Residential Tenancy Application

Mark Hay Realty Group

Registered Office: 28/118 Royal Street, East Perth, WA,
6004

Property Details Applicant Details

34/124 Terrace Road, PERTH Applicants
Application Reference Jay Santos (36)
TBD Occupants
Weekly Rent Monthly Rent 1 Adult, 0 Dependants, 0 Pets
$405 $1,759.82 Vehicles
Report Generated 0 Vehicles
18/01/23 11:38 AM Total Income
$22,891.36+
Utilities Requested
Last Submitted Lease Start Date Lease Term
Yes
18/01/23 11:38 AM 22/01/23 6 Months
Special Conditions
Comments No Special Conditions
No Comments

Jay Santos Details

D.O.B Gender Smoker Utilities Req. Total Income
31/01/86 (36) Male No Yes $22,891.36
Contact Mobile Contact Phone Contact Email
0410 284 828 - jayryansantos@gmail.com
Current Address
28 Kristy Crescent, Eimeo
Current Employment Type Employed Company Job Title
Full-Time Stantec Lead Structural Assets Engineer
Receiving Additional Income
No

Citizenship Certificate Details

Issued Date Files Connected
7/11/22 1

Drivers Licence Details

Licence No. Expiry Date State Country DOB
129623073 28/05/24 QLD AUS 31/01/86
Address Files Connected
28 Kristy Crescent, Eimeo, 4740, QLD, Australia 1

Medicare Card Details

Medicare No. Expiry Date Reference # No. of people on card Card Colour
2784306192 1/01/26 1 1 Green
Files Connected
1
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 Payslip Details
Issued Date Files Connected
18/01/23 2

Proof of Age Card Details

Reference No. Expiry Date Country State Files Connected
7817786 10/01/24 AUS WA 1

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 Application Questions
Last Completed: 18/01/23 11:38 AM
Are you applying with anyone else?
No
Are you in debt to another Lessor or Agent?
No
Was your rental bond at your last address refunded in full?
Yes
Are there any existing extenuating circumstances which may affect your future rent payments?
No
Reason for moving
I found a job here in Perth.
Are you an Australian Citizen or Permanent Resident?
Yes
Have you been known by any other name?
No
How did you find out about this property?
Tenant App
Have you ever been convicted of any crime or offence?
No
Will you be parking any motor vehicles on the property?
No
Have you ever had a tenancy terminated before?
No
Do you have any pets?
No
Are you or any other prospective occupant a smoker?
No
Have you previously rented?
No
Have you previously been employed?
Yes
Are you applying for a Department of Housing bond/rent assistance?
No
Are you bankrupt, a discharged bankrupt, or in the process of declaring bankruptcy?
No
Do you currently own an investment property?
Yes
Have you viewed the property in person?
Yes
Have you applied for any other properties?
Yes
If your application is approved, how will you be making the initial payment (Direct Debit, Bank Cheque etc)?
Direct Debit
Do you have intentions to sublet?
No
If we were to conduct checks through external systems, would you expect there to be any red flags (debt notices etc)?
No
Have you contacted your referees to advise them to expect our contact?
Yes
I give permission to be added to your mailing list
Yes
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Are you planning to operate a business from the property?
No

Employment History
Company Job Title Annual Salary Employment Status
Stantec Lead Structural Assets $22,891.36 Full-Time
Engineer
Business Address Business Website
226 Adelaide Terrace, Perth, 6000, WA, Australia https://www.stantec.com/en/offices/australia-locations-
hub
Business Established Business Sector Start Date End Date
- - 9/01/22 Current
Contact Name Contact Mobile Contact Phone
Matthew Saffioti 0421 488 908 0421488908
Contact Email
matthews@titanrecruitment.com.au
Comments
Recently move in this company

Company Job Title Annual Salary Employment Status

Integral Engineering Lead Structural Engineer $146,000 Unknown
Business Address Business Website
- https://www.integraleng.com.au/
Business Established Business Sector Start Date End Date
- - 3/03/22 6/01/23
Contact Name Contact Mobile Contact Phone
Harold Villamor 0406 421 489 0406421489
Contact Email
harold.villamor@outlook.com
Comments
I left to move to Perth

Property History
Weekly Rent No Rent Address
$0 No 28 Kristy Crescent, Eimeo
Landlord Type Agent Company Lease Start Lease End
Owner Occupied N/A 3/01/21 Current
Contact Name Contact Mobile Contact Phone
- - -
Contact Email Agency Name Lease Type
- - -
Reason for leaving
I got a job offer here in East Perth.
Comments
I bought this house and have no issues with repayment. I can send my repayment history.

