Apply Online - Easy Peasy Property - Property Management Made Easy

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

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

Driver’s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

References (Applicant 1)

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)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2 (Applicant 1)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Checks (Applicant 1)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

I/We have read and understood this application form.:

Signature of Acceptance

I/We have read and understood this application form.:

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 1

Print Full Name:*

Date:

Personal Details (Applicant 1)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 1)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 1)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 1)

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

(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)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2 (Applicant 1)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 1)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We have read and understood this application form.:

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 1

Print Full Name:*

Date:

Applicant 2

Personal Details (Applicant 2)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 2)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 2)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 2)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 2)

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

(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 2)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2(Applicant 2)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 2)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 2

I/We have read and understood this application form.:

Personal Details (Applicant 1)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 1)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 1)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 1)

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

(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)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2 (Applicant 1)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 1)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We have read and understood this application form.:

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 1

Print Full Name:*

Date:

Applicant 2

Personal Details (Applicant 2)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 2)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 2)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 2)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 2)

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

(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 2)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2(Applicant 2)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 2)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 2

I/We have read and understood this application form.:

Applicant 3

Personal Details (Applicant 3)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 3)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 3)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 3)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 3)

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

(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 3)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2(Applicant 3)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 3)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 3

I/We have read and understood this application form.:

Personal Details (Applicant 1)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 1)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 1)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 1)

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

(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)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2 (Applicant 1)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 1)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We have read and understood this application form.:

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 1

Print Full Name:*

Date:

Applicant 2

Personal Details (Applicant 2)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 2)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 2)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 2)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 2)

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

(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 2)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2(Applicant 2)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 2)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 2

I/We have read and understood this application form.:

Applicant 3

Personal Details (Applicant 3)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 3)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 3)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 3)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 3)

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

(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 3)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2(Applicant 3)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 3)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 3

I/We have read and understood this application form.:

Applicant 4

Personal Details (Applicant 4)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 4)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 4)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 4)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 4)

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

(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 4)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2(Applicant 4)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 4)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 4

I/We have read and understood this application form.:

Personal Details (Applicant 1)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 1)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 1)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 1)

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

(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)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2 (Applicant 1)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 1)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We have read and understood this application form.:

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 1

Print Full Name:*

Date:

Applicant 2

Personal Details (Applicant 2)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 2)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 2)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 2)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 2)

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

(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 2)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2(Applicant 2)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 2)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 2

I/We have read and understood this application form.:

Applicant 3

Personal Details (Applicant 3)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 3)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 3)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 3)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 3)

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

(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 3)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2(Applicant 3)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 3)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 3

I/We have read and understood this application form.:

Applicant 4

Personal Details (Applicant 4)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 4)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 4)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 4)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 4)

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

(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 4)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2(Applicant 4)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 4)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 4

I/We have read and understood this application form.:

Applicant 5

Personal Details (Applicant 5)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 5)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 5)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 5)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 5)

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

(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 5)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2(Applicant 5)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 5)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 5

I/We have read and understood this application form.:

Personal Details (Applicant 1)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 1)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 1)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 1)

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

(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)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2 (Applicant 1)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 1)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We have read and understood this application form.:

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 1

Print Full Name:*

Date:

Applicant 2

Personal Details (Applicant 2)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 2)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 2)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 2)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 2)

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

(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 2)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2(Applicant 2)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 2)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 2

I/We have read and understood this application form.:

Applicant 3

Personal Details (Applicant 3)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 3)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 3)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 3)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 3)

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

(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 3)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2(Applicant 3)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 3)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 3

I/We have read and understood this application form.:

Applicant 4

Personal Details (Applicant 4)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 4)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 4)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 4)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 4)

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

(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 4)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2(Applicant 4)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 4)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 4

I/We have read and understood this application form.:

Applicant 5

Personal Details (Applicant 5)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 5)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 5)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 5)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 5)

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

(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 5)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2(Applicant 5)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 5)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 5

I/We have read and understood this application form.:

Applicant 6

Personal Details (Applicant 6)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 6)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 6)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 6)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 6)

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

(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 6)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2(Applicant 6)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 6)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 6

I/We have read and understood this application form.:

Personal Details (Applicant 1)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 1)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 1)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 1)

