First National Real Estate O'Donoghues
Our Office /  Camberwell 03 9882 3303
269 Camberwell Road Camberwell
Melbourne - Eastern VIC 3124
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Tenancy Application
A. AGENT DETAILS
O'Donoghue's First National Real Estate
269 Camberwell Road, Camberwell Vic 3174
Phone: 03 9882 3303
Fax: 03 9882 6354
Email: rentals@odonoghuesfirstnational.com.au
To download the PDF please click on the PDF icon below
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B. PROPERTY DETAILS
1. What is the Property ID?
Address:
2. Lease commencement date?
Days Months Years
3. Lease Term?
Years Months
4. How many people will normally occupy the property?
Adult Children
C. PERSONAL DETAILS
5. Please give us your detials
Title
Family or Surname Given Name/s
Date Of Birth
 Passport No (if applicable)
 Passport Country:
Australian Driver's License No:
Driver's License State:
  
Pension No. (if applicable)
 Pension type (if applicable)
  
6. Please provide your contact details
Home Ph.
 Work Ph.
  
Mobile Ph:
 Fax No.
 
Email Address
    
7. What is your current address
Postcode:
D. UTILITY CONNECTIONS
This is a free service that connects all your utilities
Once we have received this application we will call you to confirm your details.
 Direct Connect will make all reasonable efforts to contact you within 24 hours of the nearest working day on receipt of this Application to confirm the information on this Application and explain the details of the services offered. Direct Connect is a utility one stop connection service.
8. Please tick utilities as required
Electricity Gas Water
Internet Phone  
DECLARATION AND EXECUTION: By signing this application, I/we: consent to Direct Connect arranging for the connection and disconnection of the nominated utility services and to providing information contained in this application to utility providers for this purpose; acknowledge having been provided with terms and Conditions of Supply of Direct Connect and having read and understood them together with the Privacy Collection Notice set out below; declare that all the information contained in this application is true and correct and given of their own free will; expressly authorise Direct Connect to provide any information disclosed in this Application to a supplier or potential supplier of the Services in accordance with the Privacy Collection Notice and to obtain any information necessary in relation to the Services;

expressly authorise Direct Connect to provide any information disclosed in this Application to an information provider for the purpose of that information provider disclosing it to a supplier or potential supplier of the Services in accordance with the Privacy Collection Notice and to obtain any information necessary in relation to the Services;

understand that under the requirements of the Privacy Act 1988, Direct Connect will ensure that all personal information obtained about me/us will be appropriately collected, used, disclosed and transferred and will be stored safely and protected against loss, unauthorised access, use, modification or disclosure and any other misuse;

authorise the obtaining of a National Metering Identifier (NMI) for my residential address to obtain supply details; consent to Direct Connect disclosing my/our details to utility providers (including my/our NMI and telephone number);

declare and undertake to be solely responsible for all amounts payable in relation to the connections and/or supply of the Services and hereby indemnify Direct Connect and its officers, servants and agents and hold them indemnified against any charges whatsoever in respect of the Services; acknowledge that, to the extent permitted by law, Direct Connect shall not be liable for any loss or damage (including consequential loss and loss of profits) to me/us or any other person or any property as a result of the provision of the services or any act or omission by the utility provider or for any loss caused by or in connection with any delay in connection, disconnection or provision of, or failure to connect or disconnect or provide, the nominated utilities;

acknowledge that whilst Direct Connect is a free service I/we may be required to pay standard connection fees or deposits required by various utility providers; acknowledge that the Services will be provided according to the applicable regulations and that the time frames and terms and conditions of the nominated utility providers bind me/us and that after hours connections may incur additional service fees from utility providers; acknowledge that the real estate agent listed on this application form may receive a benefit from Direct Connect in connection with the provision of the service being provided to me/us by Direct Connect;

and acknowledge the entitlement of Direct Connect and its associates, agents and contractors, to receive a fee or remuneration from the utility provider and that such fee or remuneration will not be refunded to me as a rebate in connection with the provision of the utility connection services.
E. DECLARATION
I herby offer to rent the property from the owner under a lease to be prepared by the Agent. Should this application be accepted by the landlord i agree to enter into a Residential Tenancy Agreement.

