Rental Application

PROPERTY DETAILS

Proposed Property

Rent Per Week

Length of Tenancy

Tenancy to Start

Email Address

APPLICANT NUMBER 1

APPLICANT NUMBER 2

Family/Surname

Given Name/s

DOB

Licence No.

18+ Card No

Car Rego No.

Make & Model

Occupation

Current Address

Postcode

Home Phone

Work Phone

Mobile Phone

E-mail

EMPLOYMENT DETAILS

If employed for less than six months, fill in your previous employment details

Employer's Name

Address

Postcode

Phone

Length Employment

Net Weekly Income

Employer's Name

Address

Postcode

Phone

Length Employment

IF SELF EMPLOYED

Business Name

ABN

Industry

Address

Postcode

Personal Income/Week

Accountant Name

Accountant Phone

IF YOU ARE A STUDENT

Name of University/Tafe

Location of University/Tafe

Faculty/Department

Student ID Number

Course ID Number

Source of Income

Net Weeklly Income

RECEIVE CENTRELINK PAYMENT

Payment Type

Customer Ref No

RENTAL HISTORY

CURRENT LANDLORD / AGENT

Name

Contact Number

Rent paid per week

Address rented

Period rented

Was bond refunded

If not, Why?

PREVIOUS LANDLORD / AGENT

Name

Contact Number

Rent paid per week

Period rented

Was bond refunded

If not, Why?

REFERENCES

Four References are to be inclluded with your application as follows:
1) Two Business references
2) One personal reference
3) One reference from a relative

APPLICANT NUMBER 1

APPLICANT NUMBER 2

1) Business Reference

Name

Address

Postcode

Work Number

Mobile Number

Relationship

Time known

2) Business Reference

Name

Address

Postcode

Work Number

Mobile Number

Relationship

Time known

3) Personal Reference

Name

Address

Postcode

Work Number

Mobile Number

Relationship

Time known

4) Next of Kin / Parent / Guardian Reference

Name

Address

Postcode

Work Number

Mobile Number

Relationship

Time known

Any pets?

Are they Registered

Registration Details

How many children under the age of 18 reside with you?

Their Ages

DECLARATION
I, the said applicant(s), so solemnly and sincerely declare that the information contained in this application is true and correct and that all of the information was given of my/our own free will. I/we further consent to the lessor/agent contacting and or conducting any inquiries and or searches with regard to the information and references supplied in this application.

I the said applicant(s) do solemnly and sincerely declare that I am over 18 years of age and have read and understand the contents of this agreement and have the competence and capacity to enter into this agreement.

I, the said applicant(s) do solemnly and sincerely declare:-

1. I have inspected the property located at:

2. I have of my own accord decided that I wish to rent the aforementioned property commencing

For a period of

3. I have been informed, understand and agree that the rental for the aforesaid property is to be $.................. per week and that this rental is within my means to support.

4. (i) I have been informed, understand and agree that the rental for the said property is to be paid every month and is to be one month in advance at all times.

4. (ii) I have been informed, understand and agree that the lessor/Agent will carry out an inspection on the property on a six monthly basis and I further warrant that I/We will cooperate fully to allow this inspection to be carried out on a six monthly basis.

5. I have been informed, understand and agree that the bond for the aforesaid property will be $.................. and I further authorise the letting agent to attend to all details regarding the lodgement of the said rental bond with the appropriate authority.

6. Agent to apply all or part of the subsequent rental payments to be apportioned to finalising the rental bond for the aforesaid property.

7. I have been informed, understand and agree that the acceptance of my application is subject to a satisfactory report being obtained from information supplied on the FULLY completed Tenancy Application submitted by me.

8. I have been informed, understand and agree that should there be a requirement to commence proceedings for recovery of rent, repairs and or damage to the aforesaid property during the term or at the expiration of the Tenancy Agreement all costs of recovery associated with these proceedings shall be able to be recovered from me.

