Residential Application Form
For your application to be processed you must answer all questions (including the
reverse side)
A. AGENT DETAILS D. UTILITY CONNECTIONS
Sydney Property Realty This is a free service that connects all your utilities
Once we have received this application, we will call you to confirm your details.
Address : Suite 66/650 George St, Sydney NSW 2000 Direct Connect will make all reasonable efforts to contact you within 24 hours of the nearest working day on receipt of this
Application to confirm the information on this Application and explain the details of the services offered. Direct Connect is a
Phone : (02) 8957 0308 utility one stop connection service.
Email : info@sydneypropertyrealty.com.au Please tick utilities as required
Electricity Gas Phone
Property Manager
Internet Pay TV Insurance
B. PROPERTY DETAILS DECLARATION AND EXECUTION: By signing this application, I/we: consent to Direct Connect arranging for the connection
and disconnection of the nominated utility services and to providing information contained in this application to utility providers
1. What is the address of the property you would like to rent? for this purpose; acknowledge having been provided with Terms and Conditions of Supply of Direct Connect and having read
and understood them together with the Privacy Collection Notice set out below; declare that all the information contained in
this application is true and correct and given of their own free will; expressly authorize Direct Connect to provide any
information disclosed in this Application to a supplier or potential supplier of the Services in accordance with the Privacy
Collection Notice and to obtain any information necessary in relation to the Services; expressly authorize Direct Connect to
provide any information disclosed in this Application to an information provider for the purpose of that information provider
Postcode disclosing it to a supplier or potential supplier of the Services in accordance with the Privacy Collection Notice and to obtain any
information necessary in relation to the Services; consent to Direct Connect contacting me by telephone or by SMS in relation
to the marketing or promotion of all of the services listed under the heading “Utility Connections” above even if we/I have not
2. Lease commencement date? applied for the connection of those services in this application. This consent will continue [for a period of 1 year from the date
of our/my execution of this application/until [28] days after we/I disconnect the last of the services in respect of which this
application is made]; acknowledge that this consent will permit Direct Connect to contact us/me even if the telephone numbers
Day Month Year listed on this application form are listed on the Do Not Call Register; understand that under the requirements of the Privacy Act
1988, Direct Connect will ensure that all personal information obtained about me/us will be appropriately collected, used,
disclosed and transferred and will be stored safely and protected against loss, unauthorized access, use, modification or
3. Lease term? disclosure and any other misuse; authorize the obtaining of a National Metering Identifier (NMI) for my residential address to
obtain supply details; consent to Direct Connect disclosing my/our details to utility providers (including my/our NMI and
Years Months telephone number); declare and undertake to be solely responsible for all amounts payable in relation to the connections
and/or supply of the Services and hereby indemnify Direct Connect and its officers, servants and agents and hold them
indemnified against any charges whatsoever in respect of the Services; acknowledge that, to the extent permitted by law, Direct
4. How many tenants will occupy the property? Connect shall not be liable for any loss or damage (including consequential loss and loss of profits) to be/us or any other person
or any property as a result of the provision of the services or any act or omission by the utility provider or for any loss caused
Ages of by or in connection with any delay in connection, disconnection or provision of, or failure to connect or disconnect or provide,
Adults Children Children
the nominated utilities; acknowledge that whilst Direct Connect is a free service I/we may be required to pay standard
connection fees or deposits required by various utility providers; acknowledge that the Services will be provided according to
the applicable regulations and that the time frames and terms and conditions of the nominated utility providers bind me/us
C. PERSONAL DETAILS and that after hours connections may incur additional service fees from utility providers; acknowledge that the real estate agent
listed on this application form may receive a benefit from Direct Connect in connection with the provision of the service being
provided to me/us by Direct Connect; and acknowledge the entitlement of Direct Connect and its associates, agents and
5. Please give us your details contractors, to receive a fee or remuneration from the utility provider and that such fee or remuneration will not be refunded
to me as a rebate in connection with the provision of the utility connection services. By signing this application form, I warrant
Mr Ms Miss Mrs Other that I am authorized to make this application and to provide the consents, acknowledgements, authorizations and other
undertakings set out in this application form on behalf of all applicants listed in this application form.
Surname Given Name/s Signature Date
Date of Birth Given Name/s PO Box 1519, Box Hill, Victoria 3128. P: 1300 664 715 F: 1300 664 185. www.direct connect.com.au
E. DECLARATION
I hereby offer to rent the property from the owner under a lease to be prepared by the Agent. Should this
Driver’s license expiry date Driver’s license state application be accepted by the landlord I agree to enter into a Residential Tenancy Agreement.
I acknowledge that this application is subject to the approval of the owner/landlord. I declare that all
information contained in this application (including the reverse side) is true and correct and given of my
own free will. I declare that I have inspected the premises and am not bankrupt.
