Student Details

Thanks for applying for a property through Accolade Property.

We'll speak to you soon,

Andrew

Details
Full Name:*

First NameLast Name
Gender:*

MaleFemale
Smoker:*

YesNo
E-mail:*
Mobile Number:
Date of Birth:*

DayMonthYear
University / TAFE course:*
Length of Course:
how many years? eg. 3 year degree -or- 1 year English language program
Current year of study:*
eg: 2nd year

Identification
Identification type

Driver licensepassportI don't have either of these ID types
Drivers License Number:*
State of Issue:*
Expiry Date:*

MonthDayYear
Date
Passport Number:
Country of issue:
Expiry Date:

MonthDayYear

Current Housing Information
Currently living

At parent/guardian homeOn campus accommodationA share houseOther
Current Living Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
On campus Hall
Reason for moving:*
Existing per week:
Period of Occupancy:
Current agent/landlord name
Agent / landlord's phone number
Was your bond refunded in full? If not, why not?
Have you ever had your bond not refunded
Who is responsible for paying accommodation fees:*

StudentParent/GuardianOther

Other Information
Do you have a car or motorbike?*

YesNO
Number Plates:
Car colour:
Car Make/Model
Are you an overseas Student?

YesNo
What is your home Country:
Parent / Guardian / next_of_Kin name:*
Parent / Guardian / next_of_Kin phone
Parent / Guardian / next_of_Kin address:

Street Address

Street Address Line 2

Suburb (City)State

Postal / Zip CodeCountry
Parent / Guardian / next_of_Kin Email:
Other Notes:
Agreement*

I acknowledge that the information I have provided is true and correct.
Date:*

DayMonthYear
Should be Empty: