Application To Rent

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.

Renting Details

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 *

Main Application Details

Full Name*

Date of Birth*


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

Are all cars registered

Will a boat, trailer or motorbike be kept at the property?*

Will you have any pets at the property?*

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

Are you a smoker?

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?*

State the names of everyone who will live at the property & their ages, please use the format - Name / Age in the box.*

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 ?

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*


Weekly income*

Work Referee Name

Work Referee Phone Number

Time (Years, Months) with Current Employer

Additional Applicant Details

Full Name

Date of Birth


What Nationality Are You?

Current Home Phone Number

Current Work Phone Number

Mobile Phone Number

Email address

Drivers Licence Number

Passport Number

Additional Applicant Income Details

Current Employer, Education Institute or Benefit

Employer Address


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 Landlord 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, JPG or PDF 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.

Terms and Conditions

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. t 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, her 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 tenanto 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.

By ticking this box, I agreed to the terms and conditions above.


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