Hrx;kinqharrr

T}AUID EUAH$ ii,J j 'r;t. l--i:::1 r't; r.j..!lt ',,1 ::l:i-,1 :: i_:,_ r'.,
-': rri ;ll I.I i'-;
.,,1..r'r ., ji,.,_ 1.,_.

EOSKIHGHAI{ lrr'il-a,
_;l .r:::".i,: r'j: Ifr,:l_;, :1.:r'] .:-._r
- ', : l:. r .-: ..t,\r'-:-i- :.,-,1 r- -: iJt . rl

ENSURE YOU HAVE COMPLETED THE FOLLOWING

Each applicant has completed pages 4, 5,6,7,8 and 9. Also each applicant has signed the
Annexure A attached to the application. please note the following:

. Personal references cannot be relatives or reference from your property manager

or employer
o Next of Kin and Emergency contact must be different for each applicant and not
a co tenant
. Employment contact mobile numbers will not be accepted. Please ensure that
contact numbers are completed as this will hold up the process of your
application

Documents to be provided

. Photographic lD for each applicant over the age of 18, Passport, Drivers License,
Proof of age card
o Another form of ldentification, Medicare Card, Bank Card, Concession Card
. Copy of all Visas where an Australian Passport is not held (New Zealand not
applicabte)
. lf employed, the 4 most recent pay slips for each applicant
o lf unemployed proof of income or bank statements for each applicant
o lf self-employed, proof of income to be provided
o Document to provide proof of address ie: Utilities bill

Please note that if all of the above has not been compteted you may risk your application
not being accepted.
David Evans allows 2-3 working days to process applications. Please avoid calling the office to
see how your application is processing. We will contact you once all applications have been
completed to let you know the outcome

lf your application is approved you will be required to pay the security bond (4 weeks
rent) + 2 weeks rent in advance as well as sign all legal documents wittrin 24 hours to
secure your application to the property. Failing to pay this may result in the property
being leased to another applicant.

Alltenants of David Evans Real Estate MUST comply with our

DIRECT DEBIT SYSTEM FOR PAYMENT OF RENT

l/We have read, understand and acknowledge the above information

sisn:
fW*" s,en,/+4-.1- sien,

Date: \(:-8, -\? Date: ir: t- l1 Date:

 Hur:kittqhartt
,: ,,,,,: '-l: I-l- l-:1 I :! ,i:lll :11 :,':.,l-r :-: : r- r- r' i- '- l- tl -:' ':!''r'r' '-
BA1IID EI'TAHS
HOGIQHGilATI
-:,.1. .:.rt'.illill
i 1'-;
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.:r-,_:.: i:. ,:,:Ill.;:,_i
-i
ffi
Annexure A
by the agent and allows the use of a spare key
The tenant is aware of and agrees to routine inspecti6ilTein[carried out
if necessary.

shall maintain the garden by hand in the event

Where there is a bore and/or reticulation system at the property the tenant
aware that there is strict water bans between
of a breakdown of the system or water reitrictions. fn'e t6naits are also
ye"r. The tenants are asked to turn off all systems to avoid a penalty being incurred by the water
01/06 & 31/0g of each
are asked to iun the system once weekly to avoid the system lrom ceasing'
"oip-yo,
watering days permitted by the water corp and
The tenant is responsible for ensuring any relic system is set to the correct
agrees to pay fines imposed by the water corp for non compliance'

The tenant must give thirty (30) days notice in writing if intending to vacate
the premises on the expiry date of this
that it is a requirement to give twenty one (21)
agreement. After the expiry date of this.agreement, th; tenant is iware
priorio vacating thipremises. The owner/agent may enter the premises after giving reasonable
days notice in writing
number of occasions during the 30 or 21 days before
notice, to show the premises to prospective tenants on a reasonable
the end of the agreement.
names will be lodged on a tenant data base
The tenant is aware that should they leave the premises owing monies,.thir
lnformation centre.
with the Real Estate lnstitute of western Austratia and with the Tenancy

Thetenantagreestopayl00o/oofal|waterconsumedatthepremises.
condition as stated in the propefi condition
The tenant agrees to maintain all shire verges adjoining the property to the
report and all photos of the properly.

