Online Application Form

Are you existing customer

Yes

Personal Details

Title

First name*

Middle name

Family name*

Date Of Birth ( DD/MM/YYYY )

Gender

Marital Status

Email*

Mobile number*

Work Phone

Address Details

Your current address

Post Code*

Agent / Land Lord

Agent / Land Lord Phone Number

How Long Have You Been Living Here

Enter your previous address if living in current address less than 3 years.

Previous address

Post Code

Agent / Land Lord

Agent / Land Lord Phone Number

How Long Did You Live There

Employment Status

Occupation

How Long

Employer Name

Address

Post Code

Employer Phone Number

Employment Status

Pensioner

Your identification

Pension card number

Driver license number

Birth certificate number

Medicare card number

Passport number

Pension card number

Benefit Type1

Benefit Type2

Driving license number

Birth Certificate number

Medicare card number

Ezi Debit card number

Passport number

Your income

Pension / Allowance payment

Work income

Pension / Allowance payment

Work income after tax

Frequency

Your expenses

On a fortnightly basis, I spend

Accommodation

Living Expenses

Utilities

Rentals / Loans

Total Income - Total Expenses =

Reference Details

Reference 1

Name

Relationship

Mobile

Address

Reference 2

Name

Relationship

Mobile

Address

Reference 3

Name

Relationship

Mobile

Address

Applicant Declaration and Privacy Notice

I/We acknowledge that rent with style will base their assessment of my application on the information provided by me/us on this form and I/We declare that information contained in this form is true and correct

Authority for an agent to obtain an individual's credit information file held by credit reporting agency
(Privacy Act 1988)

I the Applicant1 and Applicant2 authorise Rent with style to:
- Act as my agent in seeking access to my/our consumer credit information held by a credit reporting agency
This authority applies to enquiries made by Rent with style in connection with
- An application, or proposed application by me/us for credit
- My/our having sought advice in relation to existing credit
I have read and understand the Privacy Policy
I have read and understand the Terms of use
I can afford to make the payments
I am authorised to provide this information and consent to my ID document details matched with the Official Record Holder

Personal details

Personal Details

Your identification

Household

Your income

Your expenses

Reference Details