Name

Previous Name (if applicable)

Email

Phone (H)

Phone (W)

Mobile

Date of Birth

Passport Number

Passport Country

Car Registration Number (NB no unregistered vehicles may be kept on the premises)

Driver's License/18+ Card Number

VISA and Expiry Date (Students only)

Are you a smoker? YesNo

Current Address

Overseas Student YESNO

Situation
RentingOwned

Other Situation

Period of Tenancy

Name

Phone

Rent

Payment Period
WeeklyFortnightlyMonthly

Reason for Leaving

Agent's Email

Previous Address

Overseas Student YESNO

Situation
RentingOwned

Other Situation

Period of Tenancy

Rent

Payment Period
WeeklyFortnightlyMonthly

Reason for Leaving

Agent's Email

If you answered Yes to any question above, please provide details (except the return of your bond, in full).

Overseas Student YESNO

Parent Guarantor YESNO

Occupation YESNO

Current Occupation

Status ---Full TimeCasualPart TimeCentrelinkOther

Employer/Business Name

ABN/Centrelink Details

Contact

Phone

Address

Net Weekly Income

Previous Occupation

Status ---Full TimeCasualPart TimeCentrelinkOther

Employer/Business Name

ABN/Centrelink Details

Contact

Phone

Address

Net Weekly Income

Are you a student? YesNo

If yes, course name

Duration

Business Referee 1

Phone

Relationship

Business Referee 2

Phone

Relationship

Personal Referee 1

Phone

Relationship

Personal Referee 2

Phone

Relationship

Next Kin

Address

Phone (H)

Phone (W)

Mobile

Other Emergency Contact

Address

Phone (H)

Phone (W)

Mobile

Number of Adults

Number of Children (under 18 yrs)

There is an option period of 48 hours from the time this application is received by Brisbane Students/Padrooms Management Pty Ltd where you can withdraw this application and obtain a full refund of this holding deposit. I you wish to withdraw you need to submit your intention to withdraw in writing to Brisbane Students/Padrooms Management Pty Ltd. The Holding deposit will not be refunded if you do not withdraw the application in writing with 48 hours after paying the holding deposit.
Applicant's Signature
(Please sign using your mouse/phone/tablet on the space below)
Date

The Applicant declares:

1. that all the above details are true and correct
2. that the Agent is authorised to cross reference relevant detail against the listed references and check through any reference check organisation that the Agent may be affiliated with
3. not to be bankrupt or insolvent

Privacy Amendment (Private Sector) Act 2000 - COLLECTION NOTICE

The Agent will only use and disclose personal information provided by the Applicant as part of the tenancy application (whether verbal or written) to verify the Applicant’s identity, and to process and evaluate the application. As part of the verification process the Agent, without limitation, may: disclose to, and obtain from, those people named in the application, information about the Applicant in order to check the accuracy of information provided in the tenancy application and in order to determine whether the Applicant is an appropriate tenant for the property; and disclose to, and obtain from, third party operators of tenancy reference databases, information about the Applicant for the purpose of searching those databases for details about the Applicant.

If the application is successful, personal information collected about the Applicant in the tenancy application, in the tenancy agreement, and during the course of the tenancy, may be used by the Agent, and disclosed to third parties, (including to the landlord, other agents, potential buyers of the tenanted property, valuers requiring access to the premises for inspection, government and statutory bodies, insurance companies, body corporates, furniture rental companies and to trades people maintaining and repairing the tenant property) as necessary to manage the tenancy relationship and tenanted property

If the Applicant enters into the tenancy agreement, but fails to comply with its obligations under that agreement, that fact and other relevant personal information collected about the Applicant may be disclosed to the landlord, third party operators of tenancy reference databases, insurance companies, debt collectors and/or other agents.

If the Applicant has their application declined all relevant supporting documents and the said application will be destroyed within 48 hours if not collected in person by the Applicant.

If the Applicant would like to access any personal information which the Agent holds about the Applicant, it can do so by contacting our office at applications@brisbanestudents.com.au. The Agent may refuse access to such information in the limited circumstances provided for in the Privacy Act. The Agent will charge the Applicant a fee of $50.00 to provide the requested access.

The Agent will take all reasonable steps to correct any personal information held by the Agent about the Applicant which the Applicant shows to be inaccurate, incomplete or out-of-date. If the information described in the tenancy application is not provided, the Agent may refuse to accept and process the application.