contents of the property and you should arrange

The tenant is aware that the owner is not obligated to insure the tenants
your own cover for household goods and personal effects'

per the Property Condition Report and the Tenant

The tenants agree to replace all light globes & reticulation fittings as
ind free.from dirt, oils, grease, insects and vermin' lf an
agrees to keep the premises in a iteai and sanitary condition
i" for the above items, then the cost involved will be payable by the tenalt'
eLctrican or a'plumber
"ng"g"d
the First of April, the tenant also agrees to
The tenant agrees to replace batteries to all fitted smoke alarms annually on
test that the s--moke alarm is working at least once every month'

property manager if the RCD does not operate'

The tenant agrees to test the RCDs every three months and inform the
This test resets the rerLoirity of the RbD, ensuring that it is ready to protect the occupants of the house from
elecirocution.

No Smoking is permitted inside the property at any time'

No pot plants or matresses are to be kept direct on the floors at any time
as moisture will cause damage to any flooring'
Anyfloor damage will be repaired/replaced at the tenants expense'

lawns or permit visitors.to park on the lawns and

The tenants acknowledge that their vehicles are not to be parked on the
held liable for the costs in restoring the lawns to a
that failure to comply with this condition could result in the ienants being
healthy condition.

The tenant is aware that no inflatable pools are allowed without the tenant
first obtaining the written consent of the agent
and the approval of the local authority.

does not appear'

The tenants agree to air all rooms including wet areas sufficiently so that mildew
prevent any oil, grease and petrol leaks from
The tenants agree to ptace drip trays on the carporVdriveway/garage floor to
motor vehicles.

where applicable the tenant agrees to regularly clean any filters in air con units'
tW. \cf 2't7
Date

\o -fi^ u1
Date

Form 6/31 APril 13,2015

aDolication to enter into #*r,*o IHE REAL ESTAIE INSI]TUTE
OFVtrSftFIAUSTMLI(NC,]

residential ten a ncy agreement .,;,,.,,-";6'.','^

000004492845

EXPLANATION FOR APPLICANTS

only complete this AppLICATION if you are sure that You want to enter into a Residential Tenancy Agreement with the
Lessor of the Premises

The Lessor of the Premises is attempting to locate the most suitable tenant; that is a tenant who pays the rent on time
and takes good care of the Premises.

To enable the Lessor of the Premises to determine in their opinion, who is the most suitable person, the Lessor's Property
Manager requires some bacl<ground information about You
AgTECMCNI.
ThE fOrM "APPLICATION TO ENTER INTO RESIDENTIAL TENANCY AGREEMENT" iS NOt thE RCSidcNtiAI TENANCY

The pu-pose of th s form is

First. to lnform the Lessor of Your details, and Your requirements for the Residential Tenancy Aqreement; for example,
if You wish to have pets at the Premises.
Second, to inform You ofthe Lessor's or Property Manager's usual use ofone or more residential tenancydatabases.

Third, to inform You of the money that is required to be paid prior to taking p.ossession of the Premises: for example, the
u.lr. ottt',1. Security Bond lwhich may be up to 4 weeks'rent), the Pet Bond ,which can be up to S250) and the initial Rent
pavment (which can be 2 weel<s rent in advance),

Fourth, to mal<e you aware of the terms of the Residential Tenancy Agreement iincludinq special conditions) associated
with the Lease if Your Application is accepted,

Summary of what will happen if You apply to enter into a Residential Tenancy Agreement with the Lessor
Your action if You wish to apply for the 1. Complete this Application.
Residential Tenancy Agreement:
2. Submit this Application to the Property Manager together with any 0ption Fee
that may be requested by the Property Manager.

Lessor's action if You do not succeed with l, lf You are not the successful applicant and have paid an 0ption Fee, the 0ption
Your Application: Fee will be refunded to You within 7 days of the decision,

Lessor's action if You succeed with Your 4. lf You are the successful app icant, the Lessor will provide You with a proposed
Application: Residential Tenancy Agreement for the Premises which will grant You the
option of entering into a Residential Tenancy Agreement

What You will then need to do if You are
the successful Applicant:
5. lf You sign the Residential Tenancy Agreement, comply with all the stipulated
requirements for the creation of the Res dential Tenancy A.q_reement set out
in iart t of the document, and the Lessor ior the Property Manager) sign the
document, a bindinq Resident al Teanancy Agreernent will exist between You
and the Lessor. ln the case ofwhere an 0ption Fee has been paid there will be
no need for the Lessor ior Property Manager to slqn the document for a binding
Res dential Tenancy Agreement to exist.

