Apply Online Name* First Last Post Title* Gender-- PLEASE SELECT --FemaleMaleDate of birth* Date Format: DD slash MM slash YYYY Start Date Preferred Date Format: DD slash MM slash YYYY Finish Date Preferred Date Format: DD slash MM slash YYYY House and Room applying for*-- PLEASE SELECT A HOUSE --1 / 2 Myora Court2 / 2 Myora Court2 Emo Road958 Dandenong Rd960 Dandenong Rd*-- PLEASE SELECT A ROOM --Room Number 11Room Number 13Room Number 15bRoom Number 24Room Number 84Room Number 50Room Number 52Room Number 58Email* Phone*Country of Origin*-- PLEASE SELECT --AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweCity of Origin*Do you have a disability which requires disabled access?*NoYesDisability RequirementsYesNoAny General Comments? Agreements You will need to first view the document by clicking on each link before you can tick the boxs to proceed with your application. Please save or email a copy of these documents for your records. If you have difficulty opening or viewing any of these documents please contact us - hannahc@affordableaccom.com.au* I have received a copy and agree to the House Rules and Terms and Conditions * I have received a copy and agree to smoke detector testing * I confirm I have received a copy of Renting a home: a guide for tenants and landlords * I confirm I have received a copy of Rooming houses: a guide for residents and operators * I confirm I have received a copy of Rights and duties of a rooming house resident