The Neighbourhood Residential Rental Application Form Index Download Residential Rental Application Form For your application to be processed you must answer all questions Agent details The Neighbourhood Office Suite 103, 299 Toorak Road, South Yarra, VIC 3141 Phone 03 9885 6545 Web www.thenhhd.com "*" indicates required fields 1234 Property detailsWhat is the address of the property you would like to rent? (Please refer to this page: https://www.thenhhd.com/find-my-home/)* Property Rental*Please enter the proposed rental in $ per week (calculating for 52 weeks)Property Rental Per MonthPer MonthSecurity Bond Amount This is usually the equivalent value of 2 months' rent. Please complete if you would like to propose an alternative value.HiddenProperty Rental* Please enter the proposed rental in $ per week (calculating for 52 weeks)HiddenPer Month* Lease commencement date?* DD slash MM slash YYYY How many people will occupy the property?*1234+Personal detailsFull Name* Date of Birth* Day Month Year Driver’s Licence number* Driver’s licence state* Driver's Licence Expiry* Day Month Year Passport no.* Passport country*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsPassport Full Name (if different from full name already provided) Pension no. (if applicable) Pension type (if applicable) Home phone no. Mobile phone no* Email Address* What is you current address?* Utility Connection MyConnect will call you to arrange free connection of your required utilities Please select the required utilities:* Water (compulsory) Internet Electricity Pay TV Gas Telephone Interpreter required Unless I have opted out of this section, I/we: Consent to the disclosure of information on this form to myconnect ABN 65 627 003605 for the purpose of arranging the connection of nominated utility services; consent to myconnect disclosing personal information to utility service providers for the stated purpose and obtaining confirmation of connection; consent to myconnect disclosing confirmation details (including NMI, MIRN, utility provider) to the Real Estate Agent, its employees and myconnect may receive a fee/incentive from a utility provider in relation to the connection of utility services; acknowledge that whilst myconnect is a free service, a standard connection fee and/or deposit may be required by various utility providers; acknowledge that, to the extent permitted by law, the Real Estate Agent, its employees and myconnect 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 services or any act or omission by the utility provider or for any loss caused by or in connection with any delay in connection or provision of, or failure to connect or provide the nominated utilities. I acknowledge that myconnect record all calls for coaching, quality and compliance purposes. Declaration I hereby offer to rent the property from the Residential Rental Provider (RRP) under a lease to be prepared by the Agent. Should this application be accepted by the RRP I agree to enter in to a Residential Rental Agreement. I acknowledge that this application is subject to the approval of the Residential Rental Provider. 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, the renter, accept the property in the condition it was in when inspected. I authorise the Agent to obtain personal information about me from: (a) The RRP or the Agent of my current or previous residences; (b) My personal referees and employer/s; (c) Any record listing or database of defaults by renters; Any record listing or database of defaults by renters such as TICA, NTD or TRA for the purpose of checking your renting history. I am aware that I may access my personal information by contacting: TICA 1902 220 346 NTD 1300 563 826 TRA (02) 9363 9244 I am aware that the Agent will use and disclose my personal information within this application in order to: (a) communicate with the RRP and select a renter (b) prepare lease/tenancy documents (c) allow trades-people or equivalent organisations to contact me (d) lodge/claim/transfer to/from a Bond Authority (e) refer to Tribunals/Courts & Statutory Authorities (where applicable) (f) refer to collection agents/lawyers (where applicable) (g) complete a check with Tenancy Databases (h) transfer water account details into my name via MyConnect Declaration Consent* 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/rental of the premises. I a aware that I may access personal information on the contact details above. Date* Day Month Year Applicant HistoryWhen did you first move in at your current address?* Day Month Year Why are you leaving this address?* Residential Rental Provider/Agent details of this propertyName of current Property Manager/Agent* Property Manager/Agent Phone No.* Current Weekly Rental (AUD)* What was your previous residential address?* How long did you live at the previous residential address?* Please enter in months or years.Residential Rental Provider/Agent details of this propertyName of RRP or Agent RRP /Agent Phone No. Weekly Rental Employment HistoryAre you self employed?* No Yes Your ABN* Accountant Name* Accountant Phone no.* Accountant Email* What is your occupation?* What is the nature of your employment?*Full TimePart TimeCasualEmployer’s name (inc. institution if student)* Employer’s address* Contact name* Phone no.* Length of employment* Net Income* Please provide your previous employment detailsOccupation? Employer’s name Phone no. Length of employment Net Income Contacts / ReferencesPlease provide a contact in case of emergency Surname* Given name/s* Relationship to you* Phone no.* Please provide 2 personal references (not related to you) Surname* Given name/s* Relationship to you* Phone no.* Surname* Given name/s* Relationship to you* Phone no.* Other InformationCar Registration* Please provide details of any pets Breed/type Council registration / number Breed/type Council registration / number Please Note Initial payments must be made by EFT, bank cheque, money order or another option provided by the agent within 24 hours after approval of application. No Personal Cheques accepted. I acknowledge that my application is subject to the Residential Rental Provider’s approval and the availability of the premises on the due date. I accept that rental amounts are subject to change by providing the required notice. DISCLAIMEREmail communication consent* I consent to receiving electronic communications via email I confirm the following (please tick one of the following 2 options)* During my inspection of this property I found it to be in relatively clean condition. I believe the following items should be attended to prior to my tenancy commencing. I acknowledge that these items are subject to the RRP approval. DisclaimerHOW DID YOU FIND OUT ABOUT THIS PROPERTY?HOW DID YOU FIND OUT ABOUT THIS PROPERTY?* Board The Internet Local Paper Counter List Others HOW DID YOU FIND OUT ABOUT THIS PROPERTY? others PLEASE PROVIDE 100 POINTS OF IDENTIFICATION Please provide 100 Points of ID including at least one primary document. Examples of primary documents (worth 70 points): Australian Birth Certificate, Passport, Australian VISA and/or Australian Citizenship Certificate. Examples of secondary documents (worth 40 points): Driver's Licence, Centrelink Card, Working with Children Check and/or Child's Birth Certificate. Examples of secondary documents (worth 25 points): Medicare Card, Lerner's Permit, Council Rates Notice, Australian Bank Statement, Student ID Card, Marriage Certificate and/or Private Health Insurance Card. File* Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 50 MB. CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.