One Agency Collins Real Estate

Residential Tenancy Application Form

Along with the application form the following must be included:

 A current personal information report. Tasmanian residents can contact the Tasmanian Collection Service
Phone: (03) 6213 5555. Interstate applicants can contact Equifax (formerly Veda): MyCreditFile.com.au
(Equifax) Phone: 1300 762 207

 Photo identification – current driver’s license, proof of age card or passport

 Proof of income – 2 recent payslips or an income statement from Centrelink

 Details regarding pets and photograph to be provided (if pets are to reside at property)

Application forms and supporting documents can either be emailed to the property management department at
rentals@oneagencycollinsre.com.au or delivered to our office at 59 Best Street, Devonport.

If your application is unsuccessful, One Agency Collins Real Estate are under no obligation to disclose the
reasons. You will receive either a text message or a phone call to advise if you were successful or not.

To view all our current rental properties please visit our website www.oneagencycollinsre.com.au
Any questions please phone 6420 6000

a/b/c [Office use only]

Tenant Name: _______________________________________________________________

Date Application Submitted: _________________

Properties applying for in order of preference:

(1) ________________________________________________________________________

(2) ________________________________________________________________________

(3) ________________________________________________________________________

File Notes:

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 One Agency Collins Real Estate
Residential Tenancy Application Form
Properties Applying For: 2/207 Steele Street, Devonport Tas 7310,
Today’s Date: 05/07/2021
_____________________________________________
Proposed Start Date 12/07/2021

A 6 month lease will be offered unless specifically approved by owner for an extended length of time.

Applicant Details
Tenant ID Number (My Bond)
Full Name: Basit Kaleem
Email address abdulbasit29492@gmail.com My Bond Tenancy ID: 432186646
Home Phone ……………………………….Work Phone……………………….Mobile: 0422238525
Date of Birth 29-04-1992

Current Address: 6 Luck Street, Mowbray

Are you the owner or renter? Renter (shared house)
How long have you lived there? 1.5 year
Landlord / Agent name (if applicable): Adamas sunaryo
Landlord / Agent phone: 0458205337
Rent per week $100
Reason for Leaving: I wish to live together with my wife.
Was a Notice to Vacate issued? NO

Previous Address: unit 3/11 Henry Street, Ravenswood

Were you the owner or renter? Renter
How long did you live there? 1 year
Landlord / Agent name: Marie VU
Landlord / Agent phone: 0434202150
Rent per week $220
Reason for Leaving: House owner wanted to move in with her children.
Was a Notice to Vacate issued? YES

Occupancy Details
Marital Status: Married
Number of Persons to live in Residence: 2
Name of Adult/s: Basit Kaleem and Sawera Sajid
Name of Child/ren & Ages: NONE
Number of Pets NONE Dog/ Cat/ Other ……………………………Inside / Outside / Both
Breed of pet/s……………………………………………………………………Age…………… Desexed YES / NO
Name of pet/s……………………………………………………………………Council Reg…………………………
Vehicle Registration Number: BO3XR Vehicle Make & Model: FORD 2010
Do you smoke? NO Inside / Outside / Both (please circle)

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 Credit history
Do you have any outstanding accounts? No
Are you currently bankrupt? No
Have you ever been bankrupt? No

Emergency Contact
Next of Kin: Sarfraz Malik Relationship: Cousin
Address: 6 Luck Street, Mowbray
Phone:………………………………………………Mobile: 0422170109
Current Employment
If receiving Centrelink, please advise fortnightly income __________________________________________
Employer’s Name Nichols Poultry
Phone 0447722337
Manager / Supervisor name Trent Sheean
Manager / Supervisor phone number 0400486022
Your position Deputy Team Leader
Length of Employment 2 years
Employment Full time

Previous employment if current job less than 6 months

Previous Employer’s Name _________________________________________________
Address _________________________________________________
Phone _________________________________________________
Length of Employment _________________________________________________
If you are Self Employed or Own your own Business
Name of Business UBER/MENULOG/DOORDASH
ABN 83699398651
Address _______________________________________________
What is the nature of your business? UBER EATS
How long in this business? 2 YEARS
Do you run your business from home? _______________________________________________

Personal/ Business References (not relatives)

1) Name Sarfraz Malik
Address 6 luck street, Mowbray
Relationship Cousin
Contact Phone Number 0422170109
Known for How Long since childhood

2) Name Danish Naseer

Address 97 George Town Road, Newnham
Relationship colleague
Contact Phone Number 0424000730
Known for How Long 7 years

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 PRIVACY ACT (COMMONWEALTH) 1988 – COLLECTION NOTICE
This is a tenancy application form. Its purpose is to identify potential tenants. This form is not, nor does it form, any
part of a tenancy agreement. Should your application be successful, your rights and obligations and those of the
property owner will be governed by the Residential Tenancy Act 1997.

The personal information the prospective tenant provides in this application or that which is collected from other
sources is necessary for the Agent to verify the Applicant’s identity to process and evaluate the application and
effectively manage the tenancy.

The personal information collected about the Applicant may be disclosed, by use of the internet or otherwise, to other
parties, including the landlord, trades people referees, solicitors, financial institutions, media organizations, parties
engaged to evaluate the property, bodies corporate, other agents, clients of the Agent both existing and potential, third
party operators of tenancy reference databases, government and statutory bodies and other third parties as required
by law. Information already held on tenancy reference databases may also be disclosed to the Agent and/or landlord.
Unless you advise the Agent to the contrary, the Agent may also disclose such basic information to The Real Estate
Institute of Tasmania Ltd (REIT) for the purpose of documenting leasing data in the area for the benefit of its members
as part of membership services and for others in the property or related industries, and so as to assist them in
continuing to provide the best possible service to their clients. In providing this information, you agree to its use,
unless you advise the Agent differently. The privacy policy of the REIT can be viewed on its website www.reit.com.au.

The Agent will only disclose information in this way to other parties to achieve the purposes specified above or as
otherwise allowed under the Privacy Act.

If the Applicant would like to access this information they can do so by contacting the Agent at the address and
contact numbers contained in this Application or the REIT on (03) 6223 4769. The Applicant can also correct this
information if it is inaccurate, incomplete or out of date.

If the information is not provided, the Agent may not be able to process the application.

Disclaimer / Authority
I, the said applicant, do solemnly and sincerely declare that the information contained in this application is true and
correct and that all of the information was given of my own free will. I, the said applicant, do solemnly and sincerely
declare that I am over 18 years of age and have read and understand the contents of this agreement and have the
competence and capacity to enter into this agreement.

I/We Basit Kaleem and Sawera Sajid acknowledge that I/We have read and understood the contents of this Privacy
Collection Notice and the Disclaimer/Authority.

………………………………………….. (Applicants to sign) Date: 05/07/2021

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