First Applicant Information

_{(Person responsible for payments)}

If NO, please provide the following:

Second Applicant Information

_{(Person responsible for payments)}

If NO, please provide the following:

General Details

_{Who will be staying at the Premises for the whole period of the Lease ?}

Tenant 1

Tenant 2

Vehicles

Checklist

I/We agree and allow the Landlord or Agent at all times to

• Contact, request and obtain informationfrom any credit provider (or potential credit provider) or registered credit bureau that may be necessary to assess my/our behaviour, profile, payment patterns, indebtedness, whereabouts and creditworthiness

• Furnish information concerning the behavior, profile payment patterns, indebtedness, whereabouts and creditworthiness of me/us to any registered credit bureau or any credit provider (or potential credit provider) seeking a trade reference regarding my/our dealings with the Landlord or Agent.

Applicant 1

Applicant 2