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Application Acknowledgment (Australian National University)

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Excellence Property Management - Residential Tenancy Application Form | excellencepm.com.au | info@excellencpm.com.au 1
Residential Tenancy Application Form
Application Acknowledgment
Property: Date:
We understand you may be little frustrated at this point because some agents can take days or even weeks to
process an application.
Please rest assured, this won’t happen with us at Excellence Property Management. If all of your documentation
is correct and we can get in contact with your referees, we will process your application and have an answer for
you within 1 business day – NO MORE!
However, we do nd that some people may submit multiple applications or may not be fully committed when
submitting an application so, we want to ensure you’re fully committed and ready to go BEFORE we spend hours
processing your application for you.
1. I understand that submitting an application is a written and legal offer to rent the property stated above on the
terms I have listed in my application and that if this is accepted by the owner, they can by law enforce payment.
2. I confirm that I have my bond and first 2 weeks of rent, ready in cleared funds in my account, ready to pay the
agent immediately if my application is accepted.
3. I understand that I am not able to rent this property without inspecting it personally, or having a friend or family
member inspect it on my behalf
If you have answered no to either of the questions listed above, please do not submit your application.
Name:
Signed: Date:
Name: Signed: Date:
Upon receiving your application, if all of your documentation is correct, to speed up the process we will
book in a tentative day/time for you to pay your bond and rst 2 weeks rent and sign your lease agreement
(Tenancy Induction).
YOUR TENANCY INDUCTION is booked for:
Day:
Time:
Please complete the questionnaire below. Pursuant to a Tenancy Application lodged with us by one of your
current/former tenants.
Applicant Full Name(s):
do(es) hereby consent to the following questionnaire being completed honestly by former landlord(s) and/or
managing agents, and returned to Excellence Property Management (email: admin@excellencepm.com.au),
together with a copy of the rental ledger, as quickly as possible.
Applicant’s Signature:
Date:
Applicant’s Signature: Date:
Residential Tenancy Application Form
Request for Rental Reference (Tenants only ll in your name and sign).
Previous Property:
Date:
TENANCY
DETAILS
Yes No
Yes No
From:
To:
Were the above applicant(s) listed as tenants?
Were PETS kept?
Rental Period:
Weekly Rent:
$
per week
PAYMENT
Was rent paid on time? Always Sometimes Never Other
If OTHER, please elaborate:
Was a Termination/Eviction Notice ever issued for arrears? Yes No
Enforced?
Yes No
CARE OF
PREMISES
How would you rate the tenants care of the premises?
Were routine inspections done? Yes No
\Were there any concerns?
Yes No
If yes for concerns, please detail:
CONDUCT &
BREACHES
Was the tenant co-operative? Yes No
Was the tenant considerate?
Yes No
If NO, please elaborate:
Did the applicant breach the Residential Tenancy Agreement? Yes No
If YES, please elaborate:
END OF
TENANCY
& THE
RENTAL
BOND
Who ended the tenancy: Landlord/Agent Tenant Notice not yet given
If there was a specic reason, please elaborate:
Was the premises left clean and undamaged? Yes No Not vacated yet
Was the tenant recalled to attend to any items?
Yes No
If yes, what were they?
Was the Rental Bond returned in full? Yes No Not yet refunded
If NO, please detail claim:
Would you rent to this tenant again? Yes No
Additional comments (either way):
PLEASE RETURN ASAP to: reception@excellencepm.com.au
Excellence Property Management - Residential Tenancy Application Form | excellencepm.com.au | reception@excellencepm.com.au 2
Excellence Property Management - Residential Tenancy Application Form | excellencepm.com.au | reception@excellencepm.com.au 3
Residential Tenancy Application Form
Tenancy Application Form - Disclosure Agreement
Name:
PRIVACY DISCLOSURE STATEMENT
We are an independently owned and operated business and are bound by the National Privacy principles. We
collect personal information about you in this form to assess your Application for Tenancy. We may need to collect
information about you from your previous lessors or letting agents, your employer and referees. We will also check
if details of tenancy defaults by you are held on a tenancy database. Your consent for us to collect the information
is set out below in the Privacy Consent section.