6. lf any of the events mentioned in clause 5 of this Summary above-do not occul
the rbmif ications of that are set out below in tlause 18 of Part B of this
Ap plication.

Premises Address:
FOR.:
.Dr(rrz
Address 1
5R l{.rrvc^aRo y Ba,-itrzr s
Address 2

Suburb statel w.A Postcodel 6\11

FROM: Proposed Tenants' Names;
Given Name,s) Familv Name

Tenant l fg-*rs\c.,4 \?s D p4r\-t

Tenant 2
r3 t?o cr<. t o \<\A/ 5o az
Tenant 3

Tenant 4

TO: The Property Managerr

Agency Name David Evans Rockingham
Ad d ress Shop 135, 1 Council Avenue, Rockingham, WA, 6168
Te ephone 9529 2033 Facsimi e 19529 2433
E-mail rockingham3@davidevans.com.au

LOPYRCHT(CREI,ryAiOl-]FORM]O2ACPLIIATIC\TCENTERNT!RE5]DENTIATIFNA['YA[REE\4E\]TIO]/]7 PEgElOflO
aoolication to enter into " REIWA ;;.:'"=i:,::,r",+
residential tenancy agreement FON U* BY

00000449284s
REtrAflEMBfiS

PART B
(T0 BE CoMPLETED BYYoU)
NOTE: This document is not a Residential Tenancy Agreement and does not grant any right to occupy the Premises

tNF0RMATI0N FROM "YOU" (the proposed tenant or tenants)

TENANCY DETAILS

You require the tenancy for a period of rr onth s trom

6 Atarentof$ zo per weel(

7. Totel number of persons to occupy the Premises Adults Chi dren E-.1 Ages

8. Pets - Type of Pet Dof^ Breed A(y x r?ottrg Nu m ber Age O WeelA
Type ot Pet Breed Nu mber Age

9. Do You ntend applying for a resrdent al tenan.y bond from a State Iovernrnent Department? tl Yes X t'lo

lf Yes, 5 Branch

T0. Bank account details for refund of Cption Fee iif applicab e)

Bank:
.f F,4 BSB

Account No.
"7 1t Acrount Name: s\G.a L tl,eOP,qr(\{
11. Any Special Ionditions requested

1g1E r The Lessor is not ob iged to accept any of the Your Specia Conditions.

12. TheaddressatwhichYouwishtorerevetheResdentia TenanryAqreementifYouaresuccessfu and/ornoticesreatinqtotenancy

Email loptlonal):

Fax iopt onal):

Posta address irequired)

P0 Box Town/tity c,,.e=lvtzz-a*s Postcodel Gtte
Address 1 \ r3 Auer r=a b<
Address 2

13. YoudeclarethatYo!arenotbanl<ruptandthatall oftheinformationsuppiedinthisApplicaton strueandtorrettandisnotmisleadinginanyway.

14. You acknowledge that, having inspected the Premises, You will accept possession of the Prernises in the condition t was in as at the date of inspectron.

,]5. By Siqninq this application You are ma <inq an application to lease the Premises. The Lessor rnay or may not send You a proposed Residential Tenancy
Agreen,e't for the Premises.

15. lf You are the successful applicant, the Lessor will send You a proposed Resldential Tenancy Agreement for the Prem ses which wr I tonta n informatron
about pre-requisites for the creat on of a bind ng Resldent al Tenancy Agreement. The Residential Tenancy Agreement wili be comprised of
PartsA,Bandt. PartsAandBcanbeviewedonreiwa.com.au. PartIwll alsoincudeaddt0nal termsagreedtobythepartes,adraftofwhchisattached
to this Application.

17. lf a sum for an 0pt on Fee s stipulated in Part A, You rnust pay that 0ption Fee to the Property Manager at the same tirne You make th s applicat on.
The 0ption Fee must be paid by You by rash or cheque. lf You are not the surcessful applicant and have paid an 0pt on Fee the 0pt 0n Fee will be refunded
to You by way of an e ertron r transfer to Your banl< account details set out ir Part B within 7 days of the dec si0n.

