On-Line Tenancy Application

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Please complete this form and Submit when finished for prompt processing of your application. All fields with an asterisk * must be completed to submit the form.
Todays Date *	/ /
What date do you want to move in to your new property? *	/ /
Preferred length of Tenancy *
Addresses of properties you are applying for *
Main Applicant Details
Full Name *
Date of Birth *	/ /
Gender *	Male Female
What Nationality Are you ? *
Current Home Ph Number *
Work Phone Number - N/A if None *
Mobile Phone Number - N/A if None *
Email Address
Drivers Licence Number (& Version #) *
Passport Number
Car Registration
Number of cars to be kept at the property *
Are all cars registered	Yes No
Will a boat, trailer or motorbike be kept at the property? *	Yes No
Will you have any pets at the property? *	Yes No
If you answered Yes to pets, please state type of pet, breed, age and how many.
Are you a smoker? *	Yes No
How many people will reside in the property? *
State the names of everyone who will live at the property & their ages, please use the format - Name / Age in the box. *
Name of next of Kin *
NZ address of next of Kin *
NZ Phone number of next of Kin
Your Current Rental Details
Your Current Rental Address *
How long have you lived at your current address ? *
Reason for leaving *
Current rent or board per week ? *
Current Landlords Name *
Current Landlord Phone Number *
Your Previous Rental Details
Your Previous Address (Before your Current Address) *
Previous Landlord Name
Previous Landlord Phone Number
Time at Previous Address *
Did you recive your bond back in full from this previous property ? *	Yes No
If not, what was deducted from your bond and why ?
Do you have a clean credit history ? If not, please explain why not. *
Please list personal references - Do not include relatives (must be completed)
1. Name and address *
1. Phone number & their relationship to you *
2. Name and address *
2. Phone number & their relationship to you *
Income Details
Current Employer, Education Institute or Benefit *
Employer Address *
Occupation *
Weekly income *
Work Referee Name
Work Referee Phone Number
Time (Years, Months) with Current Employer
Additional Applicant Details
Full Name
Date of Birth	/ /
Gender	Male Female
What Nationality Are You ?
Current Home Ph Number
Current Work Ph Number
Mobile Ph Number
Email address
Drivers Licence Number
Passport Number
Income Details
Current Employer, Education Institute or Benefit
Employer Address
Occupation
Weekly income
Your Current Rental Details

Please complete the following section. However, if your current rental address details are the same as Main Applicant, then move directly to the 'Submit' button.
Your Current Rental Address
How long have you lived at your current address?
Reason for leaving
Current rent or board per week
Current Landlords name
Current Landlords Phone Number
Additional Helpful Information
Please enter any further information you may wish to share in support of your application.
IMPORTANT - Photo I.D. must be supplied (Drivers License, Passport or Firearms license only)
Please enter here, COLOUR images of your Drivers License, Passport or Firearms License and any other documents, images, scanned files etc you may wish to provide in support of your application.
I/we the applicant/s do solemnly declare that the informaton provided is true and correct and has been supplied by me/us as applicants. I/we the applicant/s understand that you, as the agent (RER and or any of its representatives) have collected this information for the specific purpose of checking identification, character, credit worthiness and determining if the applicant/s will be a suitable tenant for the property. It is agreed that acceptance of this application is subject to a satisfactory report as to the applicants credit worthiness. I understand that you as the agent are bound by the Privacy Act 1988 and authority is hereby given to the agent (RER and/or any of its representatives) to check credit references, employment details, previous rental references, database agencies, personal references and any other searches which may verify the information provided by me. I also authorise the agent to give information to the owner of the property, credit providers, insurance providers, other agents, salespeople, database agencies, references named in this application or any other third party who would have a beneficial interest relating to a tenancy matter and understand this can include information about my tenancy, credit worthiness, credit standing, credit history or credit capacity. Once a tenancy agreement has been entered into the tenant agrees that should they fail to comply with their obligations under the agreement, the failure to comply may be disclosed to third party operators of tenant default registry agents and or other agents.
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On-Line Tenancy Application

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