QPM .: Landlords Information Area :.

APPLY TO BECOME A QPM TENANT!

1. Please complete the following details to apply for the tenancy at the above address.

2. The information you provide is for the purpose of applying for this tenancy only and may be used for a credit and reference check. Your privacy is protected under the Privacy Act 1983.


Name:
Other Names :
Date of Birth :
Email:
Home phone:
Work phone:
Mobile:
Your current address:
Your email address:
Property You are Applying for :
CURRENT LANDLORDS - Reference 1.
Landlords Name:
Home Number:
Mobile Phone:
OK to contact for Reference :
PREVIOUS LANDLORDS - Reference 2.
Landlords Name:
Home Number:
Mobile Phone:
OK to contact for Reference :
CLOSEST RELATIVE
Name:
Relationship: ie Father, Brother
Home Phone:
Mobile Phone:
EMPLOYMENT DETAILS
Employer:
Contact Name:
Length of Employment:
Business Phone:
OCCUPANCY DETAILS
Total number of occupants to live in building:
Number of Children:
Number of Smokers:
Pets - Type& Number:
Any special requirements, questions or comments:
References Please provide two referees (include telephone numbers) that we can contact. Referees can be a friend, someone you have worked with, your case manager, your employer or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your worthiness (Landlord). I agree and acknowledge that QPM Ltd may give to their agent and obtain from a third party, information about my personal or commercial credit arrangements including information about my credit worthiness, credit standing, credit history or credit capacity for the particular purpose for which this information is required. By placing your full name in the following box you authorise QPM Ltd to carry out required credit checks