Fillable Tenancy Application Form (Australian National University)

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Tenancy Application Form (Australian National University)

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The Tenancy Application Form (Australian National University) form is 6 pages long and contains:

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  • 50 check-boxes
  • 205 other fields

Country of origin: AUSTRALIA
File type: PDF

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NATIONAL HOUSING GROUP | APPLICATION FORM PAGE 1 OF 6
Tenancy Application Form
Date Applied:
Property you are applying for:
Please note that we require the following in order to process your application:
1. This application form to be completely filled out
2. Proof of Income (refer to below)
3. 100 points of ID
Proof of Income
You must provide proof of income (less than 2 weeks old) for:
• Yourself; and
• All others who will be living with you aged 16 years and over; and
• Others named on your registration who are aged under 16 who receive an independent income.
Acceptable forms of income include:
Statement of Income for Housing from Centrelink showing the benefit paid in the previous fortnight.
Statement / letter from Centrelink, Veterans Affairs, Austudy or other Government department confirming current pension / benefit payments.
Employer’s Declaration Form (phone 131 299 for a copy).
Current payslip showing gross wages (including overtime) with year to date earnings, or 6 to 8 weeks recent consecutive pay slips.
PAYG or Group Certificate
Current letter / statement from your employer showing current or average gross weekly income.
For self employed people – copy of the most recent tax return showing the net business income (gross income minus expenses) divided by 52 to
determine average weekly income.
For self employed people – letter from a Certified Practising Accountant or Tax Consultant showing personal gross weekly income.
Statutory declaration signed from registrant’s parents where income is provided by the parent, stating the weekly / monthly financial support provided
and value of any other support provided.
100 Points of ID
Applicant One
Please Tick
Applicant Two
Please Tick
Identification Required Point Value
Current Passport 70
Birth Certificate 70
Australia Citizenship Certificate 70
Drivers Licence 40
Centrelink Card 40
Tertiary Education Student Card 40
Previous Tenancy Reference 25
Prev. Rental Payment History 25
Motor Vehicle Rego Certificate 25
Bank Statement 25
Telephone Account 25
Electricity Account 25
Gas Account 25
NATIONAL HOUSING GROUP | APPLICATION FORM
PAGE 2 OF 6
Applicant 1
About You
Title (eg, Mr, Mrs, Miss, Ms): Family Name:
Given Name:
Other names you have been
known by (eg. Maiden Name)
Date of Birth:
Driver’s license Number or
Passport number:
Car Registration Number: Pension no:
Home Phone: Work Phone:
Mobile Phone: Email:
Emergency Contact Name: Emergency Contact Number:
Current Address
Address: Name of Landlord / Agent:
How long have you lived at this
address?
From To
Phone Number of Landlord /
Agent:
Rent Paid
Reason you are leaving this
address:
Was your bond refunded in full? If not, why?
Previous Address
Address: Name of Landlord / Agent:
How long have you lived at this
address?
From To
Phone Number of Landlord /
Agent:
Rent Paid
Reason you are leaving this
address:
Was your bond refunded in full? If not, why?
Current Employment
Name of Employer: Duration of Employment
Address of Employment Phone Number of Employer:
Position Held: Gross Wages per week:
Previous Employment (If you have been in your current employment for less than 12 months)
Name of Employer: Duration of Employment
Address of Employment Phone Number of Employer:
Position Held: Gross Wages per week:
Government Payments Received
Centrelink Customer Reference
Number:
Veteran Affairs File Number:
Amount of Payments Received
per week:
Centrelink Statement attached?
To application:
Other Income
Type Amount
References (Cannot be family or friends)
Contact Name Phone Number:
Contact Name Phone Number:
NATIONAL HOUSING GROUP | APPLICATION FORM
PAGE 3 OF 6
Applicant 2
About You
Title (eg, Mr, Mrs, Miss, Ms): Family Name:
Given Name:
Other names you have been
known by (eg. Maiden Name)
Date of Birth:
Driver’s license Number or
Passport number:
Relationship to Applicant 1: Pension no:
Home Phone: Work Phone:
Mobile Phone: Email:
Emergency Contact Name: Emergency Contact Number:
Current Address
Address: Name of Landlord / Agent:
How long have you lived at this
address?
From To
Phone Number of Landlord /
Agent:
Rent Paid
Reason you are leaving this
address:
Was your bond refunded in full? If not, why?
Previous Address
Address: Name of Landlord / Agent:
How long have you lived at this
address?
From To
Phone Number of Landlord /
Agent:
Rent Paid
Reason you are leaving this
address:
Was your bond refunded in full? If not, why?
Current Employment
Name of Employer: Duration of Employment
Address of Employment Phone Number of Employer:
Position Held: Gross Wages per week:
Previous Employment (If you have been in your current employment for less than 12 months)
