Rental Application Form

 

Rental Application Form

For your application to be processed you must answer all questions. Please note: Mention of "RRP's" refers to "Residential Rental Provider"
  • A. AGENT DETAILS

  • Office: 16 Piccadilly Ave, Wantirna South, VIC 3152
    Post: PO Box 5817, Wantirna South, VIC 3152
    Phone: 1300 448 035/ 0498 009 226
    Fax: 03 9988 7754
    Email: admin@platinumagents.com.au
  • B. PROPERTY DETAILS

  • per week
  • per month
  • Date Format: MM slash DD slash YYYY
  • Years/Months
  • Adults/Children (ages)
  • C. PERSONAL DETAILS

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Home phone no.
  • Mobile phone no.
  • Work phone no.
  • Fax no.
  • D. UTILITY CONNECTIONS

    Please select the required utilities
  • E. DECLARATION

  • Date Format: MM slash DD slash YYYY
  • F. APPLICANT HISTORY

  • Years/months
  • Name of RRP's or Agent
  • RRP/Agent Phone no.
  • Years/months
  • Name of RRP's or Agent
  • RRP/Agent Phone no.
  • G. EMPLOYMENT HISTORY

  • What is your occupation?
  • What is the nature of your employment? (FULL TIME/PART TIME/CASUAL)
  • inc. accountant if self employed or institution if student
  • Years/months
  • Annual
  • Occupation?
  • Years/months
  • Annual
  • H. CONTACTS / REFERENCES

  • I. OTHER INFORMATION

  • PLEASE NOTE

  • DISCLAIMER

  • HOW DID YOU FIND OUT ABOUT THIS PROPERTY?

  • PLEASE PROVIDE 100 POINTS OF IDENTIFICATION

    Note: You MUST include at least ONE form of Photo Identification

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