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TENANCY APPLICATION FORM Bundaberg Property Gallery 33 Bourbong Street, Bundaberg Central Qld 4670 Ph: (07) 4151 3233 Fax: (07) 4151 3011 E-mail: reception@bundabergpropertygallery.com.au www.bundabergpropertygallery.com.au, Property : Our Agency welcomes your Application and any queries you may have about the Property, Tenancy or process. The following information and checklist will assist you to complete the Tenancy Application so it can be processed promptly. Please read prior to completing your Application One Application is to be completed per person. Our Agency endeavours to contact you within 24-48 business hours after the application has been received. If the Application is approved, within 24 hours of acceptance, the first weeks rent must be paid. Our office does not accept cash. This Application cannot be processed until it is completed in full, this includes all copies of supporting documents attached as required for 100 Points Identification Check. Refer to the following list of accepted documents and point value of each. If you wish to view the General Tenancy Agreement, Terms and any Special Terms to read before submitting this Application please ask reception for a copy. DOCUMENTS ACCEPTED FOR IDENTIFICATION CHECK Passport Birth Certificate Drivers Licence 18+ Card Points per Document 40 Applicant Checklist - Before I submit this Application, I have; Attached photocopies of documents to meet 100 or more points of ID which include mandatory documents I have inspected the Property both internally and externally Employed Attached a copy of last two pay slips Not Employed Attached Centrelink income statement Student Photo ID Centrelink Card 40 2 recent Rent Receipts 2 recent Pay Advices Tenancy Ledger 25 Documents on which your name and current address appear: Car registration certificate Rates Notice Electricity Account Bank Statement Telephone Account Gas Account Medicare card Credit Card Statement TOTAL POINTS ACHIEVED WITH ATTACHED DOCUMENTS: Completed the Application form fully, including the Privacy Disclosure Statement, Privacy Consent and Marketing Consent 25 Received By Office: Name: Date: Page 1 of 5

Applicant s Details Name in Full Date of Birth Place of Birth Drivers Licence No. Expiry Passport No Expiry Home Mobile Business Email Australian Citizen Yes No: Refer to copies of Passport and Visa attached Visa Expiry Date Current : Rent per week $ Period of occupancy Years Months Agent/Landlord Business Fax Reason for leaving Do you expect the Bond to be refunded in full Yes No Why: Previous Rent per week $ Period of occupancy Years Months Reason for leaving Agent/Landlord Business Fax Employment Current Employer Your Position Full Time Part Time Casual Contract Length of Employment Years Months Pay day is of each: week/ fortnight /month Payroll / Manager s Name Fax Business Income specify Gross $ If Self Employed Company Name ABN Trading As Period self employed Years Months Industry/ Nature of Business Accountant Details Creditor Referee Business Business If a Student or Not Currently Employed - Centrelink Are you receiving Centrelink Yes No Description Of Payments Are you studying full time Yes No Name Of Education Institution Total Income (Per Week) Student Id No Page 2 of 5

Vehicles to be kept at Property Registration No Model Owned / Hire Registration No Model Owned / Hire Smoker: Yes / No Inside / Outside Occupancy Details of Persons to Reside at Property other than Applicant, including Dependants and other Applicants Name Date of Birth Relationship Name Date of Birth Relationship Pets No Yes: See Attached Pet Application Form Emergency Contact Details of Closest Relatives who will not be Residing with You 1. Name 2. Name Relationship H Relationship H W M W M Personal Referees who are not Relatives Name Occupation Business Hours Contact 1. Mob Work 2. Mob Work Declarations Applicant to Complete and Provide Details as Required Have you ever been evicted by any Lessor or Agent? No Yes: Are you in debt to another Lessor or Agent? No Yes: Is there any reason known to you that would affect your ability to pay rent when due? Was your Bond at your last address refunded in full? List Here what was deducted: No No Yes: Yes: I declare the information provided is true and correct. I consent to verify details via Tenancy Information Centre of Australia and National Tenancy Database records. I declare I am not bankrupt or an undischarged bankrupt. I apply for Tenancy for a period of months, at a rental of $ per week commencing on / /. I understand that if I am approved for the property then payment of the first weeks rent must be paid to the real estate agent within 24 hours of being notified to secure the property. This must be done by bank direct credit or bank transfer, our office does not accept cash. Rent first weeks rent (Must be paid within 24 hours of being approved) Second Weeks Rent & Bond (Must be paid before the lease commences and collection of keys) Our office does not accept bond transfers APPLICANT S SIGNATURE: Date: Page 3 of 5

