Application To Rent

Property ID

Address of property you are applying for*

What date do you want to move in to your new property*

Preferred length of Tenancy *

---3 Months6 Months12 Months24 Months

Full Name*

Date of Birth*

Gender

---MaleFemale

Home Phone Number*

Work Phone Number*

Mobile Phone Number*

Email Address *

Driver Licence Number*

Drivers License Version Number*

Passport Number

Car Registration

Number of cars be kept at the property

---12345678910

Are all cars registered

---YesNo

If you answered Yes to pets, please state type of pet, breed, age and how many.

Are you a smoker?


---YesNo

Name of next of Kin*

NZ address of next of Kin*

NZ Phone number of next of Kin

How many people will reside in the property?*

---12345678910

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*

Previous Landlord Name

Previous Landlord Phone Number

Time at Previous Address*

Did you recive your bond back in full from this previous property ?

---YesNo

If not, what was deducted from your bond and why?

Do you have a clean credit history ? If not, please explain why not.*

1. Name and address*

1. Phone number & their relationship to you*

2. Name and address*

2. Phone number & their relationship to you*

Current Employer, Education Institute or Benefit*

Employer Address*

Occupation*

Weekly income*

Work Referee Name

Work Referee Phone Number

Full Name

Date of Birth

Gender

---MaleFemale

What Nationality Are You?

Current Home Phone Number

Current Work Phone Number

Mobile Phone Number

Email address

Drivers Licence Number

Passport Number

Current Employer, Education Institute or Benefit

Employer Address

Occupation

Weekly income

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