Residential Tenant Application

1. Applicant's Personal Information

Rental Property Details

2. Residential History

Present Address

Landlord / Agent Details

3. Employment

Details of Current Employment

4. Other Sources of Income

Do you receive income from any of the following sources?

Please provide contact persons who could verify the amount of income you receive:

5. References

6. Guarantor

7. Emergency Contact

8. Criminal & Credit Background Check Authorisation

Is there anything negative that we may find in our criminal or credit background check that you want to comment on?

9. Citizenship

10. Attachments

Allowed file types: .tif, .tiff, .png, .jpg, .jpeg, .bmp

I declare that the information I have provided is accurate. I authorise the individual or organisation to whom this application is submitted to: (a) contact my references and all other persons that I have named in this application; and (b) perform a credit and/or criminal check to asses my suitability as tenant/lessee.

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Please type your full name in the signature box below.