PRIVACY DISCLOSURE STATEMENT Bundaberg Property Gallery We are an independently owned and operated business and are bound by the National Privacy principles. We collect personal information about you in this form to assess your Application for Tenancy. We may need to collect information about you from your previous Lessors or Letting Agents, your Employer and Referees. We will also check if details of Tenancy defaults by you are held on a Tenancy Database. Your consent for us to collect the information is set out below in the Privacy Consent section. COLLECTION NOTICE The personal information you provide in this Application or our Agency collects from other sources is necessary for Bundaberg Property Gallery to verify your identity, to process and evaluate the Application and to manage the Tenancy. If the Application is successful, personal information collected about you in this Application and during the course of your Tenancy, may be disclosed for the purpose for which it was collected to other parties including the Lessor, Referees, other Agents and third party operators of Tenancy Databases. Information already held on Tenancy Databases may also be disclosed to our Agency and/or the Lessor. If you enter into a General Tenancy Agreement and if you fail to comply with your obligations under the Agreement, the facts and other relevant personal information collected about you during the course of your Tenancy may also be disclosed to the Lessor, third party operators of Tenancy Databases and/or other Agents. If your Application is not successful all information collected with be destroyed immediately to comply with the Privacy Legislation. If you do not complete this form or do not sign the consent below then your Application for Tenancy will not be considered by the owner of the relevant Property. PRIVACY CONSENT I acknowledge that I have read the above Privacy Disclosure Statement and Collection Notice of Bundaberg Property Gallery I authorise Bundaberg Property Gallery to collect information about me from: My previous letting Agents and/or Lessors; My personal referees, employers and all other references on this application; Tenancy Databases to which Bundaberg Property Gallery subscribes. I can refer to their Privacy Disclosure Statements via: www.tica.com.au and www.barclay.com.au I authorise Bundaberg Property Gallery to refer my name and contact details to an arranger or service provider including tradespeople (to attend to work required at this Property), salespeople (primary and secondary Agents), valuers, the Lessor, other Agents, database operators, other Property Managers, Body Corporate, Insurance companies, Financial services, if required in the future, and to Authorities as required by law. MARKETING CONSENT I understand that the Agency may need to contact me about Property related information eg properties for rent or for sale or other services which may interest me. I am the telephone account holder or nominated person by the account holder and agree Bundaberg Property Gallery to use the phone details provided below to contact me for marketing purposes until I advise otherwise. Period of Contact: Indefinite until advised in writing otherwise Other - ECTRONIC TRANSMISSION It is agreed by ticking this box, consent is given to receive any documentation relevant to the Tenancy by electronic communication methods such as email or facsimile and the method of receiving advice or notification by SMS is accepted. ACKNOWLEDGEMENT AND CONSENT BY APPLICANT Applicant Name Applicant Signature Date Page 4 of 5 Information About Your Application And Databases

(To be provided to prospective tenants to comply with Section 458A of the Residential Tenancies and Rooming Accommodation Act 2008). We are required by law to let you know which databases we use to check your rental history. At Bundaberg Property Gallery we use the following tenancy databases: Tica PO Box 120, Concord NSW 2137 Phone: 190 222 0346 Barclay MIS PO Box 553 Wynnum Qld 4718 1300 883 916 inquiries@barclaymis.com.au What if I am listed: If you are listed on a tenancy database that we use, we are required by law to let you know that you are listed, and provide you with the contact details of the database operator so you can find out information about your listing. Where can I get further information? If you would like more information about tenancy database laws you can visit the Residential Tenancies Authority website at rta.qld.gov.au or call 1300 366 311 Page 5 of 5