Residential Tenancy Application Form Proposed Rental Property Address: Postcode: Rent Per Week: $ Bond Amount: $ Have you Inspected the Property? YesNo Length of Tenancy: Tenancy Commencement Date: Have many Tenants will Occupy the Property? Pets: YesNo Applicant Details Name: Phone(H): Phone(W): Mobile: Email: Date of Birth: Driver's License/18+ Card No.: State of Issues: Passport/Pension Card/Centrelink Card No.: Expiry Rental History Current Address: Period of Occupancy: Landlord/Agent Name: Phone: Email: Weekly Rent: Reason for Leaving: Have you ever been evicted from a Premises: YesNo Are you currently in debt to any Landlord or Agent: YesNo Employment Details Occupation: Employer's Name: Employment Address: Employer Phone No.: Contact Name: Length at Current Employment: Annual Income: $ Per Week: $ Are you Self-Employed? Noyes ABN: Accountant Name: Phone: Reference (Not Co-Applicant) Reference Name: Address: Phone: Emergency Contact Details Name: Phone: Address: Email: Utility Connection MyConnect will contact you to connect your utilities for FREE I require the following utilities : ElectricityGasPhoneInternetPay TVOr ticket here to opt out Documents Please ensure you provide Minimum 100 points of identification. Examples of proof of identification include driver licence and/or passport, current payslips and/or bank statement, tenant ledger, tenant reference, medicare card and/or motor vehicle rego/utility account statement/telephone account statement.