Appointment of an Agent

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Appointment of an Agent

"*" indicates required fields

Declaration

I, the tenant (provide full details)

Title

Last name or family name

Given name(s)

Date of Birth

Of (Tenancy Address)

Phone

Email*

Mobile

Do hereby appoint (provide full details)

Title

Last name or family name

Given name(s)

Of (Full Address)

Mobile

Phone

Email*

As my agent during my absence from the dwelling

From (date)

To (date)

My address whilst absent from the dwelling

Address

Phone

Mobile

I acknowledge that I have been authorised as stated before.

I acknowledge that

Untitled

entitled to occupy the premises during the tenant’s absence.

CAPTCHA

Phone

This field is for validation purposes and should be left unchanged.

67413

Link Wentworth wishes to acknowledge the Traditional Custodians of the Land on which we work and pay our respect to the Elders past, present and emerging, and extend that respect to all Aboriginal and Torres Strait Islander people.

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