Form | DPG

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

General Details

Address *

Suburb *

Rent per week $ *

Bond $ *

Personal Information

Full name *

Email Address *

Date of Birth *

Please state who else will be residing with you

Resident 1

Name

Relationship

Age

Resident 2

Name

Relationship

Age

Contact Information

Your current address *

Phone Number *

Work Number *

Mobile Number *

Previous address *

Agent Details (If Rental)

Agent / Landlord Reference 1

Company Name

Contact Person

Phone Number

Agent / Landlord Reference 2

Company Name

Contact Person

Phone Number

Employment

Your Occupation *

Currently employed with *

Additional Information

What type of accomodation do you require? (eg. House, apartment, etc)

Rental Range (weekly)

Drivers Licence Number

Closest relative not living with you

Address

Contact Phone Number

Comments *

What is thirteen minus 6? *

By pushing the send button below, I authorise that the above information may be used to carry out a credit check on me. I also agree that should I be in breach of any express or implied provision of the tenancy agreement or any provision of the residential Tenancies Act, that I will pay the Landlord's costs's incurred in undertaking collection action to recover his/her losses.

Tenancy Application