COLLECTION NOTICE
The personal information you provide in this application or our agency collects from other sources is necessary for
Excellence Property Management to verify your identity, to process and evaluate the application and to manage the
tenancy. If the application is successful, personal information collected about you in this application and during the
course of your tenancy, may be disclosed for the purpose for which it was collected to other parties including the
lessor, referees, other agents and third party operators of tenancy databases. Information already held on tenancy
databases may also be disclosed to our agency and/or the lessor.
If you enter into a General Tenancy Agreement and if you fail to comply with your obligations under the agreement,
the facts and other relevant personal information collected about you during the course of your tenancy may also be
disclosed to the lessor, third 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 Ocer. You can also correct this information
if it is inaccurate, incomplete or out of date. If your application is not successful it will be stored securely for a
period of one month only. If you decide not to collect your application we 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 tenancy may not be considered by the owner of the relevant property or, if considered, may be rejected, due to
insucient information to assess the application.
PRIVACY CONSENT
I acknowledge that I have read the above Privacy Disclosure Statement and Collection Notice of Excellence Property
Management. I authorise Excellence Property Management to collect information about me from:
• My previous letting agents and/or lessors;
• My personal referees, employers and all other references on this application;
• Tenancy databases to which Excellence Property Management subscribes. I can refer to their Privacy Disclosure
Statements via: www.tica.com.au and www.ntd.com.au
I authorise Excellence Property Management 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, insurance
companies, nancial services, if required in the future, and to authorities as required by law.
MARKETING CONSENT
I understand that the agency may need to contact me about property related information e.g. properties for rent
or for sale or other services which may interest me. I am the telephone account holder or nominated person
by the account holder and agree Excellence Property Management to use the phone details provided below to
contact me for marketing purposes until I advise otherwise.
UTILITY CONNECTIONS
It is agreed by ticking this box, consent is given to receive any documentation relevant to the tenancy by electronic
communication methods such as email or facsimile and the method of receiving advice or notication by SMS is
accepted.
ELECTRONIC TRANSMISSION
It is agreed by ticking this box, consent is given to receive any documentation relevant to the Tenancy by electronic
communication methods such as email or facsimile and the method of receiving advice or notication by SMS is
accepted.
ACKNOWLEDGE AND CONSENT BY APPLICANT
Name:
Signed: Date:
Excellence Property Management - Residential Tenancy Application Form | excellencepm.com.au | reception@excellencepm.com.au 4
PART 1: RENTAL PROPERTY DETAILS
Residential Tenancy Application Form
Application for Residential Tenancy
(One application is to be completed per person).
ITEM 1
AGENCY DETAILS
Excellence Property Management
669 Flinders Street, Townsville City QLD 4810
Phone:
07 4408 8062 Email: info@excellencepm.com.au Website: excellencepm.com.au
ITEM 2
PROPERTY DETAILS
Address:
Suburb: State: Postcode:
Rent:
$ Rent period: Weekly Fortnightly Monthly Bond: $
Tenancy term: Fixed term Periodic agreement
Starting on:
Ending on:
ITEM 3
Date of birth:
Yes No
Home phone:
State:
CONTACT DETAILS
Full name:
Have you been known by any other names(s)?
If yes, what other name(s) have you been known by?
Work phone: Mobile:
Email:
Driver’s licence:
Passport number:
Number of vehicles:
Registration number(s):
ITEM 4
DEPENDANTS
Do you have any dependants?
Yes No
DEPENDANTS FULL NAME(S): RELATIONSHIP TO APPLICANT: DATE OF BIRTH:
ITEM 5 SMOKING
Are you a smoker?
Yes No
ITEM 6
PETS
Do you intend to keep pets at the property?
