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Urbanest Pty Ltd, Level 22, 68 Pitt Street, Sydney NSW 2000
abn. 94 128 310 | t. +61 2 9229 1800 | f. +61 2 9229 1801 | w. www.urbanest.com.au
Dear,John Smith
Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diam nonummy nibh euismod tincidunt ut laoreet dolore magna aliquam volutpat. Ut wisi enim ad minim veniam, quis nostrud exerci tation .
Lorem ipsum dolor sit amet, cons ectetuer adipiscing elit, sed diam nonummy nibh euismod tincidunt ut laoreet dolore magna aliquam erat volutpat. Ut wisi enim ad minim veniam, quis nostrud exerci tation ullamcorper suscipit lobortis nisl ut aliquip ex ea commodo consequat.
Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diam nonummy nibh euismod tincidunt ut laoreet dolore magna aliquam evolutpat. Ut wisi enim ad minim veniam, quis nostrud exerci tation ullamcorper suscipit lobortis nisl ut aliquip ex ea commodo consequat. Duis autem vel eum iriure dolor in hendrerit in vulputate velit esse molestie consequat, vel illum dolore eu feugiat nulla facilisis at vero eros et accumsan et iusto odio dignissim qui blandit praesent luptatum zzril delenit augue duis dolore te feugait nulla facilisi.
Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diam nonummy nibh euismod tincidunt ut laoreet dolore magna aliquam erat volutpat. Ut wisi enim ad minim veniam, quis nostrud exerci tation
John SmithChief Executive Officer
Urbanest Agent Application Form
Agent Name Agent City
Agent Country Agent Branch
Counsellor’s Name Counsellor’s Email
AGENT DETAILS
Please complete the following in English and in BLOCK CAPITALS and email to [email protected] with ‘BOOKING’ and the property name in the subject line. Please be aware that the room is not guaranteed until the application has been approved and the deposit payment has been received by Urbanest.
STUDENT DETAILS
EDUCATION INFORMATION
Given Name/s Family Name/s
Preferred Name Nationality
Gender Male Female Other Date of Birth DD / MM / YYYY
Email Phone
Current Address
City Country
Postcode/Zip Under 18 years Yes No
Medical Conditions
University/College
Year of study 1st Year 2nd Year 3rd Year 4th Year
Year of Graduation Student ID
Course
Vocational Education (TAFE) School Foundation / Degree Transfer
Study Abroad / Exchange English Language Undergraduate
Postgraduate
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Urbanest Pty Ltd, Level 22, 68 Pitt Street, Sydney NSW 2000
abn. 94 128 310 | t. +61 2 9229 1800 | f. +61 2 9229 1801 | w. www.urbanest.com.au
Dear,John Smith
Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diam nonummy nibh euismod tincidunt ut laoreet dolore magna aliquam volutpat. Ut wisi enim ad minim veniam, quis nostrud exerci tation .
Lorem ipsum dolor sit amet, cons ectetuer adipiscing elit, sed diam nonummy nibh euismod tincidunt ut laoreet dolore magna aliquam erat volutpat. Ut wisi enim ad minim veniam, quis nostrud exerci tation ullamcorper suscipit lobortis nisl ut aliquip ex ea commodo consequat.
Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diam nonummy nibh euismod tincidunt ut laoreet dolore magna aliquam evolutpat. Ut wisi enim ad minim veniam, quis nostrud exerci tation ullamcorper suscipit lobortis nisl ut aliquip ex ea commodo consequat. Duis autem vel eum iriure dolor in hendrerit in vulputate velit esse molestie consequat, vel illum dolore eu feugiat nulla facilisis at vero eros et accumsan et iusto odio dignissim qui blandit praesent luptatum zzril delenit augue duis dolore te feugait nulla facilisi.
Lorem ipsum dolor sit amet, consectetuer adipiscing elit, sed diam nonummy nibh euismod tincidunt ut laoreet dolore magna aliquam erat volutpat. Ut wisi enim ad minim veniam, quis nostrud exerci tation
John SmithChief Executive Officer
Urbanest Agent Application Form
BOOKING INFORMATION AND PREFERENCES
Urbanest Pty Limited ACN 128 382 310 (Urbanest) will collect personal information about you, in the course of you completing this form and (if applicable) in the course of your tenancy. Urbanest’s privacy policy located at http://urbanest.com.au/legal 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 Urbanest with personal information about a third party (e.g. your emergency contact) you warrant that that person consents to Urbanest collecting and handling their personal information in accordance with our privacy policy.
*Emergency Contact/Next of Kin must be a family member or guardian and must be over the age of 18.
EMERGENCY CONTACT DETAILS / NEXT OF KIN*
Title First Name Last Name
Relationship to applicant
Email Phone
Current Address
City Country Postcode/ZIP
Preferred Property
Preferred Room Type
Preferred Length of Stay 6 months (Limited availability) 12 months 18 months (Not available in all properties)
Budget (per week)
Disability Access
Preferred Contract Start Date DD / MM / YYYY Preferred
End Date DD / MM / YYYY
Apartment SharePreference(Optional)
Rental Payment Frequency
Fortnightly Quarterly On Reservation (2 weeks in advance) (3 months in advance) (all rent in advance)
Initial Payment Method Bank Transfer Credit Card
Additional Comments
#1 #2
#1 #2
Female Only Male Only
Yes No
Mixed gender is standard for Urbanest rooms. If you require a M/F only select the relevant box.NOTE: Twin share rooms are single sex (female or male only) unless requested otherwise.
