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Pre-Tenancy Application Form

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  1. Please complete the following details to apply for the tenancy at the above address. Each adult tenant must complete this form.
  2. There is a letting fee of one weeks rent + gst. This fee is payable into the Property Managers bank account by the successful applicant within one week of securing the property.
  3. The information you provide is for the purposes of applying for this tenancy only and may be used to conduct a credit, reference and police check. Your privacy is protected under the Privacy Act 1993.
Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlord’s name and contact details.

Yes No

Please provide some photo identification, eg your driver’s license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlord’s details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 1)

Reference 2 (Applicant 1)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy – for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Applicant 1

Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 1)

Reference 2 (Applicant 1)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Applicant 1

Applicant 2

Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 2)

Reference 2(Applicant 2)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.
Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 1)

Reference 2 (Applicant 1)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Applicant 1

Applicant 2

Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 2)

Reference 2(Applicant 2)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Applicant 3

Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 3)

Reference 2(Applicant 3)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.
Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 1)

Reference 2 (Applicant 1)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Applicant 1

Applicant 2

Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 2)

Reference 2(Applicant 2)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Applicant 3

Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 3)

Reference 2(Applicant 3)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Applicant 4

Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 4)

Reference 2(Applicant 4)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.
Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 1)

Reference 2 (Applicant 1)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Applicant 1

Applicant 2

Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 2)

Reference 2(Applicant 2)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Applicant 3

Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 3)

Reference 2(Applicant 3)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Applicant 4

Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 4)

Reference 2(Applicant 4)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Applicant 5

Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 5)

Reference 2(Applicant 5)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.
Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 1)

Reference 2 (Applicant 1)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Applicant 1

Applicant 2

Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 2)

Reference 2(Applicant 2)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Applicant 3

Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 3)

Reference 2(Applicant 3)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Applicant 4

Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 4)

Reference 2(Applicant 4)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Applicant 5

Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 5)

Reference 2(Applicant 5)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Applicant 6

Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 6)

Reference 2(Applicant 6)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.
Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 1)

Reference 2 (Applicant 1)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Applicant 1

Applicant 2

Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 2)

Reference 2(Applicant 2)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Applicant 3

Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 3)

Reference 2(Applicant 3)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Applicant 4

Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 4)

Reference 2(Applicant 4)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Applicant 5

Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 5)

Reference 2(Applicant 5)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Applicant 6

Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 6)

Reference 2(Applicant 6)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Applicant 7

Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 7)

Reference 2(Applicant 7)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.
Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 1)

Reference 2 (Applicant 1)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Applicant 1

Applicant 2

Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 2)

Reference 2(Applicant 2)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Applicant 3

Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 3)

Reference 2(Applicant 3)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We
    • Payment of rent
    • Kept the dwelling and grounds tidy
    • Were considerate towards neighbours
    • Left the dwelling and grounds tidy
    • If we are declined a tenancy for any reason.
  5. If I am declined this tenancy for reasons of a bad credit history or Tenancy Tribunal orders against me, I am aware that this may be placed on a tenancy database.
  6. I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Applicant 4

Casual/Periodic 3 Months 6 Months 12 months 2 years or longer
Yes No
Yes No

Please list your pet(s) details:

Yes No

If less than 2 years, please provide previous employment details below:

Previous Employer Details (Applicant 1)

Yes No

If you are currently renting, please provide your landlords name and contact details.

Yes No

Please provide some photo identification, eg your drivers license or passport.

Please provide two referees (include telephone numbers) that we can contact.

Referees can be a previous landlord or property manager or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your credit worthiness.

(If you have already provided your current landlords details above, one additional referee is enough.)

Please let these people know we will be contacting them to give ask about you in relation to the reference provided.

Reference 1 (Applicant 4)

Reference 2(Applicant 4)

Yes No
Yes No
Yes No
Yes No

Tenancy Check Privacy Act 1993 Statement

This application form collects personal information about you.

This information is required to:

  • Assess your eligibility as a tenant; and
  • Collect information, which would be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. ( A tenant default database records the names of the persons who have been found in breach of their tenancy agreement and/or the Residential Tenancies Act 1986 by the Tenancy Tribunal);
  • This information in this tenancy application form will be retained within our office;
  • The information will also be made available to credit bureau and/or tenant default
  • databases and will be accessible to other people that may inquire of this credit bureau
  • and/or tenant default database;
  • If you do not supply all the information in this form, you may not be considered for
  • my/our tenancy(ies)
  • You have a right to see the information held about you by any credit bureau or tenant
  • default database and to correct that information in accordance with the Privacy Act.
Acceptance
  1. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
  2. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
  3. I agree that you may use any of the information on this application form to enforce any judgment in respect of the tenancy agreement or in respect of any order against me by the Tenancy Tribunal.
  4. I agree that an assessment regarding my fulfillment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be about how I/We