LI]PYRIHTORE]WA2O1. IFORM3O2APPTII,ATIONTOENTERII,JTORESIDENIALTEIIANTYALNiEI.IENT 1]1/]' P'gE]Of10

aoDlication to enter into REIWA INE RilLES1ATE NSNIUIE
OFVESTEEI AUSIFAL AI NC]

residential tenancy agreement FORU*3YRfuA

000004492845
MEMEERS

18 lf you are the surcessful application the Lessor wil provide You with a proposed Resldential Tenancy Agreement for the Premises which will grant You the
option of enterinq irto a Residential Tenancy Agreement;

la) if you siqn the Resldentral Tenancy Agreement, comply w th all the stipulated requirements for the creation of a b nding Res dent al Tenancy
Aqreement as set out in Part C of the document ieg returning the doc!ment to the Property [,4anaqer by the stipulated t me, paying full
stipuLated rental and bond): and;

I ) lf an Option Fee has been pa d THEN a binding Residentlal Tenancy Aqreement w ll exist between You and the Lessor and any 0ption Fee
will be refunded t0 You or applied towards the rent; or

lii) f no Option Fee has been pa d and if neither the Lessor nor the Property Manager sign the document THEN no binding Residential Tenancy
Agreement will exist between You and the Lessor; or

I ii) tf no Option Fee has been pa d and lf the Lessor lor the Pr0perty Manager) siqns the document THEN a binding Res dential Tenancy
Agreement will exist between You and the Lessor.

1b) if you do not sign the Resident al Tenancy Agreement or if You do not comply with the pre-requisites for the existence of the Residential Tenancy
AgreerrentYou-wlllnothaveentered ntoabindingResidentiaiTenancyAgreement,theoptonforYoutoentersLlchanagreernentwilllapse,and
any 0ption Fee paid byYou will be forfeited to the Lessor.

Notel Under the Residential Tenanry Act 1987 agreements to lease do not have to be in writing and may be entered verbally or hy
conduct. This Glause 18 does not purport to remove any right of parties to reach non-written agreements. However, if the parties wish
to enter an agreement on the terhs iet out in this form, the pre-requisites set out above must be met in otder for the lease to exist'
19. YOU MUST UNOERSTAND THAT IF YOU ARE THE SUCCESSFUL APPLICANT AND THE LE55OR, PROVIDES YOU WITH A PROPOSED RESIOENTIAL
TENANCy AcREEMENT BUT yOU 0O NOT COMpLy WITH PRE-R.EQUISITES FOR THE EXISTENCE 0F A BINDING RESIDENTIAL TENANCY AGREEMENT,
sET OUT lN PART C OF THE RESTDENTIAL TENANCY AGREEMENT (INCLU0ING SIGNING THE RESI0ENTIAL TENANCY AGREEMENT, R.ETURNING lT
TO THE PROPERTY MANAGER BY THE ST]PULATED TIME, PAY ANY STIPULATED RENTAL IN ADVANCE,SECURIW BOND AND / OR PET BONO) NO
RES!DENTIAL TENANCY AGREEMENT WILL COME INTO EXISTENCE AND THE LESSOR MAY ENTER. INTO A RESIDENTIAL TENANCY AGR.EEMENT
WITH ANOTHER PER,SON.

20. DEFINITIONS

la) 'Act" means lhe Residential Tendncies Act 1987including any amendments
'Application" means thls App ication to enter lnto a Res dential Tenancy Aqreement
"Business Day means any day except a 5unday or public ho day in Western Austral e
"Lessor' means the person/entity with rhe author tY to ease the Premises
"0ptionFee'meansapayrrentasreferredto nserton27.7),a) 0f theAtt.Thearrourtrithe0ptonFeeisspecifledinPartAof thisappl caton
The amount of the 0ption Fee is capped as follows
I) where the weel< y renta under the Resrdentia Tenancy Aqreement s 5500 or less an Option Fee of up t0 550 s payable;
lii) where the wee< y renta under the Res dentia Tenancy Agreement exceeds 5500, an 0ption Fee of up to 5100 is payable;
liii) wheretheResdentia TenancyAgreement sforresidential premisess0uthof the2Sthparallel of southlatitudeandtheweeklyrentis
51,200 or rr0re, an 0ption Fee of up t0 51,200 is payable
'premises"meanstheaddressspecifiedonthefirstpageofthisdocument.Anylterrs ncludedorexcludedwil appearinPartAoftheproposed
Res dential Tenanty Agreement.
'propertyManager"meanstherealestateagentappointedbytheLessorto easeandmanaqethePremises.
Residential Tenancv Agreement" means an agreement n writing in the form prescribed by the Act compr s nq of Parts A, B and C.

