Link Vision Tenancy Application

Complete the form below to lodge your application to one of Link Vision’s independent living units at our complex in Fairfield.

Please don’t hesitate to contact us if you’d like more information.

Full Name (required)

Your Email (required)

Contact Number (required)

Date of Birth (required)

Amount of dependants (if you have none please type 0) (required)

Are you or any dependants living with you a smoker? (required)

Do you have any pets or a guide dog? (required)

Current Residential Address (required)

Period of occupancy (required)

Type of occupancy (required)

Current Rent $

Rent Frequency

Reason for leaving

Previous Residential Address

Previous Type of occupancy (required)

Previous Rent $

Previous Rent Frequency

Previous reason for leaving

Previous Agent/Lessor Name

Previous Agent/Lessor Phone

Personal Referee 1 Name

Personal Referee 1 Relationship

Personal Referee 1 Phone

Personal Referee 1 Address

Personal Referee 2 Name

Personal Referee 2 Relationship

Personal Referee 2 Phone

Personal Referee 2 Address

Emergency Contact Person - Name

Emergency Contact Person - Relationship

Emergency Contact Person - Phone

Emergency Contact Person - Address

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