Tenancy Application
Fill in the following online form, or download the pdf version to print and fill out off-line.
 1. RENTAL PROPERTY

Address:  
Suburb: Post Code:  
Lease Term: Years Months  
Commencement date: / /  
Rent Payable for Property $  
Name(s) of other Applicants/Children (if any) to Occupy Property:  
Property Managers Name:  

 2. IF SELF-EMPLOYED, COMPLETE THE FOLLOWING

Company Name:
Company Address:
Suburb: Post Code:
Business Type:
Position Held:
A.B.N.
Accountant Name:
Accountant Phone:
Solicitor Name:
Solicitor Phone:

 3. PERSONAL DETAILS

Title: First Name: Initial:
Last Name:
Date of Birth: / /
Current Address:
Suburb: Post Code:
Drivers Licence Number:
State of Issue:
Car Registration Number:
Passport Number:
Country of Issue:
Home Phone:
Mobile Phone:
Email:
Please provide a contact number you are available on all day
Contact number:

 4. Utility Connection Service

Connecting Your Utilities Has Never Been Easier

ConnectNow is a simple and convenient time saving service assisting with your Telephone, Electricity & Gas connections.

ConnectNow also provide a range of additional services to compliment your household utilities, such as Internet & Pay TV.

A Connect Now representative will make all reasonable efforts to contact you within 1 working day of receiving an application. If ConnectNow was unable to contact you within this period it is the responsibility of the applicant to contact ConnectNow on 1300 554 323 to ensure connection is completed.

It is the responsibility of the Tenant to ensure that the Main Electricity Switch is in the "Off Position" between 8am & 7pm on the day connection is required and that there is easy access to the property.

While the Connect Now service is FREE , standard service provider connection fees and charges still apply. You pay NO extra charges as a result of using the Connect Now service.

Phone: 1300 554 323
Fax: 1300 889 598
Email: info@connectnow.com.au
Internet: www.connectnow.com.au

I consent to ConnectNow Pty.Ltd. A.C.N. 79 097 398 662 arranging for the connection and disconnection of the nominated utility services and to providing information contained in this application to the utility providers for this purpose. I agree that neither ConnectNow nor the Agent accepts liability for loss caused by delay in, or failure to connect/disconnect or provide the nominated utilities. The service will be activated according to the applicable regulations, service provider time frames and terms and conditions once the client has agreed to use the chosen service provider. I authorise the obtaining of a National Metering Identifier (N.M.I.) on my residential address to obtain supply details. I acknowledge that the terms and conditions of the service provider bind me and that after hours connections may incur additional service fees from utility providers. I acknowledge that ConnectNow Pty Ltd will be paid a fee by the utility provider and will be paying a fee to the Agent in respect of the provision of the service being provided to me by ConnectNow Pty Ltd.
I consent to Sholl Communications arranging for the connection and disconnection of the nominated telephony services and products and agree to be bound by the terms and conditions of Sholl Communications and their agents and or suppliers. I agree that neither Sholl Communications nor their agents or suppliers accepts liability for loss caused by delay in, or failure to connect or provide the nominated product or service.

Connect me now Yes No

 5. CURRENT SITUATION

Are you the Owner Renter Parents Place Other  
How long have you lived at your current address? Years Months  
Name of Landlord/Agent (If applicable):  
Phone Number:  
Rent Paid per month $  
Reason for leaving:  
Was bond repaid in full? Yes No, If No, please specify:  

 6. PREVIOUS RENTAL HISTORY

Were you the Owner Renter  
Previous Address:  
Suburb: Post Code:  
How long have you live there? Years Months  
Name of Landlord/Managing Agent/Selling Agent:  
Phone Number:  
Rent Paid per month $  
Reason for leaving:  
Was bond repaid in full? Yes No, If No, please specify:  

 7. OTHER INFORMATION

Number of persons occupying property: Adults Children  
Please specify the ages of any children.  
Do you have pets? Yes No, If Yes, please specify:  

 8. NEXT OF KIN

Emergency Contact:  
Relationship:  
Address: Ph:
Mobile: Other:

 9. CURRENT EMPLOYMENT DETAILS

Employer Name/Company:    
Employer Address:    
Suburb: Post Code:    
Contact Name (Manager):    
Contact's work Phone:    
Length of employment: Years Months F/Time or P/Time    
Net Income $ Per Week $ Per Month    

 10. PREVIOUS EMPLOYMENT DETAILS

Occupation:    
Employers Name:    
Employer Address:    
Suburb: Post Code:    
Employer Phone Number:    
Contact Name:    
Length of employment: Years Months F/Time or P/Time    
Net Income $ Per Week $ Per Month    

