Rental Tenancy Application Form

Property Details
Address of Property for Application*
Names of all applicants*

Applicant Details
Name*
First Last
Email*
Phone*
Age*
Car Rego #*

Occupation Details
Company Name
Contact Name
Address*
Street Address City State Post Code
Current Occupation
Income p/w
Yearly Income*
Please Select*
- Casual
- Part Time
- Full Time

Self Employed Details
Company/Business Name
ABN/ACN:
Industry
Years
Months
Annual Income $
Years
Accountant Name
Phone Number
Email Address
Studying
Studying
- Full Time
- Part-time
Place of Study & Course
Income p/w $

Current Accomodation
Address
Lessor / Agent
Phone
Reason for leaving
Rent p/w $
Email Address
Do you expect to get the bond back in full
- Yes
- No
Why?
Months Occupied

Previous Accomodation
Address
Lessor / Agent
Phone
Reason for leaving
Rent p/w $
Email Address
Do you expect to get the bond back in full
- Yes
- No
Why?
Months Occupied

Personal Reference (not a relative, employer, or landlord)
Name
Name
Phone
Known for how many yrs?
Relationship
Pet/Animal Request
Species
Breed
Pet's Name
Name
Colour
Age
Weight in kgs
- Male
- Female
- Indoor Pet
- Outside Only PET
Reg#
Attach Photo

Identification and Supporting Documents
Driver’s License - Front
Driver’s License - Back
Passport - Front Cover
Passport - Personal Details Page
Pay Slip 1
Pay Slip 2
Bank Statement 1
Bank Statement 2
Bank Card
Medicare Card
Mail 1 – Showing Current Address
Mail 2
Other Supporting Items 1
Items 2

Collection Notice
The personal information you provide in this application or that our Agency collects from other sources is necessary for Julies Realty to verify your identity, to process & evaluate the application & to manage the tenancy. If the application successful, personal information collected about you in this application & during the course of your tenancy, may be disclosed for the purpose for which it was collected to other parties including the Lessor’s, referees, other Agents & third party operators of tenancy reference databases. Information already held on tenancy databases may also be disclosed to Julies Realty and/or the Lessor. If you enter into a Residential Tenancy Agreement & if you fail to comply with your obligations under this agreement, the facts & other relevant personal information collected about you during the course of your tenancy may also be disclosed to the Lessor, their party operators of tenancy databases and/or other Agents. You have the right to access personal information that we hold about you by contacting our Privacy Officer. You can also correct this information if it is inaccurate, incomplete or out of date. If your application is not successful it will not be stored. If you decide not to collect your application Julies Realty will destroy your documents to comply with privacy legislation. If you do not complete this form or do not sign the consent below, then your application for residential tenancy may not be considered by the owner of the relevant property or, if considered, may be rejected due to insufficient information to assess the application
Consent To Receive Electronic Communication
The Electronic Transactions Act (Queensland) 2001 (Sections 11 and 12) requires a person to provide consent if they agree to receive information via electronic communication. The preferred email address for the person providing consent is as per the email address stated in Section 1 of this document. The Applicant acknowledges they provide consent to Julies Realty for the use of electronic communication as a method of communication with the applicant.
Privacy Consent
I, the applicant acknowledge that I have read the above Privacy Disclosure Statement and Collection Notice of Julies Realty. I authorise Julies Realty to collect information about me from: - My previous Letting Agents and/or Lessors -My personal referees, employers & all other references on this application - Any Tenancy Default Database (including TICA and NTD) which may contain personal information about me. I also Julies Realty to disclose details about any defaults by me under the tenancy to which this application relates, to any default database to which it subscribes including TICA and NTD. I authorise Julies Realty to refer my name and contact details to an arranger 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 operators, insurance companies, financial services (to assist with home loan applications if required in the future) and to authorities as required by law. I agree to be contacted by electronic and/or SMS methods.

Emergency Contact Person Not Living in the House
Name
Name
Relationship
Mobile #
Email

Rental Tenancy Application Form

Email

Phone

Step 1 of 12

Property Details

Applicant Details

Occupation Details

Self Employed Details

Studying

Current Accomodation

Previous Accomodation

Personal Reference (not a relative, employer, or landlord)

Pet/Animal Request

Submit Application

Identification and Supporting Documents

Disclaimer/Authority

Collection Notice

Consent To Receive Electronic Communication

Privacy Consent

Emergency Contact Person Not Living in the House