9. I further consent to the Agent disclosing all personal information that they may hold for the purpose of enforcing or commencing recovery action in relation to any debt owed as a result of outstanding rent, repairs and or damage that occurred or occurs during my period of tenancy.

10. I have been informed, understand and agree that should this application for tenancy not be accepted, the Agent is not required or obligated to disclose why or supply any reason for the rejection of the application.

11. I confirm that I have read and understand the Privacy Policy that the lessor/Agent has made available to me.

12. I have been informed, understand and consent to the Agent supplying all necessary information, as may be required, to any Tenancy Data Base/s that they use, subject to the Tenancy Data Base/s complying with the provisions of the Privacy Act.

13. I have been informed, understand and acknowledge that the Agent has the contact details for the tenancy database/s they use and that the Agent will supply these contact details should I request these details.

PRIVACY POLICY

Due to recent changes in the Privacy laws, from December 21, 2001, all property managers must ensure that you fully understand the National Privacy Principles and the manner in which we must use your private information in order to carry out our role as professional property managers. Please take the time to read this Privacy Statement carefully, and once completed, return to this office with your tenancy application.

As professional property managers, RMalcolm Estate Agents Pty. Ltd collects personal information about you. To ascertain what personal information we have about you, you may contact us.

Primary Purpose

As professional property managers, we collect your personal information to assess the risk in providing you with the lease/tenancy of the premises you have requested, and if the risk is considered acceptable, to providing you with the lease/tenancy of the premises.

To carry out this role and during the term of your tenancy, we will disclose your personal information to:
- The Landlord.
- The Landlord's lawyer.
- The Landlord's mortgagee.
- Referees you have nominated.
- Organisations / Trade people required to carry out maintenance to the premises.
- Rental Bond Authorities.
- Residential Tenancy Tribunals / Courts.
- Collection Agents.
- National Tenancy Database Pty. Ltd. (ABN 65 079 105 025) ("NTD").
- Other Real Estate Agents and Landlords.

Secondary Purpose

We also collect your personal information to:
- Enable us, or the Landlord's lawyers, to prepare the lease / tenancy documents on the premises.
- Allow organisations / trades people to contact you in relation to maintenance matters relating to the premises.
- Pay / release rental bonds to / from Rental Bond Authorities (where applicable).
- Refer to Tribunals, Courts, and Statutory Authorities (where necessary).
- Refer to Collection Agents / Lawyers (where default / enforcement action is required.
- Provide confirmation details for organisations contacting us on your behalf i.e. Banks, Utilities (Gas, Electricity, Water, Phone), Employers etc.

If your personal information in not provided to us and NTD, and you do not consent to the uses to which we put your personal information, we cannot properly assess the risk to our client, or carry out our duties as professional property managers. Consequently, we may not provide you with the lease/tenancy of the premises.

NTD Disclosure Statement

You can contact National Tenancy Database Pty. Ltd. (ABN 65 079 105 025) ("NTD") by

Telephone: 03 9610 4996
Facsimile: 03 9620 7339
Email: steph@ntd.net.au
In Person: Level 7, 477 Collins Street, Melbourne, 3000
Mail: P.O. Box 156, Collins Street West, Melbourne, 8007
Visit website: www.ntd.net.au

Primary Purpose

NTD collects your personal information to provide to its members historical tenancy and public record information on individuals and companies who / which lease residential and commercial property from or through licensed real estate agent members of NTD.

NTD also provides credit information on companies / directors applying for commercial leases.

The real estate agent / property manager will advise NTD of your conduct throughout the lease / tenancy and that information will form part of your tenant history.

NTD usually discloses information to:
- Licensed real estate agent members
- NTD's parent company, Collection House Limited (ABN 74 010 230 716) and its subsidiaries
- Credit Bureaus

I acknowledge that I have read and understood this privacy statement.

APPLICANT NUMBER 1

APPLICANT NUMBER 2

I the said applicant(s), so solemnly and sincerely declare that the information contained in this application is true and correct and that all of the information was given of my/our own free will. I/we further consent to the lessor/agent contacting and or conducting any inquiries and or searches with regard to the information and references supplied in this application. I/We also acknowledge that I/We have read and understood this declaration and privacy statement.