Part C wil inc ude add t onal specia conditions as agreed between the part es.
"You'or 'Your means the person or persons makinq the Application to Lease the Prem ses

lb) A I arts and things that the Lessor is requ red or empowered to do may be done by the -essor or the r Property N4anager.

21 you agree that for the purpose of th s Appirat on, the Lessor or Property Manager may mal<e encr 'es of the persons qtven as i'eferees, next of k n or
e*ergln.ycontactsprovidedbyYou andasoma(eenquiresofsuchotherpersonsoragences;stheLessormayseeflt.
The personal nformation You g ve in this Appliratlon or c0 lected from other sources is necessary for the Lessor or Property Manager to verify Your
dent ty, to process and evaluaie the Applicat on to rranage the tenancy and t0 tonduct the Property Manager's bus ness PPrsora inforrrat on
collectedaboutYoulnthisAppicationandduringthecourseofthetenan.yiftheApplicationissuccessfu maybedstlosedfortrrepurposefor
which it was collected to other parties includ nq to the Lessor, referees, other Propefty [,4anagrs, prospect ve lessors, thrrd partv operators 0f
residential tenancy databases, and prospective buyers of the Premises. Information a ready held on residential tenancV databases may a so be
disclosed to the Property Manager or Lessor.

lf you enter into the Residential Tenancy Agreement or You fail to comply with Your obligatiors under any Residential Tenancy Aqreement that fart and
0ther relevant personal information co lected about You dLrring the course of this Application I ncludinq information provided separately to this
appl cation) or ihe Residential Tenancy Agreement mav a so bi disclosed to the Lessor, third partv opelators of tenancy reference databases ,to the
extent perrnitted by law), other Property Managers prospect ve lessors and prospect ve buyers of the Premises.
lfyouwouldliketoaccessthepersonal informationtheLessororPropertyManagerholds,YoucandosobycortactingthePropertyManaqer, Seeaso
the attached notice regardinq use of res dent al tenancy databases.
you ran also correct this information f tt is inaccurate inronrp ete or out-0f-date lf the informat on n th s App itation. is not prov ded the Property
N,4anager may not be able t0 process the App ication 0r the Residentia Tenancy Agreement properly or manage the tenanty properly

Name:
6iven Namels) Farn lv Name

Tenant 1
l5g,:src-A ResFarrvr
.-S orAnz>er{
Tenant 2
Bs<o-.0<
Tenant 3

Tenant 4

Signature:

TOPYRIHToREIWA2O],]FoRM]o2A'PtItATIONTOEI']TERINTORESIDENIATTENAN:YAI,REFVE\]T O]/17I P.ge4oflO

aDolication to enter into s*r,*o iHE RA ESliiE INSI IUTE

residential tenancy agreement .,;,,,,".,,,,,,^,,^

OF ![SEF! TUSTRil INC]
FORUSESYifuA
000004492845
MEflEERS

NOTICE OF USE OF ONE OR MORE RESIDENTIAL TENANCY DATABASES

Section 82C - Residential Tenancies Act t9g7

t. It is the Property Maraqels usual practice to use one or more resjdential databases
for the purpose of checking an appl cant,s tenancy history.
2. The name of each residential tenancy database the Property M,anager or Lessor
usually uses or may use for decrding whether a residential tenancy
agreementshou|dbeenteredrntoWlthapeI5onaresetout,below
The contact details for the database operatorls) who operates the databasels)
!sed by the pM as referred to above are as foliows:
la) %
I) Address: pO Box 120, Concord NSW 21l7
lii) TelePhoner 190 222 0346. Ialls are charged 55.45 per minute ncluding CST
ihigher for mob le or pay phones)
llii) Facsimile; :,al 9743 4844
liv) Website:www.tica.com.au
(b) National Tenancy Database istrike out if inapplicab e)
I) Address: CpO Box 13294, Ceorqe Street 120 Br sbane 4003
QLD
lii) Telephone: Ti00 583 826
llii) Facsimite: lo7) 3oo9 0619
lv) Email: info@ntd.net au
lv) Website:www.ntd.net.au

lc) Other Databases iif appt cabte)