Passport no. Passport country
I authorize the Agent to obtain personal information from:
(a) The owner or the Agent of my current or previous residence;
(b) My personal referees and employer/s;
(c) Any record listing or database of defaults by tenants such as NTD, TICA or TRA for the purpose of
Pension no. (if applicable) Pension type (if applicable) checking your tenancy history;
I am aware that I may access my personal information by contacting –
• NTD : 1300 563 826
• TICA : 1902 220 346
6. Please provide your contact details • TRA : (02) 9363 9244
If I default under a rental agreement, I agree that the Agent my disclose details of any such default to a
Home phone no. Mobile phone no. tenancy default database, and to agents/landlords of properties I may apply for in the future.
I am aware that the Agent will use and disclose my personal information in order to:
(a) communicate with the owner and select a tenant
(b) prepare lease/tenancy documents
Work phone no. Fax no. (c) allow tradespeople or equivalent organizations to contact me
(d) lodge/claim/transfer to/from a Bond Authority
(e) refer to Tribunals/Courts & Statutory Authorities (where applicable)
(f) refer to collection agents/lawyers (where applicable)
(g) complete a credit check with NTD (National Tenancies Database)
Email address (h) transfer water account details into my name
I am aware that if information is not provided or I do not consent to the uses to which personal information
is put, the Agent cannot provide me with the lease/tenancy of the premises.
6. What is your current address? Signature Date
Postcode
8. How did you find out about this property?
Newspaper The Internet Local Paper
Office Office Window Sign Board at Property
Referral Other (specify)
Application sent to
Direct Connect (if Required)
F. APPLICANT HISTORY H. CONTACTS / REFERENCES
9. How long have you lived at your current address? 17. Please provide a contact in case of emergency
Years Months Surname Given name/s
10. Why are you leaving this address?
Relationship to you Phone no.
11. Landlord/Agent details of this property (if applicable)
18. Please provide 2 personal references not related to you)
Name of landlord or agent
1. Surname Given name/s
Landlord/agent’s phone no. Weekly Rent Paid Relationship to you Phone no.
$
12. What was your previous residential address? 2. Surname Given name/s
Postcode Relationship to you Phone no.
13. How long did you live at this address?
Years Months
I. OTHER INFORMATION
14. Landlord/Agent details of this property (if applicable) 19. Car Registration
Name of landlord or agent
20. Please provide details of any pets
Landlord/agent’s phone no. Weekly Rent Paid Breed/type Council registration / number
$
Was bond refunded in full? If not why not?
J. PAYMENT DETAILS
G. EMPLOYMENT HISTORY Property Rental
15. Please provide your employment details $ Per Week
What is your occupation?
First payment of rent in advance $
What is the nature of your employment? Rental Bond (4 weeks rent): $
(FULL TIME / PART TIME / CASUAL)
Employer’s name (Inc. accountant if self-employed or institution if student) Sub Total $
Less: Holding deposit (see below) $
Employer’s address
Amount payable on signing tenancy agreement
(bank cheque or money order only)
$
Postcode K. HOLDING FEE
The holding fee can only be accepted after the application for tenancy is approved.
Contact name Phone no. The holding fee (not exceeding 1 week’s rent) of …………………………… keeps the premises off
the market for the prospective tenant for 7 days (or longer by agreement).
In consideration of the above holding fee paid by the prospective tenant, the landlord’s
agent acknowledges that:
Length of employment Net Income (i) The application for tenancy has been approved by the landlord; and
Years Months $ (ii) The premises will not be let during the above period, pending the making of a residential
tenancy agreement;
(iii) If the prospective tenant(s) decide not to enter into such an agreement, the landlord
15. Please provide your previous employment details may retain the whole fee;
Occupation? (iv) If a residential tenancy agreement is entered into, the holding fee is to be paid towards
rent for the residential premises concerned.
(v) The whole of the fee will be refunded to the prospective tenant if:
(a) the entering into of the residential tenancy agreement is conditional on the landlord
Employer’s name carrying out repairs or other work and the landlord does not carry out repairs or other work
during the specified period
(b) the landlord/landlord’s agent have failed to disclose a material fact(s) or made
misrepresentation(s) before entering into the residential tenancy agreement.
Contact name Phone no. Signature of Landlords Agent Date
Length of employment Net Income Signature of Applicant Date
Years Months $
Suite 66/650 George St, NSW 2000
E: info@sydneypropertyrealty.com.au
P: +612 8957 0308
Supporting Documents Check List
Please provide 100 points of ID:
Current drivers licence 40 points
Passport 40 points
Proof of age card 30 points
Birth certificate 20 points
Credit card 20 points
Medicare card 20 points
Motor vehicle registration 20 points
Proof of current address
Recent utility statement
OR
Recent council rate notice
OR
Recent strata bill
3 months latest Bank statement
Previous tenant ledger
Visa (for foreigner)
ADDITIONAL SUPPORTING DOCUMENTS SHOULD BE PROVIDED BY STUDENTS:
Confirmation of Enrolment (CoE)
Visa