Tenants :: Registry
Vantage Point Realty

Maintenance Request

Property Applying for:
Property Address :
Property Suburb :
Proposed Rental ( / week ) :
Proposed Term :

If other, please specify:
Commencement Date :
Applicant Details :
Title :
First name :
Last name :
Birth of date :
Current address :
Current suburb :
Passport ID :
Driver license :
Phone (BH):
Phone (AH):
Phone (MOBILE):
Email address :
No of intended occupant :
Adults, Childrens
Pets :

If yes, please specify:
Rental History:
Current landlord / agent:
Current contact person:
Current contact number:
Current rental amount:
Current length of stay:
If less then 6 months, please provide the following information:
Previous landlord / agent:
Previous contact person:
Previous contact number:
Previous rental amount:
Previous length of stay:
References:
Professional Reference 1:
Name:
Contact number:
Relationship:
Professional Reference 2:
Name:
Contact number:
Relationship:
Personal Reference:
Name:
Contact number:
Relationship:
Emergency Contact / Next of Kin:
Name:
Contact number:
Address:
Relationship:
Are you applying as:
Self Employed
Company name:
Company address:
Company suburb:
Business type:
Position:
Accountant name:
Accountant phone:
Notes:
Term and Conditions:
  1. I Declare that information given on this application is true and correct to the best of my knowledge.
  2. I have read and understood the privacy statement provided.
  3. I also authorize my information to be disclosed for the purpose of verifying information in this application.