Nras Tenana Cy Application Form Page 3

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Self employment Details (if applicable)
Company name:
business Type:
business Address:
Position Held:
Abn:
Accountant name:
Phone:
gross Annual income:
Details of Study (if applicable)
Place of study:
Course name:
Course length:
enrolment/student no.
Campus Contact:
Contact no:
Referees
name:
relationship:
Course length:
enrolment/student no.
Next of Kin
surname
First name/s
Contact no. (Home)
(mobile)
(Work)
Further information
Y
n
Have any of your previous tenancies been terminated?
Are you in debt to another leaser or agent?
is there an existing reason that may affect your rent payment?
:
if yes, please provide details
n
Y
do you own any properties or land?
:
if yes, please provide details
n
Y
does anyone included in your application have an associaition
with a member of the board of directors or staff of evolve
Housing?
if yes please provide details
Have you ever been a tenant of Housing nsW, our company or
another community housing association?
if yes please provide details
Providing innovative housing services and solutions to those most in need.
Henry dodd House, 9-13 Argyle street Parramatta nsW 2150
P.O.bOX. W124 Parramatta Westfield nsW 2150
|
P:1300 692 245 or 8862 1500
|
F: 02 8862 1599
|
.au
@evolvehousing
|
evolvehousing
Affordable Community Housing limited trading as evolve Housing. Abn: 16 127 713 731

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