Short Term Application - <28 days

Personal Details

Full Name

Also Known As

Age

Gender
Male
Female

Date of Birth

Nationality

Contact Details

Phone

Mobile Phone

Email

Previous Address
Street            

Suburb/Town  

City/State      

State             

Country          

Occupation

Employer's Name

Student Details (Students Only)

Tertiary or Learning Institute you will be Attending

Course Attending

Length of Course

Other

Next of Kin

Name

Phone

Please Provide Details of any Known Medical or Physical Condition

Accommodation Options

Short Term (<28 days)

Extra Guest $10 per person per night

Single Unit $300.00 per week
Double Unit $350.00 per week
Two Bedroom Unit $400.00 per week

Notes:
All payments must be paid in advance!
All charges include GST

Cancellation:

If cancellation of booking is made outside 21 days of intended arrival date, there will be an administration charge of one weeks rent.  Between 8-21 days the charge will be two weeks rent  Within 7 days, No Refund!

I hereby apply for admission to reside at Vic Central.  I authorise that the above information may be used to carry out a credit check on me.  I agree to abide by the rules and regulations that govern this facility.  Any false information or failure to disclose information on this application form may result in immediate termination of my occupancy.

Comments

Require Long Term Accommodation?  Click here for Long Term Application Form