Yes No
Type of pet/s:
Are your pets registered with a council? Yes No
If YES, please state which council:
ITEM 7 APPLICANTS ADDRESS HISTORY
Current residential address:
Suburb: State: Postcode:
Period of occupancy: Rent Owner Other:
Current agent’s/lessor’s name (If renting):
Agent/lessor’s phone: Email: Fax:
Current rent: $ Rent period: Weekly Fortnightly Monthly
Reason for leaving:
PART 2: APPLICANT DETAILS
State:
Excellence Property Management - Residential Tenancy Application Form | excellencepm.com.au | reception@excellencepm.com.au 5
Residential Tenancy Application Form
Application for Residential Tenancy (Continued)
ITEM 7 APPLICANTS ADDRESS HISTORY
Previous residential address:
Suburb: State: Postcode:
Period of occupancy: Rent Owner Other:
Previous agent’s/lessor’s name (If renting):
Agent/lessor’s phone: Email: Fax:
Previous rent: $ Rent period: Weekly Fortnightly Monthly
ITEM 8
EMPLOYMENT DETAILS
Are you employed?
Yes No
If no, please provide details of previous employer, if any:
Employment status: Full time Part time Casual Contract Self employed
Occupation:
Net income p/w: $
Date commenced employment (Approx): Date terminated (If applicable):
Employers business name:
Address:
Suburb: State: Postcode:
Phone: Fax: Email:
If self employed, accountants name: Phone:
ITEM 9 CENTRELINK PAYMENTS
Are you receiving Centrelink payments?
Yes No
Description of payments:
Total income per week: $ Date commenced:
ITEM 10 STUDENT DETAILS
Are you studying full time?
Yes No
Name of education institution you are currently attending:
Student identication number:
Are you an overseas student?:
Yes No If yes, Visa expiry date:
ITEM 11 PERSONAL REFERENCES
Please do not list relatives, another applicant or partners, and provide business hours contact numbers.
Referee 1
Name:
Relationship:
Address:
Suburb: State: Postcode:
Work phone: Mobile: Email:
Referee 2
Name:
Relationship:
Address:
Suburb: State: Postcode:
Work phone: Mobile: Email:
PART 2: APPLICANT DETAILS
Excellence Property Management - Residential Tenancy Application Form | excellencepm.com.au | reception@excellencepm.com.au 6
Residential Tenancy Application Form
Application for Residential Tenancy (Continued)
ITEM 12
EMERGENCY CONTACTS
Emergency contact need to be someone who is not residing at the property.
Representative 1
Name:
Relationship:
Address:
Suburb: State: Postcode:
Work phone: Mobile: Email:
Representative 2
Name:
Relationship:
Address:
Suburb: State: Postcode:
Work phone: Mobile: Email:
PART 2: APPLICANT DETAILS
PART 3: SUPPORTING DOCUMENTS
ITEM 13 IDENTIFICATION
You are required to meet a 100 point identicaiton criterion upon submission of your application.
The agent/lessor may photocopy any item and retain it/them as part of your application.
Please tick the identifying documents you have provided with your application.
IMPORTANT: At least one form of photo identication MUST be provided.
70 Points
Passport Full birth certicate Citizenship certicate
40 Points
Australian driver’s licence Student photo ID Department of Veterans Aairs card
Centrelink card Proof of age card State/Federal Government photo ID
25 Points
Medicare card Council rates notice Motor vehicle registration
Telephone bill Electricity bill Gas bill
Tenancy history ledger Bank statement Credit card statement
Last FOUR rent receipts Rent bond receipt Previous tenancy agreement
ITEM 14
PRO
OF OF IN
COME
Y
ou are required to supply the agent/lessor with proof of your income upon submission of your
application.
- Last TWO pay slips
- Bank statements, Group Certificate, T
ax Return or Accountant’s letter.
- Centrelink statement.
Residential Tenancy Application Form
Application for Residential Tenancy (Continued)
PART 4: DECLARATION
ITEM 15 PLEASE DECLARE THE FOLLOWING BY SELECTING TRUE OR FALSE
I, the applicant,
• Have never been evicted by an agent/lessor:
True False
• Have no known reasons that would aect my ability to pay rent:
True False
• Was refunded the rental bond for my last address in full (If applicable):
True False
If false, please advise what deductions were made from your bond:
• Have no outstanding debts to another agent/lessor: True False
If false, why are you in debt to your past agent/lessor?