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

(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)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2 (Applicant 1)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 1)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We have read and understood this application form.:

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 1

Print Full Name:*

Date:

Applicant 2

Personal Details (Applicant 2)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 2)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 2)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 2)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 2)

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

(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 2)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2(Applicant 2)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 2)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 2

I/We have read and understood this application form.:

Applicant 3

Personal Details (Applicant 3)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 3)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 3)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 3)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 3)

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

(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 3)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2(Applicant 3)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 3)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 3

I/We have read and understood this application form.:

Applicant 4

Personal Details (Applicant 4)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 4)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 4)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 4)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 4)

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

(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 4)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2(Applicant 4)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 4)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 4

I/We have read and understood this application form.:

Applicant 5

Personal Details (Applicant 5)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 5)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 5)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 5)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 5)

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

(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 5)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2(Applicant 5)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 5)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 5

I/We have read and understood this application form.:

Applicant 6

Personal Details (Applicant 6)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 6)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 6)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 6)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 6)

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

(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 6)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2(Applicant 6)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 6)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 6

I/We have read and understood this application form.:

Applicant 7

Personal Details (Applicant 7)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 7)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 7)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 7)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 7)

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

(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 7)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2(Applicant 7)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 7)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 7

I/We have read and understood this application form.:

Personal Details (Applicant 1)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 1)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 1)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 1)

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

(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)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2 (Applicant 1)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

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Checks (Applicant 1)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We have read and understood this application form.:

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 1

Print Full Name:*

Date:

Applicant 2

Personal Details (Applicant 2)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 2)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 2)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 2)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 2)

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

(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 2)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2(Applicant 2)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 2)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 2

I/We have read and understood this application form.:

Applicant 3

Personal Details (Applicant 3)

When do you want the tenancy to begin ?:

What length of tenancy do you prefer? (Please circle): Casual/Periodic 3 Months 6 Months 12 months 2 years or longer

First-Name:*

Middle-Name:*

Last-Name:*

Home-Phone:

Work-Phone:

Mobile:

Email: *

Date Of Birth:*

Are You Smoker?: Yes No

Do you have Pets?:

Yes No

Please list your pet(s) details:

If �Dog� please provide details:

Age:

Breed:

If �Cat� please provide details:

Sex:

Age:

Address of where you live now:

If �Yes� please provide details:

Adult:

Children:

How long have you lived there?:

Year(s):

Month(s):

Please state why you are leaving this address:

Employer Details (Applicant 3)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

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

Previous Employer Details (Applicant 1)

Employer�s Name:

Employer�s Address:

Position Held:*

Manager�s Name:*

Do you agree to this person being contacted as a referee?: Yes No

How long have you worked for this employer?:

Year(s):

Month(s):

Go Back Next

Tenancy Details (Applicant 3)

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

Name:*

Home Phone:*

Work phone:*

Mobile:*

Email:

Do you agree to this person being contacted as a referee?: Yes No

Go Back Next

Identification (Applicant 3)

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

Driver�s license or passport number:

Drivers Licence Version Number (5B on your licence):

Car/Vehicle registration number:*

Make and model:*

Alternative form of ID provided Type:

Name of a close relative:

Relationship to you (eg, parent, brother or sister):

Address:*

Home phone:*

Work phone:*

Mobile:*

Email:

Go Back Next

References (Applicant 3)

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

(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 3)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Reference 2(Applicant 3)

Name:

Address:*

Home phone:*

Work phone:*

Mobile:*

Relationship to you (e.g. friend, employer, co-worker):

Go Back Next

Checks (Applicant 3)

Have you been convicted of a criminal offence?: Yes No

If YES, please give details:

Do you give approval for a credit check to be carried out?: Yes No

Have you appeared at the Tenancy Tribunal in regards to a previous tenancy? Yes No

If YES, please give details:

Is there any other information we should know which might affect your tenancy application? Yes No

If YES, please give details:

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

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.
I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases.
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.
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.

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.
I confirm the information in this form is true and correct and that I have read the Privacy Act Statement as stated above.

Go Back Next

Signature of Acceptance

I/We agree to this information being used as necessary to obtain personal references and a credit check.

Applicant 3