1. Property Details, that you are applying for
Where did you see this property advertised? Select One The Age www.realestateview.com.au www.realestate.com.au www.domain.com.au For lease board Brochure Other
If Other, please specify
Property Address*
Suburb*
Post Code*
Lease Term requested* Select One 6 months 12 months 18 months 24 months 24 months plus
Date Property to be Occupied* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028
Rent Payable for Property*
Lease to be in Name(s) of (All adults to reside at the property must be listed)*
If "No" I believe the following items should be attended to prior to my tenancy commencing. I acknowledge that these items are subject to Owner's approval.
2. Personal Details
Title* Select One Mr Miss Ms Mrs
First Name*
Middle Name*
Initial*
Last Name*
Date of Birth* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
Current Address*
Suburb*
Post Code*
At least two of the id's must be entered:
Drivers Licence Number*
State of Issue*
Type of ID*
No.*
Type of ID
No.
Please email
a copy of your identification (ie drivers license, birth certificate, passport) and any references to
info@domainadvocates.com.au to accompany your application or fax through a copy on
03 9853 5522 .
Home Phone Number
Mobile Phone Number*
Work Phone Number
Email
Occupation/Course*
Employers/University Name*
Best Contact Number*
4. Utility Connection Service
If Yes,
Click Here to visit the Direct Connect website.
This service is at no cost to you and a way Melanie Dennis Real Estate is making your move easier! Please make sure you confirm with the team at MDRE that you would like this service once your application has been approved.
5. Current Residence Information
How long have you lived at your current address?* Select One 6 months 12 months 18 months 24 months 24 months plus
Name of Landlord/Agent
Phone number
Rent Paid per month*
Reason for leaving*
If no please specify
6. Previous Residence Information
Previous Address
Suburb
Post Code
How long have you lived at your previous address?* Select One 6 months 12 months 18 months 24 months 24 months plus
Name of Landlord/Agent*
Phone number
Rent Paid per month
Reason for leaving
If no please specify
7. Other Information
Number of persons occupying property?
Adults*
Children*
Please specify the ages of any children
If yes, please specify type
Emergency Contact - Name *
Relationship*
Phone *
Address*
Make/Model
Rego No
8. Current Employment Details
Employment/Study Address
Suburb
Post Code
Contact Name
Phone
Length at Current employment? Select One 6 months 12 months 18 months 24 months 24 months plus
Net Income?*
9. Previous Employment Details
Occupation/Course
Employers/Study Name
Employers Address
Suburb
Post Code
Employer Phone number
Contact Name
Length at Previous employment? Select One 6 months 12 months 18 months 24 months 24 months plus
Net Income?
10. If Student, please complete the following
Place of Study
Course being undertaken
Course Length
Enrolment Number
Parents Name
Phone
Campus Contact
Phone
Course Co-ordinator
Phone
Income
11. Personal Referees
1. Reference name*
Occupation*
Relationship*
Phone*
2. Reference name *
Occupation*
Relationship*
Phone*
12. Business Referees
1. Reference name*
Occupation*
Relationship*
Phone*
2. Reference name*
Occupation*
Relationship*
Phone*
13. Rent Payment Method
We Accept:
(further forms will be required upon signing your tenancy agreement)
14. Declaration
I acknowledge that this is an application to lease this property and that my application is subject to the owner's approval and the availability of the premises on the due date. No action will be taken against the landlord or agent if the application is unsuccessful or upon acceptance should the premises be unavailable for occupation on the date for whatever reason. I hereby offer to rent the property from the owner under a lease to be prepared by the Agent pursuant to the Residential Tenancies Act 1997. I acknowledge that I will be required to pay rental in advance and a rental bond, and that this application is subject to approval from the owner/landlord. I declare that all information contained in this application is true and correct and given of my own free will. I declare that I have inspected the premises, I am over the age of 18 and I am not bankrupt.
I authorise Domain Property Advocates to perform credit and reference checks in relation to my application.
Date*
If you haven't received a confirmation call from our office with regards to your application, please contact us on 03 9853 5599 to avoid disappointment.
Please email
a copy of your identification (ie drivers license, birth certificate, passport) and any references to
info@domainadvocates.com.au to accompany your application or fax through a copy on 9853 5522.