(i) Namer

(ii) Address:

(iii) fetephone:

(iv) Facsimile:

(v) Email:

(vi) website:

4. The applicant may obtarn information from the database operator in the f0llowrng
manner:
la) as to TttAi
I ) Posta and fax application forms can be downioaded from www.tica.com au . Informatlon
regarding applicat no fees can be found on the
applrcat on form;
lb) as to the Nattonal Tenancy Databaser
l) Arequestforrental historyfilecanbedownloadedfromwww.ntd.net.au.A inktotheformranbefoundunderthetab,ForTenants,.
.i) A request for rental history may be submitted by post fax or ena L

lc) as ro
I
I

- --t
l

NoTE; This notice is required to be given regardless of whether the Property

Manager intends to conduct a search on the partirular applicant.

LOPYR .HT o REIWA 201, I FoRM 302 ApPLIIATION TO ENTER II,]TO RESIDENTIAL IENANTY ACREEMENT
I !]/]7 ] P.g.5 of,Io
aoolication to enter into #*r,*o TH' FEAL ESIIlE ]NS1[J1E
cFlfsftRn rrstR{rA0NC I

residential tenancy agreement ",;,.,;.-;,,.,,,,, ^

000004492845

Y0UR (First Person's) PARTICULARS

Civen Namels) -lSEssrc-a LVp FamilyNamel taEO PA(\<\
Address 1
I te A,;R.tr= r- ,{
Address 2

Suburb C-..\eS1V g:LL S statel W.A lPostcodel G\ \ O

Phone No work lo+ 3@t 8 3\ 85 + ll,roo
t. oLrS+ V"6 '7c, '7 lnonel 4, 344 a Z-*&
Email r-er)*'y,t/'.\e-s=. qo tA- o,n-ro)\. c--awt -
Date of Birth ,ts/c.rgf.i.alnr...'6fair.t,l] C*o{,vr*-* ]ramilyNameatBirthl \au:-bi>.+,t-\\ lAustraliantitizenXYes lNo

DOCUMENTS TO CONFIR.M YOUR IDENTITY

'w - /^,
Drivers Licence ruo 5 zi L\ 7a I st.t. | Passport No

6zr+ q16o 7
|

othe,rD I Ar9 a6-.,tG"E 2-

Proof of ldentification llicence number/banl<card etc)

vehicterype6Resistrationnrol Atfss)Br5\A\ oofLA^/DER tbt?.D - +O5

Anything else to support Y0ur Application

Smo <er vu, X ruo

Personal References a) NAME E c-\A/{r'/\\>\o.4./ TELEPNONE re ?u8 2

b) NAME
TELEPHONE
405q oo
li) Name of current lessor or to whom rent s

C.e.nrrwt<Y Z\ I enonet'to lc\+c\S 2:oo

Ad d ress rir3 r'\.-,rR.\EL ):>\()..A=.al e LuS
Renta Paid 5 2P,C leeriodnentedr,orl\t-B -\G I ro I fe-E-f?
Reason for leaving ( , )-a.nzrr\t! e- so/.\/tEn\\/v(^ Brc-C^si1-
(i i) previ.us address of App irant FZ S * U
Name of previous essor or manaqing aqent to whom rent was pa d

CE \\EAu\ Y Phone No

Ad d ress

Rental Paid Penod Rented From o5-o+-\ 05-\o"\

Reason for leaving

(iii) 0.cu p ati on LYturv tz?- C-\-E/4./v l,/vc^ (Note: Your Employer may be contacted to verify employment)

Em ployer Phone No 3\ 8E+

Period of Employment Wage

lf less than 12 months, name and address of previous emp oyer

Explanatron if no employrnent:

(iv) Next of l(ir iNote: These people may be rontalted to verify part culars)

First Next of Kin NANitE 3o\t/ ozl

ADDRESS

Second Next of l(in IJA N,4 E -A\.1 Reo Qa<rt 3L+ rZ+\
ADDRESS

Emergency [ontact irame and address and telephone) lNote: These people may be contarted to ver fy particulars.]
First Iontarat NAN/E I/Efi o? \sw
ADDRESS

