Are you the: * Owner: Tenant:

If you are a tenant then the following fields are required

How long have you lived at your current address?:

Name of Landlord/Agent:

Phone Number:

Rent Paid Per Week: $

Reason for Leaving:

Previous Address:

How long did you live at your previous address?:

Name of Landlord/Agent:

Phone Number:

Rent Paid Per Week: $

Reason for Leaving:

Was bond refunded in full: * Yes: No:

If No, please specify:

Name:

Relationship:

Address: *

Phone: *

Email:

Number of adults occupying property: *

Number of children occupying property (please specify the ages:

Name of any other people to be included on the Lease Agreement:

Please Note: Additional application forms MUST be completed for each individual adult that moves into the rental property
MICM have a strict NO PET policy for all rental properties.

Occupation:

Employers Name:

Address:

Income (Gross/Net): $

Length at Current Employment:

HR/Person to Contact:

Employer's Phone Number:

Occupation:

Employers Name:

Address:

Income (Gross/Net): $

Length at Current Employment:

HR/Person to Contact:

Employer's Phone Number:

1. Reference Name:

Relationship/Profession:

Phone:

2. Reference First Name:

Relationship/Profession:

Phone:

Place of Study:

Enrolment Number (ID):

Course Being Undertaken:

Length of Course:

What Year Are You In:

Campus Contact
(Course Coordinators):

Phone:

Parents Name:

Parents Phone Number:

Are you receiving financial support? Yes: No:

If Yes, please specify how much?:

Please note:
A signed copy of the Parental Guarantee is required to provide acknowledgment to the charges associated with a cleaning contractor who will clean the property twice a month.

Overseas students will need to provide the following additional documents for us to process your application:

• Copy of your Passport
• Current Visa
• Confirmation of enrolment at College/University (i.e. Letter of Offer)

Before the application will be considered, the applicant must achieve a minimum of 100 Check Points, and need to supply the following information to us by scanning the relevant documents and emailing them, along with the application form, to leasing@micm.com.au, or by faxing all documents to us by the next business day on (+61) 3 9001 2877.

NOTE: AT LEAST ONE PHOTO ID MUST BE SUPPLIED.

• 50 Points = Last 4 Rent Receipts
• 30 Points = Reference from qualified Accountant
• 30 Points = Passport
• 20 Points = Photo I.D (i.e. student ID, age ID etc.)
• 20 Points = Reference from an Agent
• 20 Points = Letter of Confirmation of Enrollment from School
• 20 Points = Drivers Licence
• 20 Points = Copy of Birth Certificate
• 20 Points = Copy of Current Phone, Electricity, Gas Bill or Bank Statement
• 20 Points = Current Council or Water Rates
• 20 Points = Medicare Card
• 10 Points = Reference from a Previous Landlord

Applicants please note: ALL RENTAL PAYMENTS TO MICM are by DIRECT DEBIT ONLY.

Bond & first Rental Payment must be paid in advance in the form of a BANK CHEQUE or MONEY ORDER made payable to MICM.

If successful in this application, I agree to pay all initial payments of rent and the security deposit by bank cheque only (please note cash is not accepted). I testify that the information provided herein by me is true and correct. I accept there may be independent reference and credit checks on this application. Please note that you, as tenant(s) are responsible for the connection of services to the property, including gas, electricity, cable TV and telephone. If you do not agree to these conditions please uncheck this box.

Members of the Central Equity Group may use the information you provide for their marketing and business development purposes. Please check this box if you do not want to receive information on future MICM/Central Equity properties, for sale or rent, and events.

MICM (a subsidiary of Central Equity Limited) is subject to the Privacy Act and has developed and implemented procedures for dealing with your personal information. The information collected on this Tenancy Application Form is required to assess your suitability to lease the property. To enable us to do this, it is necessary to disclose your personal information to others. We are unable to do so without your knowledge and consent. Without your consent, we will not be able to process your application. The people and organisations we may disclose your personal information to include the proposed landlord and their legal representatives, your financial institution or bank, your current and previous employer, your current and previous landlord, your referees, your next of kin contact, maintenance and tradespeople, rental bond authorities, residential tenancy tribunals, other Estate Agents, utility companies (such as electricity, gas, telephone and broadband providers) and the National Tenancy Database.

To read our Privacy Policy, please click here. To submit and complete this form please agree to the above terms and confirm that you have read our Privacy Policy by checking this box.*

I agree: *