Rental Application – 38A Darlington Rd (Tenant 1) Tenant 1: Fill Out The Form Below. Tenant 2: Click Here Apply Here RENTAL APPLICATION - 38A DARLINGTON RD (Tenant 1) Apply for property Property Details38A Darlington Rd, Stawell VIC 3380Bond$1040 (4 Weeks Rent)Rent DetailsPer Week: $260 Per Fortnight: $520 Per Calendar Month: $1040Would You Like To Offer A Higher Amount?This can help you get approved for the propertyDetails of TenancyPlace your desired date and term here.Preferred Lease Start Date Earliest Lease Start Date We need to rent this property as soon as possible. Usually there are a number of applicants. To maximise your chances please supply the earliest lease date you can. Thanks. Tenancy Term12 Months6 MonthsApplicant DetailsPlease submit your details hereName First Last Are You Applying with Another Tenant? Please submit their name here. First Last The tenant you are applying with will need to also submit a form. Please get them to do that. You can send them the form using this link: http://roomreveal.com.au/rental-application-tenant1/Tell Us A Little About Yourself & CircumstancesGenderMaleFemalePlease supplyWork PhoneMobile PhoneWork PhoneHow Many People Will Live Here (Max 2 Adults 2 Children)Adult 1Adult 2Child 1Child 2Please supplyDo You Have a Pet? (Only 1 pet permitted)Please supply pet type, age and breed. Photo of YourselfPlease supply a photo of yourself.Emergency ContactName First Last RelationshipAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country PhoneApplicant DetailsAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Date of Birth Current AddressRent $Per WeelHow Long At This Address*Please enter years or months at your current addressCurrent Landlord or Agent Name*Please enter the name of your current landlord or agent.Current Landlord or Agent Phone Number*Please enter the name of your current landlord or agent.Email Address of Current Landlord or Agent Reason for Leaving Current Address*Please provide detailsPrevious AddressPrevious Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Rent $Per WeekPrevious Landlord or Agent Name*Please enter the name of your current landlord or agent.How Long At This Address*Please enter years or months at your current addressPrevious Landlord or Agent Phone Number*Please enter the name of your previous landlord or agent.Previous Landlord Email Address Reason for Leaving Previous Address*Please provide detailsCurrent Employment / Self EmployedPlease provide details as per your situationCompany Name*Please provide details of the company or establishment you work for. Position*Please provide detailsCompany Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Payroll or Company Accountant Name*Please provide detailsPayroll or Company Accountant Work Phone*Please provide detailsLength of Employment (Months)*Please provide detailsWeekly Income After TaxPlease provide weekly pay detailsBusiness ABN ACN*Please provide detailsStudentAre you a full-time student?YesNoWhere you are you studyingTafeUniversityOtherStudent NumberPlease provide detailsContact NameContact NumberDo You Receive Income From Your Parents?YesNoAmountName of ParentsContact NumberCentrelink BenefitsTypeAmount (Per Fornight) $Additional Sources of Income (If Any)TypeAmount (Per Week) $Personal RefereesPlease submit detailsName First Last OccupationRelationship to YouPhoneAttach DocumentationDrivers Licence, Passport or OtherPlease supply at least ONE FORM of PHOTO ID:*Drivers LicensePassportOtherPlease select which type you are providing and then upload below. Upload Photo ID* Drop files here or Accepted file types: jpg, gif, png, pdf, jpeg. Please select type above and upload image of licence, proof of age card, passport or bank statement here. Please supply ONE additional form of ID:*Birth Certificate or ExtractCitizenship CertificateHealth Care CardStudent CardProof of Age CardBank CardUtility Bill (Water, Gas or Electricity)Rates NoticeOtherPlease select which type you are providing and then upload below. Birth Certificate or Extract, Citizenship Certificate, Health Care Card, Student Card, Medicare Card, Bank Card, Utility Bill (e.g. water, electricity, gas) or Rates Notice.Upload Second Form of ID* Drop files here or Accepted file types: jpg, gif, png, pdf, jpeg. Please select type above and upload image of licence, proof of age card, passport or bank statement here. Please supply PROOF of INCOME:*Current Payslips (2 Attached)Salary Confirmation LetterStatement of Centrelink EntitlementsOther Income ProofCurrent Pay Slips (minimum of 2) OR: If new job - Letter of confirmation incl. salary OR: Statement of Centrelink EntitlementsUpload Evidence of Proof of Income* Drop files here or Accepted file types: jpg, gif, png, pdf, jpeg. Please select type above and upload image of licence, proof of age card, passport or bank statement here. ConfirmationConfirmation I Confirm I confirm that during my inspection of this property I found it to be in a satisfactory condition and suitable for occupancy. I also acknowledge that this rental application is subject to the Landlord’s approval and I consent to the information provided in this application being verified and a reference check on VEDA being undertaken.Privacy Act Acknowledgement for TenantI Confirm I Confirm Privacy Act Acknowledgement for Tenants If No, I believe the following items should be attended items are subject to the landlord’s approval and do no I provide consent for the Agency as part of application processing to contact all necessary people (such as referees, other agents, tenancy databases) to verify the Application information provided and understand that all Federal Privacy Act requirements and the Australian Privacy Principles will be adhered to by the Agency. I consent to my personal information being passed on during the tenancy (should it commence) and after the tenancy if required to other third parties which include however are not limited to tradespeople/contractors, salespeople, bodies corporate, tenancy databases and other relevant parties in full compliance with the Federal Privacy Act and any other relevant information. The Lessor of the property will be provided all relevant information as the tenancy agreement is between the lessor and the tenant; the agency manages the property on behalf of the lessor. The agreement should it commence is a tenancy databases) to verify the Application informatio contract between the lessor and the tenant; personal information will be passed onto the lessI Confirm I Confirm I also acknowledge that: 1. I am responsible for ensuring the main power switch is turned off to enable power to be connected. 2. The premises is a “Smoke Free Zone” and I/we will ensure there is no smoking inside the premises 3. I will read all lease conditions upon signing the lease and adhere to them when vacating the property. Signature Signed Digitally By ticking this box I acknowledge I have submitted this application and digitally signed it. Submitting this form does not commit me to anything until I have signed a lease agreement and been informed of a successful application. EmailThis field is for validation purposes and should be left unchanged.