Tenancy Application

(please complete online & press Submit below when completed)

Term of Lease: 6 Months 1 Year Or Please specify
Property Being Applied For:
Weekly Rent: To Commence on (Enter Date):
How did you hear about this property CQ Rental Website Realestate.com.au Other:
News Paper Domain.coma.au
Applicant Details
Full Name:
Date of Birth: Phone:
Mobile: Email:
Are you an Australian Citizen: Yes No Visa expiry Date:
Drivers License or Passport No: State of Issue: Expiry:
Have you been known by any other name? Yes No If yes, what name/s:
Are there any other applications to accompany your application(i.e. other occupants): Yes No
Name/s of other applicants/occupants:
Do you have any dependents: Yes No Number of dependants:
Current Address
Do you: Rent Own Share Rent Per Week:$
Current Address:
Agent/Lessor Name: Phone Number:
Agent/Lessor Address:
Time at Above Address: Reason for Leaving:
Previous Address
Did you: Rent Own Share Rent Per Week:$
Property Address:
Agent/Lessor Name: Phone Number:
Agent/Lessor Address:
Time at Above Address: Reason for Leaving:
Current Employment
Are you currently employed? Yes No
Position: Full Time Part Time Casual
Length of employment: years months Weekly Income(net)$:
Name of Employer: Contact Name:
Employer Address: Employer Phone:
Previous Employer (if current employment period is less than 12 months)
Position: Full Time Part Time Casual
Length of employment: years months Weekly Income(net)$:
Name of Employer: Contact Name:
Employer Address: Employer Phone:
If Self Employed
Company: Trading as:
ABN number: Nature of Business:
Period self-employed: Annual Income(Attach income statement)$:
Address of Business:
Accountant: Accountant Phone:
Creditor Referee: Creditor Phone:
Creditor Referee: Creditor Phone:
Other Income
Student? Name of University or College: $
Area of Study:
Pension(Type of Benefit Received): $
Unemployment Benefit: $
Other Type of Income(i.e. Investments): $
Pets(please list any pets)
Type of pet/s: Number of pet/s:
Type of pet/s: Number of pet/s:
Vehicle(please list vehicles to be kept at the property)
Make & Model Registration Number:
Make & Model Registration Number:
Make & Model Registration Number:
Make & Model Registration Number:
Emergency Contacts(not living with you - to be contacted in the event of an emergency)
Name: Relationship:
Address: Phone
Name: Relationship:
Address: Phone
Personal References (excluding relatives)
Name: Phone:
Name: Phone:
Name: Phone:
Name: Phone: