Tenancy Application form

For your application to be processed you must answer all questions

    LJ Levi Real Estate - Rose Bay

    520 Old South Head Road ROSE BAY 2029

    Phone: 02 9371 0277 Fax: 02 9371 5471


  • 2. Lease commencement date?
  • 3. Lease term?
  • 4. How many people will normally occupy the property?
  • 5. Property rental
  • OR

  • 7. Please provide your contact details

  • Years
  • Months

    I hereby offer to rent the property from the owner under a lease to be prepared by the Agent. I acknowledge that I will be required to pay rental in advance and a rental bond.

    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.

    I authorise the Agent to obtain personal information about me from:

    • (a) The owner or the Agent of my current or previous residences;
    • (b) My personal referees for this application
    • (c) My current and past employers;
    • (d) Any person who maintains any record, listing or database of defaults by tenants; and I authorise and consent to each of those persons providing requested personal information about me to the Agent.

    If I default under a rental agreement, I agree that the Agent may disclose details of any such default to a tenancy default database, and to agents/landlords of properties I may apply for in the future.

    I am aware that 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
    • (c) allow trades people or equivalent organisations to contact me
    • (d) lodge/claim/transfer to/from the Residential Tenancies Bond Authority
    • (e) refer to Tribunals/Courts & Statutory Authorities (where applicable)
    • (f) refer to collection agents/lawyers (where applicable)

    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. I am aware that I may access personal information on the contact details above.

    I acknowledge that the Agent and its employees may receive bonus rewards from Rental Rewards for using their payment service.

  • F. PAYING RENT: We prefer payment of rent from your Bank Account or by Credit / Debit Card using Rental Rewards

    Simply complete below – visit www.rentalrewards.com.au for further information.

    We accept

    Earn Points here.

    Please nominate your preferred ongoing rent payment methods:

    I/we request that moneys due in terms of the repayment arrangements covered by this document, be drawn by Rental Rewards Pty Ltd (User ID 321418) under the Direct Debiting System from my/our account stated below. I/we acknowledge that this Direct Debiting arrangement is governed by the terms of the Direct Debits Service Agreement received from you.
  • DECLARATION: I hereby register with Rental Rewards ACN 056881942 (RR) & authorise RR to process payments from my nominated account including the convenience fee of $5.00 per month OR 2.84% for American Express, MasterCard and Visa of the transaction value (incl. GST) in accordance with this Tenant Registration Form (TRF), Direct Debit Service Agreement (DDSA) & the Terms & Conditions (TC) at www.rentalrewards.com.au. Upon registration to pay rent by bank account by a method other than online, a $1.51 fee is applicable to set up & confirm the legitimacy of the bank details. Other fees may apply including for failed & operator assisted payments - see full TC for details. By signing this TRF, I confirm the information above is true & correct, that I have read, understand & agree to be bound by the TRF, DDSA & TC. I understand that this arrangement will remain in place until such time as it is cancelled by me or RR. Note: This transaction will appear on your bank statement as "REAL ESTATE PAYMENT –RR, AUSTRALIA"

    11. Agent/Landlord details of current property (if applicable)
  • Years
  • Months
  • 14. Agent/Landlord details of this property (if applicable)

  • 15. Please provide your employment details
  • Years
  • Months
  • 16. Please provide your previous employment details
  • Years
  • Months

    17. Please provide a contact in case of emergency
  • 18. Please provide two personal references (not related to you)

  • 20. Please provide details of any pets:

  • Per week OR
  • Per month

    Complete this if you wish to reserve the property for a period of time:
  • The Landlord’s Agent undertakes:

    • (a) The premises will not be let during the Reservation Period, pending the agreement of a residential tenancy agreement;
    • (b) The whole fee will be refunded if the landlord does not decide to enter into a residential tenancy agreement for the premises during the Reservation Period;
    • (c) the whole fee will be refunded if the landlord does not carry out (during the Reservation Period) repairs or other work upon which is a condition to entry into a residential tenancy agreement;
    • (d) if the Applicant decides not to enter into a residential tenancy agreement, and the premises are not let or otherwise occupied during the Reservation Period, the landlord may retain the portion of the fee representing the rent that would have been paid during the Reservation Period (based upon the proposed rent), but must refund the remainder;
    • (e) If a residential tenancy agreement is entered into, the fee is to be contributed towards rent for the premises.
  • M. I confirm the following


  • Photo ID must be in colour and clear

    Please scan documents and save as PDF then attach each to email. Processing can only commence if all documentation is received.


    It is your responsibility to organise for your utilities to be connected at your new home. As part of our service to you, we offer Direct Connect’s as an option to help you arrange your connections free of charge. Simply tick what you need to be connected at your new home and upon approval of your application we will send them your details and they will call you within 24 business hours to go through the connections. If you change your mind just let them know, their service is no obligation.
  • 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 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 authorise 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 authorise Direct Connect to provide any information disclosed in this Application to an information provider for the purpose of that information provider 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 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 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, unauthorised access, use, modification or disclosure and any other misuse; authorise 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 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 Connect shall not be liable for any loss or damage (including consequential loss and loss of profits) to me/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 by or in connection with any delay in connection, disconnection or provision of, or failure to connect or disconnect or provide, 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 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 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 that I am authorised to make this application and to provide the consents, acknowledgements, authorisations and other undertakings set out in this application form on behalf of all applicants listed in this application form.
  • P: 1300 664 715 F: 1300 664 185 W: www.directconnect.com.au