La Luna Residence Δ 1Application & Residents2FOBs, Vehicles, Pets, Bicycles, Emergency ContactApplication DetailsThis field is hidden when viewing the formStrata Plan No.*Please select address* 23 George Street, BURWOOD NSW 2134Unit Number*Occupancy Status* Tenant Owner Occupier Owner Investor Managing AgentResident DetailsNo. of Residents*123456Primary ResidentThis field is hidden when viewing the form—Primary ResidentName* First Last Email* Mobile No.*Resident 2This field is hidden when viewing the form—Resident 2Name* First Last Email* Mobile No.*This field is hidden when viewing the form—Resident 3Resident 3Name* First Last Email* Mobile No.*This field is hidden when viewing the form—Resident 4Resident 4Name* First Last Email* Mobile No.*This field is hidden when viewing the form—Resident 5Resident 5Name* First Last Email* Mobile No.*Resident 6This field is hidden when viewing the form—Resident 6Name* First Last Email* Mobile No.*Primary OwnerFull Name* First Last Company NameMobile*PhoneEmail* Managing AgentCompany Name*Agent Name* First Last Agent Mobile*Agent PhoneAgent Email* Security Devices IssuedNumber of Access Security Devices (FOBs) issued to your apartment*12345FOB Number*FOB Holders Name*FOB Number 2*FOB Holders Name 2*FOB Number 3*FOB Holders Name 3*FOB Number 4*FOB Holders Name 4FOB Number 5*FOB Holders Name 5*VehiclesNumber of Vehicles*0123Make*Model*Plate Number*Make*Model*Plate Number*Make*Model*Plate Number*Bicycle RegistrationNumber of Bikes*01234Are your bike(s) registered with Building Management?* Yes No PetsPet application & written approval is required for all Pets. Please refer to the relevant by-laws for more information.Do you have any PETS living with you?* Yes NoHow many animals do you keep?*Type of Animals*Exemption applies to assistance animals as referred to in Section 9 of the Disability Discrimination Act, 1992 (CTH). The Owners Corporation may require you to produce evidence of the status of your animal as an assistance animal. Emergency ContactPlease provide the best person to contact in the case of an emergency.Name*Phone No.*Emergency Email Consent* I agree that the information provided is true & accurate to the best of my knowledge.
