Your Future Awaits Application Form Davana Residence Rental Application Form Please complete this form and we will get back to you shortly. Section 1 - Rental Details Tenancy Term * Please tick the nearest answer. Less than 3 months 3 months 6 months 1 year 1 year + Choice of Floor Plan * Please choose the floor plan that you are most interested in. A B C D E F G Proposed Move-In Date * MM DD YYYY Do you smoke? * Yes No Do you have pets? * Yes No If yes, please specify. Section 2 – Tenant’s Personal Data Name * First Name Last Name Date of Birth (DD/MM/YY) * Martial Status * Single Married Nationality * Afghanistan Albania Algeria Andorra Angola Antigua & Deps Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia Herzegovina Botswana Brazil Brunei Bulgaria Burkina Burundi Cambodia Cameroon Canada Cape Verde Central African Rep Chad Chile China Colombia Comoros Congo Congo {Democratic Rep} Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland {Republic} Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea North Korea South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar, {Burma} Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russian Federation Rwanda St Kitts & Nevis St Lucia Saint Vincent & the Grenadines Samoa San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Zambia Zimbabwe Email * Phone * Country (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country If you have ever been known by another name please confirm it here Please provide two years address history (Present address) Address 1 Address 2 City State/Province Zip/Postal Code Country Time at this address Address Status Owner Rented Living with parents/friends Other Previous address Address 1 Address 2 City State/Province Zip/Postal Code Country Time at this address Address Status Owner Rented Living with parents/friends Other Section 3 – Employment Details Current employment status * Employed (FT) Unemployed Self-Employed Agency Worker Temp Worker Student Name of company * Position * Work Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Is your current position going to change in the near future? * Yes No If yes, please give details below Section 4 - Other Occupants Everyone living in the property regardless of age must be listed below. (Name, DOB, Age, Relationship to applicant) * Will the deposit be paid by anyone other than the tenant * Yes No If yes fill in the information below First Name Last Name Address 1 Address 2 City State/Province Zip/Postal Code Country Country (###) ### #### Emergency Contact Emergency Contact Name * First Name Last Name Relationship to Tenant * Emergency Contact Phone Number * Country (###) ### #### Emergency Contact Email Emergency Contact Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Section 5 - Bank Details Name of Bank * If paid by company please write Paid by Company Account Number * If provided by Company please fill in NA Account Holder * If provided by Company please fill in NA First Name Last Name Swift Code * If provided by Company please fill in NA Bank Address * If provided by Company please fill in NA Address 1 Address 2 City State/Province Zip/Postal Code Country Section 6 Prior I agree that if the tenancy proceeds “important Tenancy documents may be served on me by electronic means.” * Please tick if you agree. Future Communications I can confirm that I am happy to receive all communication going forward via email. (Print full name and date, name print will be recognized as signature) * A handwritten signature will be required at the time of lease contract singing. Signature I hereby certify that all information given on this application is true and correct. (Print full name and date, name print will be recognized as signature) * A handwritten signature will be required at the time of lease contract singing. How did you hear about us? Thank you for your application! We will get back to you shortly! Have a Question? Send us an email.leasing@davanaresidence.com
