Resources

North West Rental Housing Application

Personal Details

Full Name:*

Site:

Payroll ID:

Department:

Position:

Phone (Home):

Phone(W):

Address:

Marital Status:

Single

Married

De facto

Name of Spouse:

Children

Child

Full Name:

Date of Birth:

Sex:

Child 2 (Optional)

Full Name:

Date of Birth:

Sex:

Child 3 (Optional)

Full Name:

Date of Birth:

Sex:

Child 4 (Optional)

Full Name:

Date of Birth:

Sex:

Child 5 (Optional)

Full Name:

Date of Birth:

Sex:

Pets

Pet

Type of Pet:

Breed:

Number:

Age:

Pet 2

Type of Pet:

Breed:

Number:

Age:

Pet 3

Type of Pet:

Breed:

Number:

Age:

Pet 4

Type of Pet:

Breed:

Number:

Age:

Do you require temporary accomodation until your furniture arrives?

Yes

Do you require a TV antenna to be fitted at the property?

Requested Accomodation

The properties must be found on the current New Starter's North West Rental Housing List, and listed in order of preference. Ballot Results are final.

Declaration

I agree that any changes to this application will render it void.

Employee Code:*

Date:*

* Required Field