LEASING: UNIsity

Application for Tenancy

If you wish to apply for accommodation please fill in the following form and we contact you shortly with a reply to your enquiry.

Accommodation Details
Please advise us of your accommodation requirements
Location:		Room type:

Personal Details
Surname:		Sex:	Male Female
Given Names:		Nationality:
Date of Birth:

Address Details
Street Address :		Phone Number:
Suburb:		Mobile Number:
Postcode:		Email:
State:

Arrival Details
If you are yet to arrive in Australia please provide us with details of your arrival.
Arrival Date:
Estimated Time in Australia:

Study Details
Course to be Studied:		Student ID Number:
Name of Institution:		Commencement Date:

Emergency Contact
Provide us with the person to contact in the case of an emergency. (Preferably a parent or a guardian)
Name:		Suburb:
Relationship to you:		Postcode:
Street Address:		Phone Number:

Shared Accomodation
If you wish to share accommodation with other please provide their names below otherwise just leave it blank
Name of Person 1:		Name of Person 2:

Terms & Conditions
	I understand that this application is NOT confirmation of acceptance and I will be advised shortly of its outcome.