Tenancy Application Form

I / We apply for tenancy of the premises described below upon the terms set out below:

NOTE: Tenancy Applications will not be accepted unless the property being applied for has been previously viewed.

Please email colour copies of your passport, drivers licence, Medicare card and other ID to info@esre.com.au.

Personal Details (Applicant 1)

Employment History

Tenancy History

References (Provide Names and Contact Numbers - NOT friends or family)


Personal Details (Applicant 2)

Employment History

Tenancy History

References (Provide Names and Contact Numbers - NOT friends or family)


I / We acknowledge that the agent has permission to check our details as per this application: *

I / We declare that we have read and understand the above declaration and wish to be contacted by a free utility connection service: *

Please Enter the text shown:

By submitting this form, I authorise the landlord's agent -

  1. to check with my previous or current employer, my previous or current landlord/agent, and the referees named as my suitability as a tenant;
  2. to request and receive from any tenancy recording services and from other real estate agencies information regarding my previous tenancies; and,
  3. This office utilises the National Tenancy Database and TICA for tenant screening proposes, including online identity verification. In accordance with current rental legislation if a breach or default occurs under your rental agreement, the details of such breach or default may be listed on this database for other agents to access when you apply for future properties.
  4. I agree and understand that in the event of this application being rejected there is no requirement at law for the agent to disclose to me/us any reason for such rejection. I also agree that I will not raise any objection for not being provided a reason for any rejection of this application.
  5. I agree that the connection of telephone services and cable is the sole responsibility of the tenant and the tenant should make their own investigations as to the availability of the services before accepting the tenancy of the property.
  6. I agree and understand that in the event of this application being approved all initial monies will be paid to the agent by either money order or bank cheque.
  7. I agree that no keys for the property will be provided by the agent to me until such time as all monies owed are paid in full in accordance with clause above.
  8. I agree that I/we will abide by the policies of the office of the agent as may be provided to me in relation to this tenancy
  9. I agree to allow the agent to photocopy the information supplied by me for their records.
  10. I agree that upon communication of acceptance of this application by the landlord or his agent that this tenancy agreement shall be binding on both the landlord and the tenant. I further agree that I will sign the tenancy agreement, and be bound by the terms and conditions of the tenancy agreement.
  11. I agree that by sending this application via electronic form that I confirm inspecting the property and accept all the conditions above.


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.


By signing this application, I/we give consent to Veda Connect and others to make contact by phone, email or sms for the purpose of arranging connections and disconnections of approved utility services. I/we authorise Veda Connect and others to contact us via these means even if the telephone numbers supplied are listed on the Do Not Call Register. I/we understand that Veda Connect and others may also send related emails promoting other services provided by Veda Connect and others.

I/we acknowledge that all information supplied in the application is true and correct to be best of my/our knowledge and that we have not falsely represented our identity in any manner.

I/we understand that Veda Connect and others will ensure any personal information is collected, stored and transferred in accordance with the Privacy Act 1988.

I/We authorise Veda Connect and others to supply collected information to nominated suppliers and/or potential suppliers for the connection and disconnection of nominated utilities.

I/we understand that in the course of connecting utilities, Veda Connect and others may need to obtain an NMI (National Meter Identifier) for electrical points or MIRN (Meter Installation Registration Number) for Natural Gas connections. I/we authorise VEDA CONNECT to collect these identifiers and consent to those numbers being supplied to utility providers.

I/We acknowledge that whilst Veda Connect is a free service, I/we are solely responsible for any and all amounts payable in relation to deposits, connections/disconnections or ongoing supply of the connected services.

I/we acknowledge that Veda Connect and others, to the extent permitted by law, shall not be liable for any loss or damage (including consequential loss and loss of profits) to me/us as a result of the provision of any service. Nor shall Veda Connect and others be liable for any act or omission by any utility provider for any loss caused by failure to provide nominated services.

I/we acknowledge that the nominated real estate entity along with Veda Connect and others may receive a benefit from suppliers for the provision of connections.