Application Form

*please complete required fields
  • PROPERTY NAME*
    • Rooftop Travellers Lodge Glebe
    • Rosebank Student Lodge Glebe
    • The English Lodge Peterham
    • Addisons Traveller Marrickville
    • Sydney Terraces Marrickville
  • APPLICANT NAME*

  • Date of birth*

  • Phone Home*

  • Phone Mobile*

  • Phone Work*

  • Email Address*

  • Current Address

  • Proof of identification cited*
    • drivers licence
    • passport
    • birth certificate
  • Details

  • PREVIOUS RENTAL HISTORY

  • Address

  • Rent paid per week $

  • Property manager or lessor’s name

  • Phone

  • Property manager or lessors address

  • Date Rented from

  • Date Rented to

  • Reasons for leaving

  • REFERENCES - PERSONAL

  • 01 Reference Name

  • Relationship to applicant

  • Contact phone

  • Address

  • 02 Reference Name

  • Contact phone

  • Address

  • EMPLOYMENT DETAILS (if self-employed less than one year, give previous employer)

  • Occupation

  • Employer

  • Employer’s addres

  • Employed from

  • Employed to

  • Net income $ per week

  • Net weekly income from other sources $ per week

  • EMERGENCY CONTACT

  • Name

  • How related

  • Phone Home

  • Phone Work

  • Phone Mobile

  • Address