Step 1 of 7 14% TENANT'S PERSONAL INFORMATION FORMfor Tenancy Application Residential Tenancies Act TO BE COMPLETED BY EACH TENANT If you prefer you can also download this form here then print and email it to us.Personal DetailsName First Last MobilePhone WorkEmail Email 2 Date of Birth Australian Yes No Driver's Licence State Passport No Country Centrelink Ref ID Payment Type Vehicle Model/Year Reg No. Tenancy HistoryPresent Address How long have you lived at your present address? Rent PaidReason for leaving this address Agent/Landlord's Name Address Phone No. Previous Address How long did you live at your previous address? Rent PaidReason for leaving this address Agent/Landlord's Name Address Phone No.Was bond refunded in full? Yes No If Not - reasons why Employment HistorySelf Employed Yes No Student Yes No Employer 1 Phone No.Occupation Employment Type Full Time Part Time Casual Period of Employment Net Weekly IncomePrevious Employer 2 Phone No.Occupation Employment Type Full Time Part Time Casual Period of Employment Net Weekly Income References- two personal/business references (not related to you).Name 1 Relationship Address Phone NoName 2 Relationship Address Phone NoEmergency ContactsName 1 Relationship Address Phone NoName 2 Relationship Address Phone No Disclaimer / Authority I hereby offer to rent the property from the owner on the attached Application and or any future Application I acknowledge that any application is subject to the approval of the owner/landlord. | declare that all information contained in this application is true and correct and given of my own free will. I AUTHORISE the Agent to obtain personal information about me from: (a) The owner or the Agent of my current or previous residences;(b) My personal referees and employer/s;(c) Any record listing or database of defaults by tenants; Any record listing or database of defaults by tenants such as TICA, NTD, TRA or Other databases for the purpose of checking tenancy history. I am aware that I may access my personal information by contacting:TICAAddress: PO Box120, Concord NSW 2137 Telephone: 1902 220 346 Fax: 02 9743 4844 Website: www.tica.com.auTRAAddress: PO Box 372 Rose Bay NSW 2029Telephone: 02 9363 9244Fax: 02 9329 2861Website: www.tradinareference.comNTDAddress: GPO Box13294, George Street120, Brisbane QLD 4003Telephone: 1300 563 826Fax: 07 3009 0619Website: www.ntd.net.au I am aware that the Agent will use and disclose my personal information within this application without limiting in order to:(a) communicate with the owner and select a tenant(b) prepare lease/tenancy documents and complete a check with TICA, NTD, TRA or Others(c) allow trades-people or equivalent organisationsto contact me(d) lodge/claim/transfer to/from a Bond Authority(e) refer to Tribunals/Courts & Statutory Authorities (where applicable)(f) refer to collection agents/lawyers (where applicable)(g) transfer water account details into my name.I am aware that if information is not provided or I do not consent to the uses to which personal information is put, the Agent cannot provide me with the lease/tenancy of the premises. I am aware that I may access personal information on the contact details above. By signing this document I AGREE AND ACKNOWLEDGE the terms above and that I may make applications to enter into a Residential Tenancy Agreement. I understand my Applications may not be successful as there may be many applicants and this Personal Information may be used for any Applications I make.ACKNOWLEDGEMENT and CONSENT ELECTRONIC SIGNINGI agree and the parties all acknowledge and consent to either of them or their attorneys and representatives signing this form and anyagreements and notices (under the agreement application or under the Act) by electronic and/or digital signatures under the Electronic Transactions Act (Cth and the relevant State applying) and delivering this form and any application and notices by email.Signature TenantDate DD slash MM slash YYYY Verification of Identity ofName Before any application will be considered, each applicant must achieve a minimum of 100 check points. Should you not be able to meet the 100 check points please speak to the Agent. This information needs to be photocopied prior to submitting the application.Proof of Identity (80 Points) — you must provide one of the following:Driver’s Licence ORPassport ORBirth Certificate + Photo IDProof of Income (30 Points) — you must provide at least one of the following:Last Pay Advice ORCurrent Centrelink Statement ORCurrent Bank Statement (must show sufficient funds to meet rental payments)Supporting Documentation you must provide at least 30 points of the following documentation:Current Rental Ledger (from last Managing Agent) (40 points)Last 2 Rent Receipts (20 points)Two Written References (20 points)Recent Rates Notice (30 points)Vehicle Registration papers (10 points)Current Electricity/Phone Account (10 points)Note: If you are renting for the first time or have difficulty achieving 100 check points, call us to discuss alternative verification checksthat may be conducted.100 Point Check - by AgentMax. file size: 128 MB.Please upload your identity documents using the button above.