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INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED SO PLEASE ENSURE ALL QUESTIONS ARE ANSWERED CORRECTLY.
BROKEN HILL FIRST NATIONAL REAL ESTATE
383 ARGENT STREET, BROKEN HILL NSW 2880 PH:(08) 8088 4488
FAX:(08) 8088 5046
Email:rent@brokenhillfirstnational.com.au Website: www.brokenhillfirstnational.com.au
APPLICATION FOR TENANCY
Each adult intending to live at the property is required to complete an application. Applications must be completed in full with all references provided.
PERSONAL DETAILS:
Your Full Name: …………………………………………………………………….......................................................
Have you been known by any other name/s? YES / NO If yes:.............................................................
Date of Birth: ……………………………………………………….
ALL Current Phone Number/s: ………………………………………………………………………………………….............
Current Email Address: ....................................................................................................................
EMERGENCY CONTACT DETAILS: (DO NOT USE THE PERSON YOU ARE LIVING WITH)
Full Name: ………………………………………………………………………………………………………………………………………….......
Current Address …………………………………………………………………………………………………………………….....
Current Phone Number/s: ……………………………………………………………………………………………………………
Relationship to you: ……………………………………………………………………………………………………………………
COMPLETE ACCOMMODATION DETAILS & HISTORY:
Current Address: ………………………………………………………………………………………………………………………………………………….
…………………………………………………………………………………………………………………………………………………
Who is the Owner or Agent of the Property you currently live in?...............................................………...
What is their phone number?.............................................................................................................
Relationship to you? Landlord, Parent, Friend etc…………………………………………………………………………….
Do you currently pay rent or board? Please circle YES/NO If Yes, how much: $………………per week
How long have you lived at the current address?: ……………Month & Year moved into Property ……..........
Why can’t you stay at the above property?:........................................................................................................................................
PREVIOUS ACCOMODATION DETAILS:
Previous Address………………………………………………………………………………………………………..................
Who was the Owner or Agent of the Property you lived in............................................……………………..
What are their contact details?..........................................................................................................
Relationship to you? Landlord, Parent, Friend etc…………………………………………………………………………….
Did you pay rent or board? Please circle YES/NO If Yes, how much: $……………............ per week
How long did you live at the address?: ………………Month & Year lived at Property………………………………
Why did you vacate the above property?:............................................................................................
......................................................................................................................................................
Extra Notes (Incl. ALL OTHER PLACES YOU HAVE RENTED):…….................................................................................................................................................
………………………………………………………………………………………………………………………………………………..
......................................................................................................................................................
EMPLOYMENT DETAILS & HISTORY:
Do you currently work? Please circle YES/ NO
If Yes, What is the name of the company you work for?......................................................................
What is your Employer’s Name, Address & Phone Number:………………………………………………................
.....................................................................................................................................................
Position Held:…………………………………………………………………
How long have you worked there?:…………………………………...
If No, Are you receiving any Government payments, if applicable please specify:………………………………...
......................................................................................................................................................
PREVIOUS EMPLOYMENT DETAILS & HISTORY:
What was the name of the company you worked for?..........................................................................
What was your Employer’s Name, Address & Phone Number:…………………………………………………...........
Position Held:…………………………………………………………………
How long did you work there?:………………………………….........
WHAT TYPE OF RENTAL PROPERTY ARE YOU LOOKING FOR?
TYPE? Please circle HOUSE/FLAT Number of Bedrooms required: (please circle) 1 2 3 4 5+
Number of People to Occupy the Premises: Adults:……. Children:……... Age of children:…………...........
Remember, EACH ADULT intending to live at the property is required to complete an application form.
Maximum rent you are prepared to pay $........................per week
Do you have any pets? Please circle No/Yes
If Yes, what breed, sex and age: (If de-sexed please specify)………………..…………………………….............
Length of Lease required: please circle 6 Months 12 months Other:………...............
Will you be seeking assistance from the Department of Housing? YES / NO If YES how much?...........
How soon do you require a rental property? Please specify a date if known:……………………………………....
Before submitting my application form I have done the following:
1. I have provided Broken Hill First National with some form of Photo Identification i.e. Drivers Licence
Please circle YES / NO
2. I have personally inspected the property Please circle YES / NO
3. I have filled this form out with as much information as possible and have provided details of all my rental history along with rental references, work/character references of non-relatives complete with phone numbers to verify any information I have given Please circle YES / NO
4. I have signed the TICA Form, and give permission to First National to complete a Police Check Please circle YES / NO
I understand that if this application is incomplete I will not be eligible for a property. I give Broken Hill First National Real Estate permission to verify any information I have provided.
Signature: ………………………………………………………….. Date: …………………………...............
What is the address of the property you are most interested in applying for?.........................................
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INCOMPLETE AND/OR DISHONEST APPLICATIONS WILL NOT BE CONSIDERED FOR ANY PROPERTY
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