Name of Employer: Duration of Employment
Address of Employment Phone Number of Employer:
Position Held: Gross Wages per week:
Government Payments Received
Centrelink Customer Reference
Number:
Veteran Affairs File Number:
Amount of Payments Received
per week:
Centrelink Statement attached?
to application:
Other Income
Type Amount
References (Cannot be family or friends)
Contact Name Phone Number:
Contact Name Phone Number:
NATIONAL HOUSING GROUP | APPLICATION FORM
PAGE 4 OF 6
Additional Household Members
Member 2
Member 3
Family Name:
Given Name:
Relationship to Applicant 1:
Gender
Date of Birth:
Mobile Phone:
Email:
Will this member be on the lease?
Current Address:
Current Employment
Name of Employer:
Position Held:
Duration of Employment
Address of Employment
Phone Number of Employer:
Gross Wages per week:
Previous Employment (If you have been in your current employment for less than 12 months)
Name of Employer:
Position Held:
Duration of Employment
Address of Employment
Phone Number of Employer:
Gross Wages per week:
Government Payments Received
Centrelink Customer Reference Number:
Veteran Affairs File Number:
Amount of Payments Received per week:
Centrelink Statement attached to
application:
Other Income
Type
Amount
NATIONAL HOUSING GROUP | APPLICATION FORM
PAGE 5 OF 6
Housing Preferences
Pets – please specify the type and number of pets you have
Dog Cat Bird Other
Number of Bedrooms
1 2 3 4
Please indicate the timeframe required for new housing arrangements:
Immediately 1-2 weeks 3-4 Weeks 4+ weeks
Please describe any other requirements you may have
Please indicate a maximum weekly rent that you are willing and can afford to pay. In determining this amount please take into account your current
financial situation (ie. Debts, expenses, disposable income etc).
How will you pay for your upfront rent?
Own Funds Borrowed Funds Housing Trust Other
How will you pay for your Bond?
Own Funds Borrowed Funds Housing Trust Other
Utility Connection – this is a FREE service that connects all your utilities.
Once we have received this application we will call you to confirm your details. Direct Connect will make all reasonable efforts to
contact you within 24 hours of the nearest working day on receipt of this Application to confirm the information on this Application and
explain the details of the services offered. Direct Connect is a utility one stop connection service.
Please Tick Utilities as required
Gas Electricity Phone Internet
Pay TV Insurance Removalist Cleaning Service
DECLARATION AND EXECUTION: By signing this application, I/we: consent to Direct Connect arranging for the connection and disconnection of the nominated utility services and to providing
information contained in this application to utility providers for this purpose; acknowledge having been provided with terms and Conditions of Supply of Direct Connect and having read and understood
them together with the Privacy Collection Notice set out below; declare that all the information contained in this application is true and correct and given of their own free will; expressly authorise
Direct Connect to provide any information disclosed in this Application to a supplier or potential supplier of the Services in accordance with the Privacy Collection Notice and to obtain any information
necessary in relation to the Services; expressly authorise Direct Connect to provide any information disclosed in this Application to an information provider for the purpose of that information provider
disclosing it to a supplier or potential supplier of the Services in accordance with the Privacy Collection Notice and to obtain any information necessary in relation to the Services; consent to Direct
Connect contacting me by telephone or by SMS in relation to the marketing or promotion of all of the services listed under the heading “Utility Connections” above even if we/I have not applied for the
connection of those services in this application. This consent will continue for a period of 1 year from the date of our/my execution of this application/until 28 days after we/I disconnect the last of the
services in respect of which this application is made; acknowledge that this consent will permit Direct Connect to contact us/me even if the telephone numbers listed on this application form are listed
on the Do Not Call Register; understand that under the requirements of the Privacy Act 1988, Direct Connect will ensure that all personal information obtained about me/us will be appropriately
collected, used, disclosed and transferred and will be stored safely and protected against loss, unauthorised access, use, modification or disclosure and any other misuse; authorise the obtaining of
a National Metering Identifier (NMI) for my residential address to obtain supply details; consent to Direct Connect disclosing my/our details to utility providers (including my/our NMI and telephone
number); declare and undertake to be solely responsible for all amounts payable in relation to the connections and/or supply of the Services and hereby indemnify Direct Connect and its officers,
servants and agents and hold them indemnified against any charges whatsoever in respect of the Services; acknowledge that, to the extent permitted by law, Direct Connect shall not be liable for any
loss or damage (including consequential loss and loss of profits) to me/us or any other person or any property as a result of the provision of the services or any act or omission by the utility provider
or for any loss caused by or in connection with any delay in connection, disconnection or provision of, or failure to connect or disconnect or provide, the nominated utilities; acknowledge that whilst
Direct Connect is a free service I/we may be required to pay standard connection fees or deposits required by various utility providers; acknowledge that the Services will be provided according to the
applicable regulations and that the time frames and terms and conditions of the nominated utility providers bind me/us and that after hours connections may incur additional service fees from utility
providers; acknowledge that the real estate agent listed on this application form may receive a benefit from Direct Connect in connection with the provision of the service being provided to me/us by
Direct Connect; and acknowledge the entitlement of Direct Connect and its associates, agents and contractors, to receive a fee or remuneration from the utility provider and that such fee or remuneration
will not be refunded to me as a rebate in connection with the provision of the utility connection services. By signing this application form, I warrant that I am authorised to make this application and to
provide the consents, acknowledgements, authorisations and other undertakings set out in this application form on behalf of all applicants listed in this application form.
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NATIONAL HOUSING GROUP | APPLICATION FORM
PAGE 6 OF 6
Terms and Conditions
I acknowledge that this application is subject to the approval of the owner/landlord. I declare that all information contained in this application (all pages) is true and correct and given of my own free
will.
I authorise the Agent to obtain personal Information from:
1. The owner or the Agent of my current, previous or future residence;
2. My personal referees and employer/s;
3. Any record listing or database of defaults by tenants;
If I default under a 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:
• communicate with the owner and select a tenant
• prepare lease/tenancy documents
• allow tradespeople or equivalent organisations to contact me
• lodge/submit with any relevant Government Department
• lodge/claim/transfer to/from a Bond Authority
• refer to Tribunals/Courts & Statutory Authorities (where applicable)
• refer to collection agents/lawyers (where applicable)
I am aware that if 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 I may access personal information on the contact details above. National Housing Group is an Affordable Housing Provider. The tenant accepts that their lease is subject to the tenant meeting
certain eligibility criteria as assessed by us. The tenant further accepts that this lease cannot be accepted until the supporting documentation as requested by us, to assess said criteria, has been
provided to our satisfaction. Tenants acknowledge that we rely on the information provided in their application and communications from time to time, to assess the eligibility and suitability to enter
into a lease. Tenants agree to advise us of any changes to household income and composition. To ensure the accuracy and integrity of the information provided, Tenants consent to the
transposition and use of this information to pre-fill any forms and action any compliance obligations that the tenant is responsible for.
I am aware that the Agent will use my email or forwarding address to serve notices.
The applicant acknowledges:
1. that the landlord’s insurance will not cover the tenant’s contents and it is advised that the tenant should obtain contents and public liability insurance
2. that the terms and conditions were available at the time of applying as these form part of the tenancy agreement
3. that possession of the property will not take place until the tenancy agreement is signed by the applicant and a security bond and rent in advance is paid
I confirm that the above information is true and correct and I accept the authorisations and agreements as set out above.
Full Name of
Applicant 1
Signature of
Applicant 1
Date
Full Name of
Applicant 2
Signature of
Applicant 2
Date
Please return completed Application Forms via one of the following methods:
Electronic: Press the submit button at the top of this form and email your supporting documents to applications@nationalhousinggroup.com.au
Email: applications@nationalhousinggroup.com.au
Fax: (02) 8078 4328
Post: Suite 303/12 Century Cct, BAULKHAM HILLS NSW 2153
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Tenancy Application Form (Australian National University)

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Completed 5 December 2021

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