This application is subject to the lessor's approval.
Declaration (All applicants to sign)

I / We the applicants, do solemnly and sincerely declare that I / We are not bankrupt or an undischarged bankrupt and affirm that the above information is true and correct in every detail. I / We have inspected the above premises and wish to take a lease for such premises.

I / We are aware that no access will be given prior to signing of the lease and acknowledge that the owner or agent has the right to reject this application without having to state any reason therefore.

Statement to individuals pursuant to the Privacy Act 1988

1. The contact details of the Agent set out on page
2. The personal information requested in this form is required to assess your tenancy application.
3. Personal information supplied may be disclosed in the course of assessing your tenancy application.
4. You are entitled upon request to have access to the personal information held by the Agent.
5. If the personal information is not provided by you, then your application for tenancy may not be considered.
6. By providing the personal information requested, you hereby consent to the collection, use and disclosure and transfer of such personal information in accordance with this statement and the National Privacy Principles established by the Privacy Act 1988.