TENANCY APPLICATION FORM
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I / We apply for tenancy of 62A Moore St, Birmingham Gardens upon the terms set out below:
Personal Details
First Name:
Surname:
Address:
Date of Birth:
Telephone:
Email:
Driver's Licence Number:
Vehicle Registration:
Alternate ID (e.g. Passport No):
Food allergies:
Food dislikes:
Course enrolled in:
Duration of course: (eg 3 years)
Year of course (eg first year)
Employment History
Occupation:
Employer:
Business Address:
Contact Name:
Telephone:
Period Employed:
Tenancy History
Address of Premises:
Rent (per week) $:
Duration at previous address: Years/Months
Name of Landlord / Managing Agent:
Contact Number:
Reason for Leaving:
References (Provide Names and Contact Numbers)
1. Reference Name:
Occupation:
Relationship:
2. Reference Name:
Occupation:
Relationship:
Person who will be responsible for paying your rent: