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This
is a
free
service
that
connects
all your
utilities
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Once
we
have
receive
this
application
we
will
call
you
to
confirm
your
details.
Direct
Connect
will
make
all
reasonable
efforts
to
contact
you
within
24
hours
of
the
nearest
working
day
on
receipt
of
this
Application
to
confirm
the
information on
this
Application
and
explain
the
details
of
the
services
offered.
Direct
Connect
is
a
utility
one
stop
connection
sevice.
Please
tick
utilities
as
required
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Water
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DECLARATION
AND
EXECUTION: By
signing
this
application,
I/we:
consent
to
Direct
Connect
arranging
for
the
connection
and
disconnection
of
the
nominated
utility
services
and
to
providing
information
contained
in
this
application
to
utility
providers
for
this
purpose;
acknowledge
having
been
provided
with
terms
and
conditions
of
Supply
of
Direct
Connect
and
having
read
and
understood
thazem
together
with
the
Privacy
Collection
Notice
set
out
below;
declare
that
all
the
information
contain
in
this
application
is
true
and
correct
and
given
of
their
free
will;
expressly
authorise
Direct
Connect
to
provide
any
information disclosed in
this
application
to
a supplier
or
potential
supplier
for
the
Services in
accordance
with
Privacy
Collection
Notice
and
to
obtain
any
information necessary
in
relation
to
the
Services;
expressly authorise
Direct
Connect
to
provide
any
information
disclosed
in
this
Application
to
an
information
provider
for
the
purposes
of
that
information
provider
disclosing
it
to
supplier
or
potential
supplier
of
the
Services
in
accordance
with
the
Privacy
Collection
Notice
and
to
obtain
any
information
necessary
in
relation
to
the
service;
consent
to
the
Direct
Connect
contacting
me
by
telephone
or
by
SMS
in
relation
to the
marketing
or
promotion
of
all
the
services listed
under
the
heading "Utility
Connections” above
even
if
we/I
have
not
applied
for
the
connection
of
those
services
in
this
application.
This
consent will
continue
[for
the
period
of
1 year
from
the
date
of
our/my
execution
of
this
application/until
[28]
days
after
we/I
disconnect
the
last
of
the
services in
respect
of
which
this
application
is
made]:
acknowledge
that
this
consent
will
permit
Direct
Connect to
contact
us
/me
even
if
the
telephone
number
listed
on
this
application
form
are
listed
on
the
Do
Not
Call
Register;
understand
that
under
the
requirements
of
the
Privacy
Act1988, Direct
Connect
will
ensure
that
all
personal
information
obtain
by
me/us
will
be
appropriately
collected,
used,
disclosed
and
transferred
an
will
be
stored safely
and
protected
against
loss,
unauthorised
access,
use,
modification
or
disclosure and
any
other
misuse;
authorises
the
obtaining
of
a National
Metering Identifier(NMI)for
my
residential
address
to
obtain
supply
details;
consent
to
Direct
Connect
disclosing
my/our
details
to
utility
providers
(including
my/our
NMI
and
telephone
number);declare
and
undertake
to
be
solely
responsible
for
all
amounts
payable
in
relation
to
the
connections
and/or
supply
of
the
Services
and
herby
indemnity
Direct
Connect
and
its
officers,
servants
and
agents
and
hold
them
indemnified
against
any
charges
whatsoever
in
respect
of
the
Services;
acknowledge
that,
to
the
extent
permitted
by
law,
Direct
Connect
shall
not
be
liable
for
any
loss
or
damage
(including
consequential
loss
and
loss
of
profits)
to
me/us
or
any
other
person
or
any
property
as
a result
of
the
provision
of
the
services
or
any
act
or
omission
by
the
utility
provider
or
for
any
loss
caused
by
or
in
connection
with
any
delay
in
connection,
disconnection
or
provision
of,
or
failure
to
connect
or
disconnect
or
provider, the
nominated
utilities;
acknowledge
that
whilst
Direct
Connect
is
a free
service
I/we
may
be
required
to
pay
standard
connection
fees
or
deposits
required
by
various
utility
providers;
acknowledge
that
that
Services
will
be
provided
according
to
the
applicable
regulations
and
that
the
time
frames
and
terms
and
conditions
of
the
nominated
utility
providers
bind
me/us
and
that
after
hours
connections
may
incur
additional
service
fees
from
utility
providers;
acknowledge
that
the
real
estate
agent
on
this
application
form
may
receive
a benefit
form
Direct
Connect
in
connection
with
the
provision
of
the
service
being
provided
to
me/us
by
Direct
Connect;
and
acknowledge
the
entitlement
of
Direct
Connect
and
its
associates,
agents
and
contractors,
to
receive
a fee
or
remuneration
from
the
utility
providers
and
that
such
or
remuneration
will
not
be
refunded
to
me
as
a rebate
in
connection
with
provision
of
the
utility
connection
services.
