EMPLOYMENT HISTORY
(a copy of the two most recent payslips 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
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Casual
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Self Employed
□
Employer (Company Name):
Contact (Manager):
Phone:
Length of Employment:
Net Income per week:
PREVIOUS EMPLOYMENT
Occupation?
What is the nature of your employment? Full Time
□
Part Time
□
Casual
□
Self Employed
□
Employer (Company Name):
Contact (Manager):
Phone:
REFERENCES
(please provide two personal references (not related to you)
Name of Contact:
Name of Contact:
Relationship to you:
Relationship to you:
Phone:
Phone:
NEXT OF KIN (Emergency Contacts)
Person 1:
Person 2:
Relationship:
Relationship:
Phone:
Phone:
Mobile:
Mobile:
CONFIRMATION
I confirm the following:
1.
During my inspection of this property I found it to be in a reasonably clean condition.
□
yes
□
no
2.
I acknowledge that this is an application to rent this property and that my application is subject to the
Owner’s approval.
3.
I consent to the information provided in this application being verified and a reference check on TICA
being undertaken.
4.
That should the Landlord accept this application a holding deposit equivalent to one weeks rent will be
paid by the applicant towards the initial rent of the premises.
5.
That should the applicant decide not to proceed, the whole amount of holding deposit will be forfeited.
Applicants Signature:
Date:
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