Tenancy Application Form Page 4
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4Privacy Act Acknowledgement Form for Tenant Applicants & Approved Occupants
This form provides information about how we the below named
If you fail to provide your personal information and do not
agent handle your personal information, as required by the
consent to the uses set out above we cannot properly assess
National Privacy Principles in the Privacy Act 1988, and seeks
the risk to our client or carry out our duties as an asset
your consent to disclosures to TICA Default Tenancy Control
manager. Consequently we cannot provide you with the
Pty Ltd (TICA) in specified circumstances. If you do not
property you requested to rent.
consent to the disclosure of your personal information to TICA
TICA Statement
we can not process your application.
As TICA may collect personal information about you, the
Member Name:
ELDERS REAL ESTATE WOLLONGONG
following information about TICA is provided in accordance
Address:
353 CROWN STREET, WOLLONGONG
with the National Privacy Principles in the Privacy Act 1988.
Ph:
02 4228 7878
Fax: 02 4228 7676
TICA Default Tenancy Control Pty Ltd (ABN 84 087 400 379)
Email:
.au
is a tenancy database that records tenants personal
As a professional asset manager we collect personal
information from its members including tenancy application
information about you. The information we collect can be
inquiries and tenancy history. In accordance with the National
accessed by you by contacting our office on the above
Privacy Principles you are entitled to have access to any
numbers or addresses.
personal information that we may hold on any of our
databases. To obtain your information from TICA Default
Primary Purpose
Tenancy Control Pty Ltd proof of identity will be required and
can be made by any of the following ways
Before a tenancy accepted we collect your information to
assess the risk to our clients in providing you with a property
Phone: 190 222 0346 calls are charged at $ 4.50 per minute
you have requested to rent and if considered acceptable
including GST (higher from mobile or pay phone)
provide you with a tenancy for the property.
Mail:
TICA Public Inquiries
PO BOX 120, CONCORD
In order to assess your application we disclose your personal
NSW
2137 a fee of $ 8.80 plus stamped self
information to
addressed envelope is required.
The Lessor / Owners for approval or rejection of your
•
Primary Purpose
application
TICA Default Tenancy Control Pty Ltd to assess the risk
TICA collects information from its members on tenancy related
•
to our clients and verify the details provided in your
matters and provides such information to other members as a
tenancy application.
risk management system for the purpose of assessing a
tenancy application. TICA does not provide any information
Referees to validate information supplied in your
•
that it collects to any other individual or organisation for any
application
other purpose other than assessing a tenancy application or
Other Real Estate Agents to assess the risk to our
•
risk management system other than government departments
clients
and or agencies allowed by law to obtain information from
TICA.
Secondary Purpose
The personal information that TICA may hold is as follows
During and after the tenancy we may need to disclose your
Name, date of birth, drivers license number, proof of age card
personal information to
number
and
or
passport
number
(except
Australian),
comments made by a TICA member in relation to your
Tradespeople to contact you for repairs and
•
tenancy, which members you rented through and which
maintenance of the property.
members you applied to.
Refer to Tribunals or Courts having jurisdiction seeking
•
orders or remedies.
Further Information About TICA
Refer to Debt Collection Agencies where Tribunal /
•
Court orders have been awarded.
Full details about TICA can be found on TICA’s website at
Refer to TICA Default Tenancy Control Pty Ltd to record
under Tenant Information and Privacy
•
details of your tenancy history.
Policies or by contacting TICA on our Helpline 190 222 0346
Refer to the Lessors / Owners insurer in the event of an
calls charged at $ 4.50 per minute including GST (higher from
•
insurance claim.
mobile and pay phones)
To provide future rental references to other asset
•
managers / owners.
If your personal information is not provided to TICA the
member may not proceed with assessing your application and
you may not be provided with the rental property.
Signed By The Applicant/s
Signature
Print Name
Signature
Print Name
/
/
Date
Day
Month Year
Witnessed
PAGE 4 OF 4
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