Tenancy Application

TENANT INFORMATION:

First Name*

Last Name*

Current Address*

Date of Birth*

Driver's License Number*

Phone Number

Mobile Number*

Email Address*

Pets

Yes

No

Type of Pets

Number of Pets

Name of Other Occupants

Number of Adults

Number of Children

Ages of Children

TENANT INCOME DETAILS:

Current Occupation Income Details

Occupation*

Employer*

Contact Name and Number*

Length of Employment*

Weekly Income*

Previous Occupation Income Details

Previous Occupation

Previous Employer

Length of Employment

Weekly Income

Centrelink Benefit

CRN

Fortnightly Income $*

ACCOMMODATION HISTORY - minimum of 5 years

Current Accommodation Details

Current Address*

Land Lord or Agent*

Contact Number*

Rent Amount Paid*

Occupancy Start Date*

Occupancy End Date*

Previous Accommodation Details

Previous Address

Previous Land Lord or Agent

Contact Number

Rent Amount Paid

Occupancy Start Date

Occupancy End Date

How many times have you attended tribunal?*

Reason for attending tribunal