 11. PERSONAL/BUSINESS REFEREES (Not Relatives)

1. Name:  
Occupation:  
Relationship: Work Phone:
2. Name:  
Occupation:  
Relationship: Work Phone:

 12. IF STUDENT, COMPLETE THE FOLLOWING

Place of Study:  
Course being undertaken:  
Course Length: Enrolment Number:
Parents Name: Ph:
Campus Contact: Ph:
Course Co-ordinator: Ph:
Net Income:  
Parents Address Overseas:  

 13. HOW DID YOU FIND OUT ABOUT THIS PROPERTY? (PLEASE TICK)

THE AGE
INTERNET
RENT LIST
AGENT
FOR LEASE SIGN
REFFERAL

OTHER

 

 14. DECLARATION

I acknowledge that this is an application to lease this property and that my application is subject to the owner's approval and the availability of the premises on the due date. I hereby offer to rent the property from the owner under a lease to be prepared by the Agent pursuant to the Residential Tenancies Act 1997.

I acknowledge that I will be required to pay rental in advance and a rental bond, and that this application is subject to approval from the owner/landlord. I declare that all information contained in this application (including the reverse side) is

True and correct and given of my own free will. I declare that I have inspected the premises and I am not bankrupt.

I authorise the Agent to obtain details of my credit worthiness from, the owner or Agent of my current or previous residence, my personal referees, any record, listing or database of defaults by tenants. If I default under a rental agreement, the Agent may disclose details of any such default to any person whom the Agent reasonably considers has an interest receiving such information.

Yes No

 Tenancy Privacy Statement

This form is to be accompanied by an Application for Tenancy. Your Application for Tenancy cannot be accepted unless this has been completed in full and signed.

Due to recent changes in the Privacy laws, from 21 st December 2001, all real estate agencies must ensure that you fully understand the National Privacy Principles and the manner in which we must use your private information in order to carry out our role as professional property managers. Please take the time to read this Privacy Statement carefully, and once completed return it to this office with your tenancy application.

As professional property managers, Clements Estate Agents Pty Ltd collects personal information about you. To ascertain what personal information we have about you, you can contact us by the following ways:

Telephone: 03 9427 8001
Facsimile: 03 9427 8009
Email: info@clementsea.com.au
In Person: Level 1/ 422 Bridge Road Richmond 3121

As professional property managers, we collect your personal information to assess the risk in providing you with the lease/tenancy of the premises you have requested, and if the risk is considered acceptable, to provide you with a lease/tenancy of the premises.

To carry out this role, and during the term of your tenancy, we usually disclose your personal information to the following:

The landlord, the landlord's lawyers, the landlord's mortgagee - for mortgage purposes, referees you have nominated, organisations/tradespeople required to carry out maintenance to the premises, rental bond authorities, Residential Tenancies Tribunals/Courts, collection agencies, National Tenancies Database Pty Ltd, other real estate agents and landlords, utilities companies such as gas, electricity, water connection, telephone connection, banks - for rental payment facilities and financial records, employers - for reference purposes.

CONFIRMATION:
1. This application is subject to the owner's approval and may take 2-3 days to process.
2. During my inspection I found the property to be in good repair and reasonably clean condition.
Yes No

If "No" I believe the following items should be attended to prior to the commencement of the tenancy. I acknowledge these items are subject to the landlord's approval.

3. All applicants must complete a separate application form.
4. Initial bond payment must be paid in the form of a bank cheque or money order made payable to the Residential Tenancies Bond Authority or R.T.B.A (personal cheques or cash will not be accepted).
5. Initial rental payments must be paid in the form of a bank cheque, money order or direct deposit made payable to the Clements Estate Agents Pty Ltd (personal cheques will not be accepted).
6. The applicant hereby agrees to a credit check being carried out by the National Tenancy Database.

TENANCY ACCEPTANCE
We understand that finding and selecting a rental property is often difficult. We will process your application as quickly as possible, but please remember we may be processing many applications at the same time. To assist us please fill out ALL the required details on the application and ensure your completed application is returned to our offices as quickly as possible.

UNSUCCESSFUL APPLICATIONS
Should your application be unsuccessful you will be advised. However, should you wish to apply for another property we will hold over your application for you.

SUCCESSFUL APPLICATIONS
Should your application be successful you will be notified by phone and requested to confirm your tenancy. We require the FULL BOND to be paid and the Bond Lodgement form to be signed within 24 hours of the confirmation to secure your tenancy. Prior to your commencement date all tenants must sign the tenancy agreement and pay the first months rental (please allow ½ hour for this appointment). The property manager will supply you with these amounts at the confirmation of your tenancy. Keys will only be handed out when all parties have signed the tenancy agreement, Bond Lodgement Form, all monies have been paid and the tenancy has commenced. No action will be taken against the landlord or agent if the application is unsuccessful or upon acceptance should the premises be unavailable for occupation on the date for whatever reason.

Signing of tenancy agreements and the payment of the first months rent can be undertaken at our office or as indicated by your property manager.

By submitting this form you agree to the terms and conditions of the privacy statement.