Additions / Changes:

Item 3

Number of Adults: ……………..  Number of Dependents: ………………  Number of Smokers:………..

Full name/s of adult/s and dependents unaccompanied minors to reside on the Premises:

Additions / Changes:

Item 1

Address: ………………………………….……………………………………………………………………………

Lease commencement date:   ….../……/…… Lease term: ……………..… weeks/fortnights/months/years 

Rent: .................................. per week / fortnight / month              Bond: ……………….……….…………..

Holding Fee (if applicable): ………..……… Holding Period: ……………..……………………. (see Clause 3)

Item 8

Clause 2(6)

as tenant it must satisfy itself as to the provision of any electronic communication services to the Premises (internet, television – analogue, digital or cable) and the adequacy of existing electrical fittings with respect to the use of such services. The Landlord gives no warranty in respect to the provision or adequacy of such services or electrical fittings to the Premises.

Clause 4.4

The Applicant has the right to access request the Agent provide details of such personal information and may require correction or amendment of any also correct any inaccurate, incomplete, or out of date or irrelevant information.