Residential Tenancy Application (Student)Application form for full-time studentsPlease enable JavaScript in your browser to complete this form.Rental Property Address *Starting date of tenancy *I am offering monthly rentLegal Name *FirstLastDate of BirthSocial Insurance NumberEmail *Phone *Make of carCar model, yearCar licence#Car colorPresent addressMonthly rentLength of stayReason for leavingPresent landlordContact infoPhone # | emailPrevious addressMonthly rentLength of stayReason for leavingPrevious landlordContact infoPhone # | Email School Info School name *School addressSchool phone#School websiteMajor *Co-signer's NameCo-signer's Phone #Relationship to applicantGuarantor's nameGuarantor's Phone #Relationship to applicantEmergency contact's name *Emergency Phone # *Relationship to applicantPet's infoquantity, breed, weight, age, .etc.Names of occupants Please provide all occupants' legal name, age, and relationship to applicant. One person per line.Upload your ID Click or drag files to this area to upload. You can upload up to 2 files. Upload Verification/Confirmation of Enrollment Click or drag files to this area to upload. You can upload up to 2 files. Upload other supporting documents Click or drag files to this area to upload. You can upload up to 10 files. Any documents can descript your status of your finance, credit. Such as, bank statements, credit report, reference letter, .etc. Additional InformationPlease input your additional info or comments if there are any.AGENCY DISCLOSURE: Applicant is aware that Luxmore Realty, the Brokerage, acts for and on behalf of the Owner of the Property, the principal, as Landlord in the management of the Property. Luxmore Realty offers no agency representation to Applicant and Applicant is advised to seek independent legal advice before entering into any Tenancy Agreement if that is important to Applicant. However, Luxmore Realty owes Applicant legal and ethical duty to provide accurate, honest and fair information as set out by the Real Estate Services Act and the RTA. CONSENT/ COLLECTION, USE & DISCLOSURE OF PERSONAL INFORMATION: For the purpose of determining whether my application for this tenancy is acceptable, I hereby consent to the Landlord obtaining credit and personal information about myself for all purposes consistent with the assessment of my application. I authorize the reporting agencies and other persons to disclose information on me to the Landlord or to his or her agent. This consent is given pursuant to the Business Practices And Consumer Protection Act [SBC 2004] Chapter 2 Part 6 . All personal information collected shall be kept confidential, in a secure place and shall be destroyed, erased or made anonymous when the use of the informat ion have been fulfilled. Luxmore Realty will not sell, rent or share any personal information to any other third parties. Further, the Landlord is hereby authorized to comply with various reporting agencies' requirements for rental history data reporting. For more information, please check with Equifax, TransUnioin, TVS, and/or RentCheck Credit Bureau. Signature *Clear SignatureSubmit