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Housing Application Form

Housing Application Form

Housing policy and applications

To apply for DEAL housing, please first review our housing policy here, then complete an online application.

Section 1 - Applicant (Business Entity)

1A Applicant Details

(Business Entity)

1.01 Legal Name of Applicant (Business Entity)(Required)

1.02 Trading As(Required)

1.03 ABN/CAN(Required)

1.04 Postal Address(Required)

1.05 Street Address(Required)

1.06 Year Established(Required)

1.07 Current Workers Compensation Insurance

Yes

1.08 Current Public Liability Insurance

Yes

1B Primary Contact Details

(Person authorised to act on behalf of entity regarding rental property matters)

1.09 Full Name(Required)

1.10 Position(Required)

1.11 Primary Contact Details

Telephone

Mobile(Required)

Email(Required)

1C Accounts Contact Details

(if different to section 1B)

1.12 Full Name

1.13 Position

1.14 Accounts Contact Details

Telephone

1.15 Please indicate if you would prefer rental receipts be sent to the PRIMARY contact and/or ACCOUNTS contact

Primary

Accounts

Section 2 - Understanding the applicant's business needs and current business footprint

2.01 Provide a summary of business activities and services delivered by the Applicant(Required)

2.02 Provide the reason for applying for this DEAL property/properties(Required)

2.03 Please provide details of reason selected in 2.02

2.04 Total number of current employees of the Applicant based in Nhulunbuy

2.05 Current number of employees of the following types:

Casual

Please enter a number greater than or equal to 0.

Contract

Please enter a number greater than or equal to 0.

Permanent Part-Time

Please enter a number greater than or equal to 0.

Permanent Full-Time

Please enter a number greater than or equal to 0.

Apprentices/Trainees

Please enter a number greater than or equal to 0.

2.06 Total number of residential premises currently rented by the Applicant in Nhulunbuy

Please enter a number greater than or equal to 0.

2.07 Total number of properties currently rented by the Applicant in Nhulunbuy from:

DEAL

Please enter a number greater than or equal to 0.

Rio Tinto, NTG or Commonwealth

Please enter a number greater than or equal to 0.

Private Market

Please enter a number greater than or equal to 0.

2.08 Total number of residential properties in Nhulunbuy owned by the Applicant, owners or directors

Please enter a number greater than or equal to 0.

2.09 Total number of the properties identified in 2.08 occupied by the Applicant’s employees, owners or directors

Please enter a number greater than or equal to 0.

2.10 Has the Applicant tried to obtain a rental property from the private market prior to submitting this application?

Yes

2.11 Why has the Applicant not rented from the private market?

Section 3 - Understanding the applicant's housing requirements and occupant details

3A Property Type

3.01 Please indicate the type of residential property you are applying for. You may select one type or number multiple boxes in order of preference.

2-bedroom flat (any) – $560 per week

Please enter a number greater than or equal to 0.

2-bedroom flat (ground floor) – $560 per week

Please enter a number greater than or equal to 0.

3-bedroom house (standard) – $680 per week

Please enter a number greater than or equal to 0.

3-bedroom house (large) – $705 per week

Please enter a number greater than or equal to 0.

4-bedroom house (standard) – $780 per week

Please enter a number greater than or equal to 0.

4-bedroom house (large) – $855 per week

Please enter a number greater than or equal to 0.

5-bedroom house – $1000 per week

Please enter a number greater than or equal to 0.

3B Lease Duration

3.02 Please indicate preferred lease duration

6 months

12 months

3C Property occupant employment position/s

3.03 Will multiple employees of the Applicant be residing in this property?

Yes

3.04 If YES to 3.03, please advise how many?

Please enter a number greater than or equal to 0.

3.05 Position/s of the employee/s who will be residing in the property

3.06 Is this application for an executive or specialist employment position?

Yes

3.07 Employment types of employee/s residing in the property

Casual

Contract

Permanent Part-Time

Permanent Full-Time (38+ hours per week)

Approx hours per week

Please enter a number greater than or equal to 0.

Please indicate contract term

3.08 Is/are the employment position/s this application relates to currently vacant?

Yes

If YES, continue to section 4.01 but please note, you will be required to complete sections 3.09 to 3.19 once this information is available to you.

