Online Rental Application Form


Property Details

Property Address(Required)
DD slash MM slash YYYY

Your Details

DD slash MM slash YYYY

Occupancy Details(Please indicate who else will be residing with you)

Occupancy Details
Name
Relationship
Age
 
Do any of you smoke?

References

Your current address
Your previous address

Employment


General Information

Do you have pets?

Emergency Contacts


Declarations

Have you ever been evicted by any lessor or agent?
Are you in debt to another lessor or agent?
Was your bond at your last address refunded in full?
I agree & acknowledge that there is no smoking inside the premises at all times
Is there any reason known to you that would affect your ability to pay? If yes please explain
Have you been, or do you have reason to believe that you are, or have been listed on National Tenancy database? If yes, please provide details

Personal Reference

I authorise that the above information may be used to carry out a credit check on me. I also agree that should I be in breach of any express or implied provision of the tenancy agreement or any provision of the Residential Tenancies Act, that I will pay the Landlord’s costs incurred in undertaking collection action to recover his/her losses.

Privacy Act 1988

Collection Notice

The personal information the prospective lessee/tenant provides in this application or collected from other sources is necessary for the agent to verify the applicant’s identity, to process and evaluate the application and to manage the tenancy. Personal information collected about the applicant in this application and during the course of the tenancy if the application is successful may be disclosed for the purpose for which it was collected to the other parties including Lessor’s referees, other agents and third party operators of tenancy references data bases. Information already held on tenancy reference data bases may also be disclosed to the Agent and/or Lessor. If the applicant enters into a Residential Tenancy Agreement, and if the applicant fails to comply with their obligations under that agreement that fact and other personal information collected about the application during the course of the tenancy may also be disclosed to the lessor, other agents and third party operators of tenancy references databases.
You have the right to access personal information that we hold about you by contacting this office. You can also correct this information if it is inaccurate, incomplete or out of date.

Privacy Consent

I the applicant/s acknowledge that I have read the above collection notice. I authorize Accom Joa Pty Ltd to collect information about me from:
A. My previous agents and/or landlords
B. My current and previous employers
C. My personal referees
D. Any Tenancy default Database which may contain personal information about me. I also authorize Accom Joa Pty Ltd to disclose details about any default by me/us under the tenancy to which this application relates to any tenancy default database to which it subscribes.
E. I authorize Accom Joa Pty Ltd to disclose personal information it collects about me to the owners of the property, even if the owner is a resident outside Australia