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Application Form
Step 1 of 8
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Name
*
First
Last
Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
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Angola
Anguilla
Antarctica
Antigua and Barbuda
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Austria
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Cook Islands
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Dominican Republic
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Ethiopia
Falkland Islands
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Maldives
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Malta
Marshall Islands
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Mauritius
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Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
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Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
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Norway
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Panama
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Paraguay
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Pitcairn
Poland
Portugal
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Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
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Saint Lucia
Saint Martin
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Samoa
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Saudi Arabia
Senegal
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Slovakia
Slovenia
Solomon Islands
Somalia
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South Georgia
South Korea
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Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
PLEASE READ COMPLETE APPLICATION PRIOR TO COMPLETION.
If your application is approved you will be required to pay a Reservation Fee equal to 2 weeks rent. The fee will be allocated towards rent once the Tenancy Agreement has been signed
*Please note: That the fee will not be refunded, if you fail to proceed with the Tenancy once approved.
ALL SECTIONS OF THIS FORM MUST BE COMPLETED BEFORE IT CAN BE PROCESSED
(If you are having difficulties completing this application please contact the office.)
In order for your application to be processed you MUST provide the following documentation.
Driver’s Licence or Photo ID
Medicare Card
Bank Card
2 Recent Pay Slips
Bank Statement
2 Current Bills(electricity, phone, car rego etc.)
Current rental ledger (if renting through an agent) OR Rent receipts (if renting privately)
Important: Current & Previous landlord references & rent receipts/ ledger must also be provided.
Non-returnable copies must be attached to your application prior to the application being submitted to the Landlord.
All properties are to be inspected before application can be processed.
*PLEASE BE ADVISED*
ONLY SUCCESSFUL APPLICANTS WILL BE CONTACTED
Applicant 1 Name
*
First
Last
Applicant 2 Name
*
First
Last
PROPERTY DETAILS:
Address of Property
Rent per week: $
Bond
Address of Property
Rent per week: $
Bond
Please note bond is calculated: week rent $ x 52 ÷ 12 = $
Have you inspected the property?
Yes
No
Date Inspected
MM
DD
YYYY
When can you move in?
MM
DD
YYYY
Lease Term
Number of people occupying property
**Please note that some landlord do no except properties to be leased out for 6 months, even upon request
How many people will be living at the property:
Adults
Children
Ages
Do you have a lawn mower?
Yes
No
If you do not have a lawn mower how do you intend to maintain the properties lawns?
Do you have any pets?
Yes
No
Details of any pets: (to be approved by Landlord)
Type
Breed
Council Rego Number
How will you be paying the rent?
Weekly
Fortnightly
Monthly
Paying Method
Direct Debit from Centrelink-Centrepay
Direct deposit into Gordon Agencies Trust A/c
Will the Bond be:
Your own
DOH
PERSONAL DETAILS –
APPLICANT No1
Applicant No1
First
Last
Current Address
Postal Address
Phone Numbers
Home
Work
Mobile
Email
Marital Status
Single
Married
Widowed
Date of Birth
MM
DD
YYYY
License No.
Car Rego No:
Passport No:
CURRENT TENANCY DETAILS
Length of time at current address
(Indicate years of residency)
Rent Paid
Reason for leaving
Name of Landlord/Agent
Phone
Address of Landlord/Agent
Phone number of Landlord/Agent
PREVIOUS RENTAL HISTORY
Previous Address
Length of time at the above address
(Indicate years of residency)
Rent Paid
Bond refunded in full
Yes
No
Why?
Name of Landlord/Agent
First
Last
Address of Landlord/Agent
Phone number of Landlord/Agent
CURRENT EMPLOYMENT
Occupation
Current Employer/Business Name
Employers/Business Address
Employment Contract
Full Time
Part Time
Casual
Contact Name (pay roll/ manager)
Phone
Length of Employment
Net Weekly Income
CENTRELINK
Centrelink Benefit Type
CRN
Payment $
Copy of Statement Attached
PREVIOUS EMPLOYMENT
Occupation
Previous Employer/Business Name
Employers/Business Address
Contact Name (pay roll / manager)
REFEREES (NOT FRIENDS OR RELATIVES)
Business Referee
Relationship
Phone
Business Referee
Relationship
Phone
Business Referee
Relationship
Phone
EMERGENCY CONTACT
Name
Relationship
Address
Phone
EMERGENCY CONTACT- Someone who doesn’t live with you.
Name
Relationship
Address
Phone
CURRENT TENANCY DETAILS
Length of time at the above address
(Indicate years of residency)
Rent Paid
Reason for leaving
Name of Landlord/Agent
Phone
Address of Landlord/Agent
Phone number of Landlord/Agent
PREVIOUS RENTAL HISTORY
Previous Address
Length of time at the above address
(Indicate years of residency)
Rent Paid
Bond refunded in full
Yes
No
Why?
Name of Landlord/Agent
Address of Landlord/Agent
Phone number of Landlord/Agent
CURRENT EMPLOYMENT
Occupation
Current Employer/Business Name
Employers/Business Address
Employment Contract
Full Time
Part Time
Casual
Contact Name (pay roll/ manager)
Phone
Length of Employment
Net Weekly Income
CENTRELINK
Centrelink Benefit Type
CRN
Payment $
Copy of Statement Attached
PREVIOUS EMPLOYMENT
Occupation
Previous Employer/Business Name
Employers/Business Address
Contact Name (pay roll / manager)
REFEREES (NOT FRIENDS OR RELATIVES)
Business Referee
Relationship
Phone
Business Referee
Relationship
Phone
Business Referee
Relationship
Phone
EMERGENCY CONTACT
Name
Relationship
Address
Phone
EMERGENCY CONTACT- Someone who doesn’t live with you.
