1. Rental Property

*Property Applying For  
(Please type the Street Number, Street Name and Suburb of Property you wish to apply for) Applications without correct street address maybe declined, please call the agent for correct
details if unsure.

2. Property Details

*Period Required *Date Required
Are any Occupants Smokers?
*Reason for Moving Total Children Total Adults
Do you have children?
Do you have pets?
Do you have Vehicles?
Age Sex

3. Applicant Details

First Applicant
*First Name
*Last Name
*Date of Birth
Relationship Status
Home Phone Number
Mobile Phone Number
*Confirm Email
Present Address
Date Moved In
Previous Address
Date Moved In
Partner/Second Applicant
First Name
Last Name
Date of Birth
Mobile Phone Number
Current Address

4. Flatmates

Title First Name Last Name Date of Birth Email Mobile Phone Work Place Work Phone

5. Other Contacts

Next Kin
First Name
Last Name
Phone Number
Emergency Contact
First Name
Last Name
Phone Number

6. References

Type First Name Last Name Phone Number

7. Terms

I/We appoint DL Property Management Ltd, to be my/our agent and agree to pay a fee of one weeks rent plus GST. I acknowledge to DL Property Management Ltd that if I decide to withdraw after I have verbally agreed to take the property or fail to take possession of the property, that I am liable for a cancellation fee of one weeks rent plus gst.

Credit Check
I/We authorise any person or company to provide you with such information as you may require in response to a credit and/or employment enquiries. I/We further authorise you to furnish to any third party details of this application and any subsequent dealings that I/we may have with you as a result of this application being actioned by you.

I accept the terms.
*Your Name: