I/We apply for tenancy of the premises described below upon the terms set out below:
By submitting this form, I authorise the landlord's agent -
The agent is committed to the principles of the Privacy Act 1998 (Cth). All steps are taken to ensure that any personal information collected is protected from unauthorised use. if you dispute part or all of the amount specified in this statement, and if you have been unable to resolve the dispute, you may apply to the Fair Trading Tribunal for a determination of the matter. By law legal action to recover the amount specified in this statement cannot be commenced until 28 days after it has seen served on you.
I/We acknowledge that the agent has permission to check our details as per this application:
Yes No