PRIVACY DISCLOSURE DECLARATION
I hereby offer to rent the property from the owner under a lease to be prepared by the Agent. I have inspected
the premises and agree to accept the premises in its present condition.
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
I acknowledge that should my application for tenancy of the premises be approved, I agree to pay the
equivalent of one (1) week’s rent to the Landlord’s agent as a holding deposit pending the signing of the
tenancy documents whereby the holding deposit reverts to the first week’s rent. I further acknowledge that an
additional week’s rent, bond and lease preparation fee will also become payable upon signing the tenancy
I authorise the Agent to obtain personal information from:
(a) the owner of the Agent of my current or previous residence;
(b) my personal referees and employer/s;
(c) any record, listing or database of defaults by tenants;
If I default under a rental agreement, 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 the Agent will use and disclose my personal information in order to communicate with the
owner and select a tenant
- prepare lease/tenancy documents
- allow organisations/trades people to contact me
- lodge/claim/transfer to/from the Residential Tenancies Bond Authority
- refer to Tribunals/Courts and Statutory Authorities (where applicable)
- 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.