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 Personal References
Years Known Relationship
- Agent
Contact Name Contact Mobile Contact Phone
Matthew Saffioti 0421 488 908 0421 488 908
Contact Email
matthews@titanrecruitment.com.au
Comments
-

Years Known Relationship

- Friend
Contact Name Contact Mobile Contact Phone
Harold Villamor 0406 421 489 0406 421 489
Contact Email
harold.villamor@outlook.com
Comments
-

Emergency Contacts
Years Known Relationship
- Wife
Contact Name Contact Mobile Contact Phone
Sharleen Santos 0415 453 465 0415453465
Contact Email
sharleen.rivera@ymail.com
Address
-
Comments
-

Page 5 of 8
 Signed Terms and Conditions

Jay Santos 18/01/23

(Digital representation of tenants signature, approved by tenant) (Date Signed)

Privacy Terms and Conditions

Authority to Use and Disclosure of Personal Information

I, the Applicant, acknowledge that I have read the Privacy Statement and the Privacy Policy of Mark Hay
Real Estate Pty Ltd and I do solemnly and sincerely declare that all the information contained on this
application is true and correct and has been willingly supplied to assist in the assessment of my
application.

I hereby authorise and give permission for Mark Hay Real Estate Pty Ltd to request, collect and
be issued any information required to assess my suitability as a tenant, such as previous rental
records, salary/income levels, identity and work history under the provisions of the Privacy Act
www.privacy.gov.au.
I warrant that I am authorised to make this application and to provide invitations, consents,
acknowledgments, authorisations and other undertakings set out in this application on behalf of all
applicants listed on this application.
I acknowledge that I have been issued with, I have read and understood, and I have retained a copy of
the Application.
Primary Purpose
Mark Hay Real Estate Pty Ltd collects your personal information for the primary purpose of assessing
the risk to our clients in providing you with a property you have requested to rent and if considered
acceptable provide you with a tenancy for the property.

By submitting this application, and in accordance with Section 18n(1)(b) of the Privacy Act, I/We
authorise the Lessor/Managing Agent to conduct investigations into my suitability as a tenant. These
investigations may include my identity, credit worthiness, employment and credit history and/or capacity.
These investigations are not limited to the contacts on my application form, and may include other
sources such as national databases on tenant histories and also make enquiries of such other persons
or agencies as the Owner may see fit.

The personal information the prospective Lessee provides in this application or collected from other
sources is necessary for the Agent to verify the Applicant’s identity, to process and evaluate the
application, to manage the tenancy and to conduct the Agent’s business.
In order to assess your application, the Agent may disclose your personal information to all or any of the
following:
•The Lessor / Owners
•DVS Document Verification Service www.dvs.gov.au
• NTD/Equifax/Veda National Tenant Database 1300 526 836 www.ntd.net.au
•TICA Default Tenancy Control Pty Ltd and TICA Assist Pty Ltd. 1902 220 346 www.tica.com.au
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•RPDATA 1300 734 318 www.rpdata.com.au
•BARCLAY MIS 1300 883 916 www.barclaysmis.com.au
• TRA 02 9363 9244 www.tradingreference.com
• InfoTrack https://www.infotrack.com.au/
•www.inspectrealestate.com.au
•Current and Past Employers
•Referees &Emergency Contacts
•Other Real Estate Agents, Asset managers or Private Landlords of current and previous residences.
•Any person who maintains any record, listing or database of defaults by tenants
I confirm I have been notified of the tenancy database contact details and the reasons for use.
Secondary Purpose
Mark Hay Real Estate Pty Ltd also has a number of secondary purposes for collecting your information.

Personal information collected about the Applicant in this application, during and after the course of the
tenancy if the application is successful may be disclosed for the purpose for which it was collected to
other parties including to the owner, referees, other agents, third party operators of tenancy reference
databases, third party providers of rental bond loans, and prospective buyers of the Premises.
Information already held on tenancy reference databases may also be disclosed to the Agent and/or
Lessor.
During and after the tenancy the Agent may disclose your personal information to:
•Tradespeople to contact you for repairs and maintenance of the property.
•Tribunals or Courts having jurisdiction seeking orders or remedies.
•Debt collection agencies, Credit providers and related persons to permit them to contact or locate you.
•Tenancy Database.
•The Owners lawyer, mortgagee &financier or valuer
•Lessors / Owners insurer in the event of an insurance claim.
•Future rental references to other asset managers / owners.
If the Applicant would like to access the personal information the Agent holds, they can do so by
contacting the Agent. 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 and
manage the tenancy. A detailed copy of our Privacy Policy can be found at www.markhay.com.au

Connection Service Terms and Conditions

If my application is accepted, I authorise the Agent to release my information to Move Me In for the
purpose of assisting the connection of utilities.
Save time and money. Compare huge range of energy suppliers* + other services – FREE service. You
choose your supplier and connect online in 3 mins. Your Real Estate Agent will send you an invitation to
connect via text and email once you have been approved.
*Terms and Conditions apply

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 Extra Attachments

Drivers Licence - File Not Included

Citizenship Certificate - File Not Included

Medicare Card - File Not Included

Proof of Age Card - File Not Included

Payslip - File Not Included

Payslip - File Not Included

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