I agree

I disagree

I agree

I disagree

Date Agreed (enter)

I/We would like Direct Connect to arrange for the connection and disconnection of the following nominated utility services.
Yes
No

Once we have received this application we will call you to confirm your details.

Direct connect will make all reasonable efforts to contact you within 24 hours of the nearest working day on receipt of this Application to confirm the information on this Application and explain the details of the services offered.

Please tick utilities as required:

Electricity
Gas
Telephone
Water
Internet
Pay TV
Insurance

DECLARATION AND EXECUTION: By submitting this application, I/we: consent to Direct Connect arranging for the connection and disconnection of the nominated utility services and to providing information contained in this application to utility providers for this purpose; acknowledge having been provided with terms and Conditions of Supply of Direct Connect and having read and understood them together with the Privacy Collection Notice set out below; declare that all the information contained in this application is true and correct and given of their own free will; expressly authorise Direct Connect to provide any information disclosed in this Application to a supplier or potential supplier of the Services in accordance with the Privacy Collection Notice and to obtain any information necessary in relation to the Services; expressly authorise Direct Connect to provide any information disclosed in this Application to an information provider for the purpose of that information provider disclosing it to a supplier or potential supplier of the Services in accordance with the Privacy Collection Notice and to obtain any information necessary in relation to the Services; consent to Direct Connect contacting me by telephone or by SMS in relation to the marketing or promotion of all of the services listed under the heading “Connection Details” above even if we/I have not applied for the connection of those services in this application. This consent will continue [for a period of 1 year from the date of our/my execution of this application/until [28] days after we/I disconnect the last of the services in respect of which this application is made]; acknowledge that this consent will permit Direct Connect to contact us/me even if the telephone numbers listed on this application form are listed on the Do Not Call Register; understand that under the requirements of the Privacy Act 1988, Direct Connect will ensure that all personal information obtained about me/us will be appropriately collected, used, disclosed and transferred and will be stored safely and protected against loss, unauthorised access, use, modification or disclosure and any other misuse; authorise the obtaining of a National Metering Identifier (NMI) for my residential address to obtain supply details; consent to Direct Connect disclosing my/our details to utility providers (including my/our NMI and telephone number); declare and undertake to be solely responsible for all amounts payable in relation to the connections and/or supply of the Services and hereby indemnify Direct Connect and its officers, servants and agents and hold them indemnified against any charges whatsoever in respect of the Services; acknowledge that, to the extent permitted by law, Direct Connect shall not be liable for any loss or damage (including consequential loss and loss of profits) to me/us or any other person or any property as a result of the provision of the services or any act or omission by the utility provider or for any loss caused by or in connection with any delay in connection, disconnection or provision of, or failure to connect or disconnect or provide, the nominated utilities; acknowledge that whilst Direct Connect is a free service I/we may be required to pay standard connection fees or deposits required by various utility providers; acknowledge that the Services will be provided according to the applicable regulations and that the time frames and terms and conditions of the nominated utility providers bind me/us and that after hours connections may incur additional service fees from utility providers; acknowledge that the real estate agent listed on this application form may receive a benefit from Direct Connect in connection with the provision of the service being provided to me/us by Direct Connect; and acknowledge the entitlement of Direct Connect and its associates, agents and contractors, to receive a fee or remuneration from the utility provider and that such fee or remuneration will not be refunded to me as a rebate in connection with the provision of the utility connection servicesBy signing this application form, I warrant that I am authorised to make this application and to provide the consents, acknowledgements, authorisations and other undertakings set out in this application form on behalf of all applicants listed in this application form.

After sending your application, please supply a copy of your photo ID and proof of income after you apply.
E-mail to rentals@rmalcolm.com.au or fax to 9584 7547.

I/We agree to the above terms & conditions

P: 1300 664 715 F: 1300 664 185 W: www.directconnect.com.au PO BOX 1519, BOX HILL, VICTORIA