Application Home / Application Step 1 of 8 - Tenant Details 12% Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Date of Birth* Current Address* Street Address Address Line 2 City Are you currently Renting?*yesno PhoneMobileWorkEmail* Your Occupation*Employed by (Company name)*Employers contact Are you applying with a partner?*yesnoPartner's NamePartner's DOB Partner's ContactPartner's OccupationPartner's Employer Interested in Property*Select a PropertyCameron Road Oakley Avenue Rochdale Close The Boulevard Lydbrook Place 221/36 Victoria Road Location/Area of InterestProperty typehouseflatapartmentunitstudioroomBedrooms12345FurnishedYesNoGarageNoneSingleDoubleTripleSmokers*YesNoNumber of Adults*Children*YesNoChildren's age(s)Pet(s) detailsMax. rent (weekly)Date required by Current landlord nameCurrent landlord phoneCurrent landlord emailReasons for leavingCurrent tenancy from Current rent (weekly) Previous landlord namePrevious landlord emailPrevious landlord phonePrevious rent (weekly)Previous addressPrevious tenancy from Previous tenancy to Reasons for leaving Drivers Licence numberLicence VersionNext of Kin nameNext of Kin contact Have you ever been evicted*YesNoHave you ever been convicted bankrupt*YesNoHave you ever been convicted of a criminal offence*YesNoDo you or will you have contents insurance*YesNo I/We hereby apply for tenancy and understand that the Terms are subject to the Residential Tenancy Agreement and I/We agree to pay one week's rent and rent in advance as applicable to the property. In the event of rent or bond arrears, we reserve the right to charge interest at 1.5% per month and to add all collection costs to this account pursuant to the Fair Trading Act 1986. I/we hereby give permission for a credit check to be carried out. Joint and Several Liability: In the event that this is a joint application, I/We agree that each of us is both jointly and severally liable to perform and observe all of the Terms and Conditions of any Residential Tenancy Agreement, including payment of rent and all costs and expenses associated with the termination of the tenancy. Under the Terms of the Privacy Act 1 July 1993, I/We agree and authorise any person or company to provide you with such information as you may require in respnose to your inquiries, this Authority being irrevocable. I/We authorise you to furnish to any third party details of this application and any subsequent dealings that I/We may have with you as a result of this application being actioned by you. I am aware that the agent will use and disclose my personal information in order to: (a) communicate with the owner and select a tenant (b) prepare lease/tenancy documents (c) allow tradespeople or equivalent organisations to contact me (d) lodge/claim/transfer to/from the Bond Centre (e) refer to collection agents/lawyers (where applicable)I have read and agree to the terms and conditions* Yes This iframe contains the logic required to handle Ajax powered Gravity Forms.