Tenancy Application Form

 * Required Fields:

 Application for 3c Aroona Place, Glenelg North SA


 Date property to be occupied: DD/MM/YYYY
 Lease Term: Years:       Months:
 Rent per week $:
 Bond $:

 How many people will occupy the property


 Adult:
 Children:
 Name(s) of other applicant to Occupy Property: 

 Your Details


 Your Full Name *:
 Your Email Address *:
 Contact Phone Number *:
 Work Phone Number:
 Mobile Phone Number:
 Your Occupation:
 Currently employed with:
 Employer's Address:
 Driver Licence Number:
 Passport Number:
 Date of Birth:

 Reference Details

 Reference Name*:
 Reference Mobile *:

 If self-employed, please complete the following


 Company Name:
 Company Address:
 Suburb:
 Postcode:
 Business Type:
 Position Held:
 A.B.N:
 Accountant Name:
 Accountant Phone:
 Solicitor Name:
 Solicitor Phone:

 Current Situation


 Are you the Owner:       Renter:
 Your Current Address *:

 How long you lived at your current address


 Years:
 Months:

 Why are you leaving this address:

 Agent/Landlord details of this propety

 Agent/Landlord Name:
 Address of Agent/Landlord:
 Agent/Landlord Phone Number:
 weekly Rent paid $:
 Your previous Address:
 Do you have any pet?
 Number:
 Type:

 Next of kin


 Name of next of kin:
 next of kin Phone Number:

 If student, please complete the following


 Place of Study:
 Course being undertaken:
 Course Length:
 Enrolment Number:
 Parents Name:
 Parents Contact Number:
 Campus Contact:
 Course Co-ordinator:
 Income:

 Additional comment:  


I confirm that I have read and agree to the Privacy Policy.
Please click here to read the Privacy Policy document.


Disclaimer: Each CENTURY 21 Office is independently owned and operated.