PART 5: TENANCY DATABASES
ITEM 16
The agency may use the following tenancy databases to check the rental history of the
applicants:
PART 6: ACKNOWLEDGMENT
Please acknowledge the following by selecting either YES or NO.
I, the applicant,
1. Acknowledge that my personal contents insurance is not covered under any lessor insurance
policy/s and understand that it is my responsibility to insure my own personal belongings:
Yes No
2. Understand that you as the agent/lessor have collected this information for the purpose of
determining whether I am a suitable tenant for the property - in particular to check my
identication, my ability to care for the property, my character and my creditworthiness:
Yes No
2.1 for such purposes, I authorise you to contact the persons named in this application, and to
undertake such enquiries and searches (including tenancy database searches) as you consider
reasonably necessary.
Yes No
2.2 in doing so, I understand that information provided by me may be disclosed to , and further
information obtained from, referees named in this application and other relevant third parties.
Yes No
3. Acknowledge and accept that if this application is denied, the agent is not legally obliged to
provide reasons as to why.
Yes No
4. Consent and understand that should my tenancy be accepted and upon commencement of the
tenancy agreement, there may be cause for the agent/lessor to pass my details onto others which
may include (but is not limited to) insurance companies, body corporates, contractors, other real
estate agents, salespeople and tenancy default databases.
Yes No
5. Acknowledge that I have received and reviewed the General Tenancy Agreement (Form 18a),
the Standard terms and any special terms before completing this application.
Yes No
6. Acknowledge that I have received or have available, the Information Statement (Form 17a),
body corporate by-laws (if applicable) before completing this application.
Yes No
7. Acknowledge that I have signed the agency’s Privacy Notice and Consent.
Yes No
8. Acknowledge that the lessor and applicant (tenant) are bound by this agreement immediately
upon communication of either the lessor or agent’s acceptance of the application.
Yes No
9. Consent to the use of email and facsimile in accordance with the provisions set out in Chapter 2 of the
Electronic Transactions (Queensland) Act 2001 (Qld) and the Electronic Transactions Act 19999 (Cth).
Yes No
10. Declare that the above information is true and correct and that I have supplied it of my own free will.
Yes No
Name of applicant:
Signature: Date:
Excellence Property Management - Residential Tenancy Application Form | excellencepm.com.au | reception@excellencepm.com.au 7
TICA
Excellence Property Management - Residential Tenancy Application Form | excellencepm.com.au | reception@excellencepm.com.au 8
Residential Tenancy Application Form
Request To Sign Tenancy Agreement Without Inspecting
The Property (Only complete if you are renting a property without inspecting it).
Property: Date:
Applicants Name/s:
I/we have submitted applications for tenancy for the above property. If approved as tenant/s, I/we request to sign a
General Tenancy Agreement without inspecting the property personally and confirm the following:
• I/we agree that we have had a friend of family member inspect the property on our behalf and have based our
application, solely on their representation of the property and not the agents or any of the advertising information
available.
• I/we have viewed details and photos of the property advertised by the agent and understand it cannot equal
representation of the property as an inspection on site by my/ourselves would.
• I/we understand that by signing this document I/we have agreed to take the property as it is, regardless of what
state the property is in when I/we collect the keys.
• I/we cannot hold Excellence Property Management of the Lessor accountable for the presentation of the
property as I/we have knowingly agreed to take the risk of signing the lease on a property sight unseen (i.e.
lawns, cleaning, wear and tear etc.)
• I/we understand and take full responsibility to take the property sight unseen and the risks that relate to this.
Acknowledgment - All applicants are to complete the following section:
Name:
Signed: Date:
Name: Signed: Date:
Name: Signed: Date:
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Application Acknowledgment (Australian National University)

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Completed 4 January 2022

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