By
signing
this
application
form,
I warrant
that
I am
authorised
to make
this
application
and to
provide
the consents,
acknowledgements,
authorisations
and other
undertakings
set out
in this
application
form
on behalf
of all
applicants
listed
in this
application
form.
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E.
DECLARATION
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I
hereby
offer
to
rent
the
property
from
the
owner
under
a lease
to
be
prepared
by
the
Agents.
Should
this
application
be
accepted
by
the
landlord
I agree
to
enter
into
a Residential
Tenancy
Agreement.
I
acknowledge
that
this
application
is
subject
to
the
approval
of
the
owner/landlord.
I declare
that
all
information
contained
in
this
application
(including
the
reverse
side)
is
true
and
correct
and
given
of
any
own
free
will.
I declare
that
I have
Inspected
the
premises
and
am
not
bankrupt.
I
authorise
the
Agent
to
obtain
personal
information
form:
(a)
The owner
or the
Agent
of my
current
or previous
residence:
(b)
My personal
referees
and employer/s;
(c)
Any record
listing
or database
of defaults
by tenants;
If
I default
under
rental
agreement,
I agree
that
the gent
may disclose
details
of any
such
default
to a
tenancy
default
database,
and to
agents/landlords
of properties
I may
apply
for in
the future.
I
am
aware
that
the
Agent
will
use
and
disclose
my
personal
information
in
order
to:
(a)
communicate
with
the owner
and select
a tenant
(b)
prepare
lease/tenancy
documents
(c)
allow
tradespeople
or equivalent
organisations
to contact
me
(d)
lodge/claim/transfer
to/from
a Bond
Authority
(e)
refer
to Tribunals/Courts & Statutory
Authorities
(where
applicable)
(f)
refer
to a
collection
agents/lawyers
(where
applicable)
(g)
complete
a credit
check
with
NTD (National
Tenancies
Database)
(h)
transfer
water
account
details
into
my name
I
am
aware
that
if
information
is
not
provided
or
I do
not
consent
to
the
users
to
which
personal
information
is
put,
the
Agent
cannot
provide
me
with
the
lease/tenancy
of
the
premises.
I am
aware
that
I may
access
personal
information
on
the
contact
details
above.
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16.
Please
provide
a contact
in case
of emergency
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17.
Please
provide
2 personal
references(not
related
to you
)
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I.
OTHER
INFORMATION
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18.
Car
Registration
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19.
Please
provide
detail
of any
pets
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Breed/types
Council
registration/number
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Initial
payment
must
be made
by cash,
bank
cheque
or money
order
within
24 hours
after
approval
of application.
No personal
cheques
accepted.
Keys
will
not
be
handed
over
until
the
lease
agreement
has
been
signed
by
all
applicants.
This
application
is
accepted
subject
to
the
availability of
the
property
on
the
dur
date
and
no
action
shall
be
taken
by
the
applicant
against
the
land
lord
and
the
agent
should
any
circumstances
arise
whereby
the
property
is
not
available
for
occupation
on
the
due
date.
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OFFICE
USE
ONLY
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Property
Rental
per
week
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How
did you
hear
about
us
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