Rental Application Form

Address of Property Applying For *
Intended moving date *
Indended length of tenancy *
APPLICANTS DETAILS:
Full Name (as per ID) *
Date of Birth *
Home Phone
Work Phone
Mobile
Email
Photo Identification Type *
Photo Identification Number *
Drivers License Version No (5B)
(NOTE: Suitable Photo ID = Photo Driver's License, Passport or 18+ ID card)
WINZ ID
Benefit Type
Occupation
Total weekly income $
Employer
How long with this Employer?
Manager
Manager Ph
How many vehicles will be parked at the property?
Please specify Make/Model/Year/Reg for all vehicles
PARTNER/SPOUSE/OTHER APPLICANT DETAILS:
Full Name (as per ID) *
Date of Birth *
Home Phone
Work Phone
Mobile
Email
Photo Identification Type
Photo Identification Number
Drivers License Version No (5B)
(NOTE: Suitable Photo ID = Photo Driver's License, Passport or 18+ ID card)
WINZ ID
Benefit Type
Occupation
Total weekly income $
Employer
How long with this Employer?
Manager
Manager Ph
CURRENT TENANCY/BOARDING DETAILS:
Current Address *
Length of time at this address *
Why are you leaving? *
Current Landlord Name *
Current Landlord Phone number *
Do you or any occupants intend on smoking? *
Do you have pets? *
If 'Yes' give details
Number of Occupants in Total *
Number of Adults *
Number of Children *
Ages of Children
Have you ever had a tenancy terminated? *
If 'Yes' give details
Have you ever had money deducted from your bond? *
If 'Yes' give details
Do you owe money to any landlord? *
If 'Yes' give details
RENTAL REFERENCES:
Previous Address
Previous Landlord
Previous Landlord Phone number
PERSONAL REFEREES:
(NOTE: not family members or people you intend to have living with you)
Name *
Phone *
Relationship to you *
Name *
Phone *
Relationship to you *
NEXT OF KIN:
Name *
Relationship *
Address *
Phone No *
OTHER OCCUPANTS OVER 18 YEARS OLD LIVING AT THE PROPERTY:
(NOTE: if application is successful a separate form will be required)
Name
Age
Name
Age
Name
Age
Terms & Conditions *	I Agree to the terms specified in the right hand column

In terms of the Privacy Act 1993 you are given notice that:

This application asks you to provide personal information.
The information on this form is required so that the landlord is better able to assess whether you are the best applicant on merit for the tenancy.
This information is provided by you to C&R Property Management Ltd.
I/We advise you that you have the right to see the information I/We hold about you and; to correct that information in accordance with the Privacy Act 1993.
The information in this tenancy application form will, if you enter into a tenancy agreement with us, be held on a database and used by us.
The information will also be made available to credit bureau or tenant default databases.
I consent to your contacting my employer or any person or company named in this application to confirm, verify and expand on any information given herein and complete TINZ Credit Checks.
I consent to your providing the information in this form and details of any proven breach in 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 publicly accessible through credit bureau or tenant default databases.
I agree that you may use any of the information on this form to enforce any judgement in respect of the tenancy agreement or in respect of any order against me made by the Tenancy Tribunal.
I confirm the information in this form is true and correct and that I have read and understood all of the above including the Privacy Act 1993 statement, and hereby appoint C&R Property Management Ltd as my/our agent to find accommodation for me/us. Should you introduce me/us to any premises which lead to me/us taking a tenancy. I/we undertake to pay your letting fee.

Rental Application Form

APPLICANTS DETAILS:

PARTNER/SPOUSE/OTHER APPLICANT DETAILS:

CURRENT TENANCY/BOARDING DETAILS:

RENTAL REFERENCES:

PERSONAL REFEREES:

NEXT OF KIN:

OTHER OCCUPANTS OVER 18 YEARS OLD LIVING AT THE PROPERTY: