1a. What is the address of the property you would like to rent?
2.
Lease commencement date?
3.
Lease term?
4.
How many tenants will occupy the property?
Adults
Day
Month
Year
Years
Months
Children
Ages of
Children
Property Manager:
McDonald Upton
Address: 1112 Mt Alexander Road, Essendon, VIC 3040
Phone: (03) 9375 9379
Fax: (03) 9379 2655
website: mcdonaldupton.com.au
email: info@mcdonaldupton.com.au
Residential Application Form
For your application to be processed you must answer all questions
(including the reverse side)
C. PERSONAL DETAILS
B. PROPERTY DETAILS
A. AGENT DETAILS
D. UTILITY CONNECTIONS - this is a free service
Mr Ms Miss Mrs Other
Surname Given name/s
Postcode
Postcode
Date of Birth
Driver's licence number
Driver's licence expiry date Driver's licence state
Passport no.
Passport country
Pension no. (if applicable) Pension type (if applicable)
Home phone no.
Mobile phone no.
Work phone no. Fax no.
Email address
5. Please give us your details
6. Please provide your contact details
7. What is your current address?
/ /
/ /
I hereby offer to rent the property from the owner under a lease to be prepared by the
Agent. Should this application be accepted by the landlord I agree to enter into a
Residential Tenancy Agreement.
I acknowledge that this application is subject to the approval of the owner/landlord. I
declare that all information contained in this application (including the reverse side) is
true and correct and given of my own free will. I declare that I have inspected the
premises and am not bankrupt.
I authorise the Agent to obtain personal information about me from:
(a) The owner or the Agent of my current or previous residences;
(b) My personal referees and employer/s
(c) Any record listing or database of defaults by tenants such as NDT, TICA or TRA for
the purpose of checking your tenancy history;
I am aware that I may access my personal information by contacting;
NTD: 1300 563 826
TICA: 1902 220 346
TRA: (02) 9363 9244
If I default under the rental agreement, I agree that the Agent may disclose details of any
such default to a tenancy default database, and to agents/landlords of properties I may
apply for in the future.
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 a Bond Authority
(e) refer to Tribunals/Courts & Statutory Authorities (where applicable)
(f) refer to collection agents/lawyers (where applicable)
(g) complete a credit check with NTD (National Tenancies Database)
(h) transfer water account into my name
I am aware that if the information is not provided or I do not consent to the uses to
which personal information is put, The Agent cannot provide me with the lease/
tenancy of the premises.
I am aware that the agent will disclose my personal information to YourPorter for the
purposes of transferring the water account into my name. This will enable YourPorter to
connect all accepted tenants to relevant water boards for water usage where permitted.
Signature of The Applicant Date
YourPorter is a FREE service connecting utilities and other services.
If the Agent approves this application, YourPorter will connect your water,
where permitted, for the purpose of usage charges at your new property on behalf
of the Real Estate Agent. 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.
Telephone: 1300 400 600
Fax: 1300 326 468
www.yourporter.com.au
Car Insurance
Electricity
Telephone
E. DECLARATION
X
Date Signature of The Applicant
X
/ /
//
Life Insurance
Gas
Pay TV
Home & Contents
Home Loans
Water
Internet
Health Insurance
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.
DECLARATION AND ACCEPTANCE:
$
per week per month
1b. Property Rental