I acknowledge that this application is subject to the approval of the owner/landlord. I declare that all information contained in this application (including the reverse side) is true and correct and given of my own free will. I declare that i have inspected the premises and am not bankrupt.

I authorise the Agent to obtain personal information from:
  1. the owner or the Agent of my current or previous residence;
  2. my personal referees and employer/s;
  3. any record, listing or database of defaults by tenants;
If i default under a rental agreement, the Agent may disclose details of any such default to a tenancy default database, and to agents/landlords of properties may apply for in the future.
I am aware that the Agent will use and disclose my personal information in order to
  1. communicate with the owner and select a tenant
  2. prepare lease/tenancy documents
  3. allow organizations/tradespeople to contact me
  4. lodge/claim/transfer to/from a Bond Authority
  5. refer to Tribunals/Courts & Statutory Authorities (where applicable)
  6. refer to collection agents/lawyers (where applicable)
I am aware that if information is not provided or i do not consent to the uses to which personal information is put, the Agent cannot provide me with the lease/tenancy of the premises. I am aware that i may access personal information on the contact details above.

If section D is completed, i consent to the disclosure of this page of the application form to UtilityOne Corporate ACN 096 897 8800 for the purpose of enabling UtilityOne to offer the connection and disconnection services to me. Where UtilityOne is requested to arrange for the provision of services, i consent to UtilityOne disclosing personal information it has collected about me to utility service providers for that purpose and to obtain confirmation of the connection of disconnection. I acknowledge that neither UtilityOne nor the Agent accept any responsibility for: any delay in, or failure to arrange or provide for, ay connection or disconnection of a utility, or for any loss in connection with such delay or failure. I acknowledge that the Agent, its employees and UtilityOne may receive a fee/benefit from a service provider in relation to the connection of a utility service.
F. APPLICANT HISTORY
9. How long have you lived at your current address?
Years
 Months
10. Why are you leaving this address?
11.Landlord/Agent details of this property (if applicable)
Name of landlord or agent
Landlord/agent's phone no.
Weekly rent paid
12. What was your previous residential address?
Postcode
13. How long did you live at this address?
Years
 Months
14. Landlord/Agent details of this property (if applicable)
Name of landlord or agent
 Weekly rent paid
Landlord/agent's phone no.
 If not why not?
Was bond refunded in full?
G. EMPLOYMENT HISTORY
15. Please provide your employment details
What is your occupation?
What is the nature of your employment:
(Full Time / Part Time / Casual)
Employer's address
Postcode
Contact Name
Phone no.
Length of employment
Years
 Months
 Net Income?
16. Please provide your previous employment details
Occupation?
 Employer's name:
  
Length of employment
Years
 Months
 Net Income?
H. CONTACT / REFERENCES
17. Please provide a contact in case of emergency
Surname
 Given name/s
Relationship to you
 Phone no.
18. Please provide two personal references (not related to you)
1. Full Name
 Relationship to you
Phone no.
2. Full Name
 Relationship to you
Phone no.
I. OTHER INFORMATION
19. Car Registration
20. Please provide details of any pets:
1. Breed / type
 Council registration / number
2.
PLEASE NOTE
? Payments must be made by cash, bank cheque or money order within 24 hours after approval of application. No personal cheques accept.
? Keys will not be handed over until the lease agreement has been signed by all applicants.
? This application is accepted subject to the availability of the property on the due date and no action shall be taken by the applicant against the landlord and the agent should any circumstances arise whereby the property is not available for occupation on the due date.
Property rental
per week OR per month
Other notes/comments
I acknowledge that i have read and understood this privacy statement.
 Yes No

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