Name
Relationship
Address
Phone
FREE UTILITY CONNECTIONS
– Please complete all sections of this application to enable us to connect your utilities.
Applicant Details
Name
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Prefix
First
Last
Date of Birth
MM
DD
YYYY
Phone Number
Mobile Number
Property Details
Property Manager
New Property Address:
Move in date
MM
DD
YYYY
Connection date
MM
DD
YYYY
YourPorter is a FREE service connecting utilities and other services.
If the Agent approves this application, YourPorter will be contacting you by phone, SMS, or email for the purposes of assisting you to connect your utilities within 24 hours of receiving this application for next business day connection.
Electricity
Gas
Telephone
Pay TV
Internet
Car Insurance
Life Insurance
Health Insurance
Home & Contents
Home Loans
DECLARATION AND ACCEPTANCE:
I/We consent to the disclosure of this application form (including any personal information contained in this form) to YourPorter Pty Ltd (ABN 36 252 576 050) for the purpose of allowing YourPorter and its service providers to contact me for the connection of services as offered by YourPorter.
I/We acknowledge that if I/We do not provide my/our personal information, YourPorter will not be able to provide these services to me/us. YourPorter will ensure that my/our personal information is collected, used, held and disclosed in accordance with the requirements of the Privacy Act 1988 (Cth).
I/We acknowledge that YourPorter may receive a benefit in relation to the connection of any of the services listed above. I/We consent to YourPorter contacting me by phone or SMS in relation to the connection of the services listed above. I/We acknowledge that this consent permits YourPorter to contact me even if the numbers listed on this application are listed on the Do Not Call Register. YourPorter will otherwise collect, hold, use and disclose personal information in accordance with their privacy policies, which are available at www.yourporter.com.au/general/privacy-policy/.YourPorter is a free service, but l/We acknowledge that standard connection fees may apply for services connected (in addition to the ongoing service fees).
I/We acknowledge that neither YourPorter nor the Agent accept any responsibility for any delay in or failure to arrange or provide for any connection of a service or for any loss, damage, cost or expense in connection with such delay or failure. By signing this application, I/We understand YourPorter is a value add product and that I/We are under no obligation to use YourPorter.
Signature
Date
MM
DD
YYYY
PRIVACY DISCLOSURE STATEMENT / TICA REFERENCE
We are an independently owned and operated business. We are bound by the National Privacy Principles. We collect personal information about you in this form to assess your application for a residential tenancy. We may need to collect information about you from your previous landlords or letting agents, your current employer and your referees. Your consent to us collecting this information is set out below.
We may disclose personal information about you to the owner of the property to which this application relates. If this application is successful we may disclose your details to service providers and tradesmen relevant to the tenancy relationship, including maintenance contractors and the landlord’s insurers. We may also send personal information about you to the owners of any other properties at your request. You have the right to access personal information that we hold about you by contacting your Property Manager.
If you do not complete this form or do not sign the consent below, then your application for a residential tenancy may not be considered by the owner on the property or, if considered, may be rejected. Should this application not be accepted, the agent is not required or obligated to disclose why or supply any reason for the rejection of this application.
PRIVACY CONSENT
I the applicant/s, acknowledge that I/we have read and understand the Privacy Disclosure Statement and Collection Notice of Gordon Agencies. I authorised Gordon Agencies to collect information about me from: My previous letting Agents and/or Lessors: My personal referees, employers and all other references on this application.
I authorise Gordon Agencies to disclose details about any defaults by me under the tenancy to which this application relates to. I authorise Gordon Agencies to refer my name and contact details to arrange, or service provider including Tradespeople ( to attend to work required at this property), Salespeople (primary and secondary Agents), Valuers, the Lessor, other agents, database operators, other Property Managers, body corporate officers, insurance companies, financial services and to authorities as required by law. I agree to be contacted by electronic and or SMS methods.
I, the applicant/s, do solemnly and sincerely declare that the above information in my application is true and correct and that I/we have supplied the above information of our own free will. I/we confirm that during my inspection on the property I/we found it to be in a satisfactory condition.
I also acknowledge that the agent in question cannot confirm that any phone lines to the property are operable or able to be connected. I/we understand that it is my responsibility to check with the telephone provider before proceeding with the tenancy to confirm the situation with the phone line.
Ensure the main switch is in the off position for power connection remains the responsibility of the tenant.
By signing below I/we acknowledge that I/we have Read, Understood and Agree with the above Tenancy Privacy Statement / Collection Notice and that all of the above information is true and correct.
TENANT 1. SIGNATURE
Date
MM
DD
YYYY
TENANT 2. SIGNATURE
Date
MM
DD
YYYY
Home
Buy
Residential
Tips on Buying a Home
Rent
Residential
Commercial
Becoming a Good Renter
Property Management
Tenancy Application
Maintenance Request
Becoming a NEW Landlord
Sell
Why Gordon Agencies?
Selling with Gordon Agencies
Free Market Appraisal
Home Sellers Tips
Seller Testimonials
Resources
Water Trading
Blogs
About Us
Get in touch
03 50246855
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