
Suburb/Town
Postcode
Length of employment Income
PREVIOUS OCCUPATION (if employed at your current job for less than two years)
Previous employer
Contact
Contact number
Mobile number
Employers address
Suburb/Town
Postcode
Employment period Income
PROFESSIONAL REFERENCES
Reference 1  
Name
Address
Contact number
Reference 2  
Name
Address
Contact number
EMERGENCY INFORMATION
Next of kin
Relationship
Address
Contact number
 
I accept that FMR Real Estate may conduct independent reference and credit checks on this application.
SEND APPLICATION
Please complete all fields.

Please Tick to confirm that you have read and agree to the Privacy Terms and Conditions detailed below.

Please Note

  • Initial payments must be made by cash, bank cheque or money order within 24 hours after approval of application.
  • No Personal Cheques accepted.
  • Keys will not be handed over until rent and bond has been paid in full.
  • This application is accepted subject to the availability of the property on the due date and no action shall be taken by the applicant against the landlord and the agent should any circumstances arise whereby the property is not available for occupation on the due date.
PRIVACY STATEMENT

At FMR Real Estate we value your privacy and are committed to protecting the personal information you entrust to us.

As you may be aware new National Privacy Principles come into effect from December 21st. 2001.
We appreciate that your privacy is important to you. We will continue to protect the personal information you entrust to us and we agree to comply with the (NPP) National Privacy Principles set out in the Federal Privacy Act, and administered by the Federal Privacy Commissioner.

The NPP regulates the way that companies can collect, use, keep secure and disclose personal information. It also gives individuals the right to know what information a company holds about them, and a right to correct that information if it is wrong.

FMR Real Estate may use your information for purposes which you would reasonably expect, such as supplying tradesmen with your telephone number and address for repairs and maintenance to the property you are currently renting.

There may be some exceptional circumstances for disclosing your information, such as when there are grounds to believe that the disclosure is necessary to prevent a threat to life or health, or for law enforcement purposes.

You are entitled to access personal information we hold about you and to amend that information if it is not correct.

The personal details we collect from you are strictly confidential; FMR Real Estate will not disclose your personal information to any third parties, other than those who are contracted to us to keep the information confidential.

DECLARATION

I hereby offer to rent the property from the owner under a lease to be prepared by the Agent.

Should this application be accepted by the landlord I agree to enter Into a Residential Tenancy Agreement.

I acknowledge that this application is subject to the approval of the owner/landlord.

I declare that all information contained in this application (including the reverse side) is true and correct and given of my
own free will.

I declare that I have Inspected the premises and am not bankrupt.

I authorise the Agent to obtain personal Information from:

  • (a) The owner or the Agent of my current or previous residence;
  • (b) My personal referees and employer/s;
  • (c) Any record listing or database of defaults by tenants;

If I default under a rental agreement, I agree that the Agent may disclose details of any such default to a tenancy default database, and to agents/landlords of properties I may apply for in the future.

I am aware that the Agent will use and disclose my personal information in order to:

  • (a) communicate with the owner and select a tenant
  • (b) prepare lease/tenancy documents
  • (c) allow trades people or equivalent organisations to contact me
  • (d) lodge/claim/transfer to/from a Bond Authority
  • (e) refer to Tribunals/Courts & Statutory Authorities (where applicable)
  • (f) refer to collection agents/lawyers (where applicable)
  • (g) complete a credit check with NTD (National Tenancies Database)
  • (h) transfer water account details into my name

I am aware that if information is not provided or I do not consent to the uses to which personal information is put the Agent cannot provide me with the lease/tenancy of the premises. I am aware that I may access personal information on the contact details above.

I acknowledge that I have read and understood this Privacy Statement and I hereby authorise authorise FMR Real Estate to supply my details to a third party.

To agree to these terms please tick the Box above. [ Click Here ]

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