3.09 Is/are the proposed Occupant/s currently based in Nhulunbuy or will they be relocating to the region?

Nhulunbuy based

Relocating

3.10 If relocating, please advise current location/s and expected relocation date/s

Current Location/s

Expected relocation date/s

DD slash MM slash YYYY

3.11 If not relocating, please advise current accommodation arrangements for employee and reasons why alternative accommodation is required

Current Accommodation Arrangements

Reason for alternative accommodation

3D Other occupants of property

3.12 Total number of adults who will be living at the property

Please enter a number greater than or equal to 0.

3.13 Total number of children (<16) who will be living at the property

Please enter a number greater than or equal to 0.

3.14 Total number of pets Please note: Pet Application will be required either at start of tenancy or if pet has been acquired during the lease.

Dogs

Please enter a number greater than or equal to 0.

Cats

Please enter a number greater than or equal to 0.

Other - Please provide details below

Please enter a number greater than or equal to 0.

Details

3E Preferred contact details for occupant of property

3.15 Occupant Contact Name(Required)

3.16 Occupant Phone (Mobile preferred)(Required)

3.17 Occupant Email(Required)

3.18 Occupant's Emergency Contact Person Name(Required)

3.19 Occupant's Emergency Contact Person's Number (Mobile preferred)(Required)

Section 4 - Compliance with DEAL Rental Property Requirements Checklist

This section aligns with DEAL’s Housing Use and Access Policy and Application Procedure.

Please initial each statement as an indication of your compliance against each and ensure requested documents are attached to your application.

Please note that DEAL may, from time to time request additional information in order to support your application.

Proof of current Workers Compensation Insurance for the Company / Prganisation named at item 1.01

Accepted file types: pdf, Max. file size: 2 MB.

Proof of current Public Liability Insurance for the Company / Organisation named at item 1.01

Accepted file types: pdf, Max. file size: 2 MB.

4.01(Required)

4.01 I confirm that all information provided in this application is true and correct and I undertake to advise as soon as practicable if any information provided materially changes.(Required)

4.02(Required)

4.02 I confirm that the person named at item 1.09 is authorised to act on behalf on the listed Company / Organisation named at item 1.01 in relation to this application(Required)

4.03(Required)

4.03 I confirm that the premises are intended for staff accommodation and will not be used as the primary place of business for the applicant.(Required)

4.04(Required)

4.04 I confirm there will be no reduction in private housing holdings currently held by the business entity because of this application.(Required)

4.05(Required)

4.05 I confirm that correct and accurate financial data has been provided which demonstrates capacity to meet rental obligations for the requested duration of lease.(Required)

(Note: only required to be provided on request or if the business has been operating for less than two years. Information requested may be a bank statement of the business entity clearly showing financial position and/or a letter from the business entity’s accountant).

4.06(Required)

4.06 I confirm that the rent I am charging my occupant is no greater than the rent charged to me by DEAL.(Required)

4.07(Required)

4.07 I confirm that the Occupant/s named in section 3D are employees of the business entity and will be residing in the property. If the Occupant/s details change I will notify the managing agent in a timely fashion by completing a blank copy of Sections 3.07 – 3.23 of this document and submitting it to [email protected] to enable the Occupant’s details to be kept current.(Required)

4.08(Required)

4.08 I confirm that I have attached or previously provided proof of current Public Liability Insurance for the Company / Organisation named at item 1.01 in relation to this application.(Required)

4.09(Required)

4.09 I confirm that I have attached or previously provided proof of current Workers Compensation Insurance for the Company / Organisation named at item 1.01 in relation to this application.(Required)

Section 5 - Confidentiality and privacy

DEAL and its managing agent will use best endeavours to keep your application confidential. DEAL and its managing agent are committed to the protection of your personal information, and handling of that information in accordance with the Australian Privacy Principles and the Privacy Act 1988 (Cth) (Privacy Act). DEAL will collect personal information about you, in the course of you completing this Application Form and (if applicable) in the course of your tenancy. DEAL’s privacy policy located at https://developingeastarnhem.com.au/privacy-policy/ sets out our procedures for the handling of personal information, and information on seeking access or correction, and about making a complaint, including how complaints will be handled. By providing DEAL with personal information about a third party (e.g. a primary contact) you warrant that that person consents to DEAL collecting and handling their personal information in accordance with our privacy policy.

Complete Confirmation(Required)

I confirm this Rental Application has been filled in correctly and ready to be submitted(Required)

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