Professional Documents
Culture Documents
Belmont
Belmont
Belmont
Number of Children 1
1
Please note: all adults that will reside at the property must complete an application form
Please note: Written consent to keep any pets at the rented premises must be obtained.
Applicant Details
Reminder: (Every adult applying for this property must individually complete a separate
application)
2
Licence expiry date Saturday, May 10, 2025
Employment History.
Please provide your current employment details.
Employer Infrabuild
Length of employment 3
(Years)
8
(Months)
Length of Employment 2
(Years)
7
(Months)
3
Self Employed.
Student.
Please provide details of your Parent/ Guardian/ Sponsor below
Income State…
Contacts / References.
Please provide a professional character reference
Email jacintakapelle@yahoo.com
Please provide in case of emergency contact -next of kin details that we may contact
Email hammond528@live.com
4
Address 19 Monterey street
Armstrong creek , Victoria , 3217
YES
Identification
Please provide us with at least 100 Points of Identification (attach copies). Original ID used to prepare application
must be sighted prior to signing leases.
You will not be able to submit this form until 100 points, including at least 1 peice of photo ID is provided.
93ced915-0.p…
5
Upload - utilities - other
Utility Connections.
6
YourPorter is a free service connecting utilities and other services.
If the Agent approves this application, YourPorter will connect your water 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
DECLARATION OF ACCEPTANCE:
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 respective 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.
FORM 3
Residential Tenancies Act 1997
(Section 29C)
7
(Regulation14)
Acceptance of Terms.
I declare that:
I have inspected the premises;
The information I have provided in my application is complete and accurate in all respects;
I am not, and have never been, a bankrupt;
I have been informed that Barry Plant may use the services of tenancy database operators set out below to check
the tenancy history of applicants; National Tenancy Database - Ph 1300 563 826, www.ntd.net.au TICA - Ph 1902
220 346, www.tica.com.au
If I default under a rental agreement, I authorise Barry Plant to disclose details of any such default to the tenancy
database operators National Tenancy Database and/or TICA and to landlords or agents for any properties I may
apply for in the future, in accordance with Section 439 of the Residential Tenancies Act (1997);
I authorise Barry Plant, its authorised agents and staff to use and / or disclose my personal information for the
following primary purposes: To undertake reference checks with referees, my employer, former employers, my
current and former landlords and/or their agents and the operators of the National Tenancies Databases detailed
above;
To enable owners of the premises to make a decision on my application;
To prepare the rental documents;
To enable tradespeople/maintenance personnel to contact me, if required;
To undertake and/or enforce legal process/decisions of a Tribunal/Court and/or Statutory Authority, where
applicable;
To instruct collection agents or lawyers, where applicable;
To transfer water account details into my name.
9
Declaration & Acceptance.
I confirm my acceptance of the terms and conditions of this rental application. I declare that all
information I have provided in my application is complete and accurate in all respects.
Signature
10