5erond fontact NAIV]E )(< of K\/

ADDRESS

{C:YRII,Hi'iREI,/1/A201/IFORM302A'PTITATIONTOENTERII]TOF.E5IOENTiAtTENANIYALREE'"4ENI 1]]/];I P:gE5Of1O

a
aDo lication to enter into " REIWA ;,",ri*.j';:,), :

residential tenancy agreement 000004492845

Y0UR (Second Person's) PARTICULARS

Iiven Name(s) B eo c,\s Lt/.' LL t A rttl. Family Name I t qr.;r. a.rSS, -/'L/
Address 1
I rj r'y1ts t<\E{- \s
Address 2

5uburb C-osnzt=(-LS state | (r. A lcostcode le I rO

Phone No Worl< t+ 76C> ?oV Mobirelo+B I Ho|.n.l ots\t+ O Z- ?A
Email Broe-\s" - Eess@- b.q o.rr,^c[- C-o-il\-\ 'dYes
Date of Birth ; S 1or- l$ft1 ntace of ainn I D e t-lO.aZ ri/OR{ ]
Family Nane at Birth
] sG./u, I
Australian titizen No

=or\N
DOCUMENTS TO CONFIRM YOUR IDENTITY
#$ * ga zo
Drivers Licence r,ro | I st.t. I u). A Passport No

otherrD I t^l . ra P\rcrro r D

Proof of ldentification (licence number/bankcard etc) | B rg..rt C-E --( FP,-Za / \c\Z'*
VehiclerypeEResistrationHrol \(,At*yASA\<\ N tfVq a \ E \r\ G'3\
Anything else to support Your Application

Smol<er Yes X no

Personal References a) t'llvt \A r-> \A^.\a.E TELEPHONE

h) NAN4E TETEPHONE 5+t 6-7

ir) Name of current lessor or to whorr rent is

Phone No

Ad d ress \o\ tro\<Es\ \-Ai<tES t\t.or<urzure

Renta Paid s Period Rerted Frorr

Reason for leavinq '\e; 44 6 rP11 i rrzd-1

lil) Previous address of Applicant \z- \ IEL\/ i.1i.:ru
Name of previous essor or manaqinq agent to whom rent was pa d

Phone No

Address

Renta Paid oca-C)3-\5

Reason for leaving Lr-l.ar?, r< fi<-Ar.=-l-s

lii i) 0rcu p ation (Note: Your Employer may be rontacted to verify ernployment)

Employer r- EzrrPuorrgr> Phone No ,q+ o"-

Period of Ernployment Waqe

lf less than l2 months name and address of previous emp oyer

Explanation if no emp oyment:

(iv) Next of l(in (Note: These peop e may be contacted to verify partlcu ars)

First Next of K n NAlilE \c-lr \<EO9.{.\i

ADORESS \Ea- Sa( . C^e:,,,vEt-L>
Second Next of (in NAI,4E \<E1tf( f crtA;vgbzV
ADDRE55 ert<\e ts< LV E RSTO"4/('
Emergency Contact iname and address and telephone) INote: These people may be c0ntacted to ver fy particulars,]
First [onta(t r]^ME

ADDRESS

Second [ontact NAN4E

ADORE5S

LCJYRIIHT(OREIWA'O]'IFORM3O2APPTII,ATIONTOEI]TERINTORE5IOENTIAL']ENAN:YACREEN/]ENTIOl/]' P.gETOf'I()
application to enter into " REIWA :,j;i,;,;r;;.r
residenti al tenancy agreement .OPTRrc8l! REhIA?!'
rcR U* SYiflA MEil8ERs
000004492845

By Signing this document You are making an application to enter into a Residential Tenancy Agreement in relation to the Premises.
Your Application may or may not be successful,

YourSignature I FirstPerson ) o.t. [c> - b* \?

Your Signature lSecond Person) 0,,. [ic]Sll7

Your Signature I Third Person ) uate | |

Your Signature I Fourth Person ) n.t.f--------l

t0pYRlIH- o REIwA 201. I FORM 302 APPUT,ATI0N T0 ErJT:t tNTo RE5t0ENT AL rENANty Ar:REE\4ENT | 0]/1r pag 10 oflO