Prospective Tenant Information Page 2
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415 Sargood Street O’Connor ACT 2602
.au
PO Box 59 O’Connor ACT 2602
.au
Phone (02) 6249 6422 Fax (02) 6249 6252
Licenced Agent Robeco Holdings Pty Ltd
ABN 93 008 572 898
A P P L I C A T I O N F O R M
PROPERTY DETAILS
What is the address of the property you would like to apply for?
Lease commencement date
Length of tenancy
___________Month at $___________ per week
How many people will normally occupy the property?
List full names of all people to occupy the premises:
1)
3)
2)
4)
PERSONAL DETAILS
Mr
Ms
Miss
Mrs
Other
Full Name of Applicant
What is your current address?
Home phone no
Work phone no
Mobile phone no
Fax no
Email address
Driver’s license no
Driver’s license state
Date of Birth
Car Registration
Passport no
Passport country
Pension no
(If applicable)
Pension type (if applicable)
APPLICANT HISTORY
How long have you lived at your current address? _______Years __
Months From:___________To:______________
Why are you leaving this address?
Name of your landlord or agent
Landlord/agent’s phone no
Weekly rent paid
What was your previous residential address?
How long did you live at this address?
Years
Months From:_____________ To:__________________________
Name of your landlord or agent
Landlord/agent’s phone no
Weekly rent paid
Was bond refunded in full?
YES / NO
If not why not?
Home Owner (If never rented)
Name of Selling Agent
Phone no
EMPLOYMENT HISTORY
(A copy of the two most recent pay slips must be attached, if self employed, a statement from your Accountant is required)
What is your occupation?
What is the nature of your employment? Full Time
Part Time
Casual
Contractor
Self Employed
Employer’s name (inc. accountant if self employed or institution if a student)
Employer’s address
Contact name
Phone no
Length of employment:
________Y _______ M
Income $_______________per Week/Annum
For your application to be processed you must answer all questions
Page 2 of 4
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