Residential Tenancy Application Form


Thank you for applying for a rental property with SSK Real Estate

  • You can either fill in the form below which will be emailed to SSK Real Etate, or
  • Print out the Application Form and fax to 03 9525 1477 or post it back to our office

1. Rental Property Details
Address:
Postcode:
Rental Amount $: per week or

per month
Bond Amount $:
Tenancy Start Date:
Term: months
How many people will reside at the property: Adults     

Children  

Age of children  
Do you have pets? Yes

No
If yes, how many?

If yes, please specify what type
Name of Property Manager:
2. Applicant Details
Title:
Family or Surname:
Given Name/s:
Date of Birth:
Home Phone:
Work Phone:
Mobile Phone:
Email address:
Drivers Licence Number:
Drivers Licence State:
Drivers Licence Expiry Date:
Do you own a Motor Vehicle?
Car Make/Model
Car Rego
Car Rego State
Passport (if applicable): Number  

Country  

Expiry     

Pension (if applicable): Number  

Type      

Expiry    

3. Current Address
Current Address:
Postcode:
How long have you lived at this address? years

months
If Rented, Current rental amount $: per week
Current Landlord/Agent :
Phone No. of Landlord/Agent :
Reason for Leaving :
4. Previous Address
Previous Address:
Postcode:
How long did you live at this address? years

months
If rented, Previous Landlord/Agent :
Phone No. of Landlord/Agent :
Reason for Leaving :
5. Current Employer
If self employed, please list accountant's contact details
Occupation:

     
Length of Employment: years

months
Net income per week:
Address:
Postcode:
Contact Person:
Contact Telephone Number:
6. Previous Employer
Length of Employment: years

months
Address:
Postcode:
Contact Person:
Contact Telephone Number:
7. If you receive a Centrelink Payment
Type of payment:
Customer Reference Number (CRN):
8. If you are a student
Faculty / Department
Student Identification (ID) Number:
Income Source:
Net Weekly Income $:
9. References
No family or current employer contacts
Reference 1 - Name:
Reference 1 - Relationship:
Reference 1 - Home Phone:
Reference 1 - Work Phone:
Reference 2 - Name:
Reference 2 - Relationship:
Reference 2 - Home Phone:
Reference 2 - Work Phone:
10. Emergency Contact / Next of Kin
Contact 1 - Name:
Contact 1 - Relationship:
Contact 1 - Home Phone:
Contact 1 - Mobile Phone:
Contact 2 - Name:
Contact 2 - Relationship:
Contact 2 - Home Phone:
Contact 2 - Mobile Phone:
11. Declaration

 I have read and understood the privacy statement*

Upon, approval of your application the first months rent must be paid to us within 24 hours.

Applicant Name:
Date: