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Tenancy Application

1 Terms & Conditions

2 Personal details

3 Property details

4 Renting details

5 Employment details

6 Emergency contact

7 Agreement

In Terms of the Privacy Act 1993 you are given notice that:
1. Requests Information. This application form asks you to provide personal information and
2. Purpose of Collection. The information is being collected on this form by the landlord/rental manager whose address is shown over the page and is required so that the landlord/rental manager can check the information and be able to assess whether you would be the best applicant on merit for the tenancy and we are also obliged to inquire whether you are a minor and
3. Recipient of Information. The intended recipient of this information is Renexus Property Management whose name appears at the top of this form or the landlord and
4. Sight Information. We advise that you have the right to see the information we hold about you and
5. Correct Information. To correct that information if it is incorrect and
6. Holding Information. In the event that Renexus Property Management is required to carry out a credit check then Renexus Property Management are obliged by law to retain the record of that application.
Other information drawn to your attention:
Understanding. By completing this form you evidence the fact that you are applying to rent a residential house/flat/apartment and
You are further advised that: If you do not supply all the information requested in this form you may not be considered as the best applicant on merit for a specific property or other properties available for rent and
Please note: A separate completed application form is required for each person who proposes to enter a tenancy agreement as a tenant.

Please ensure you meet the criteria before we being the application.*
View criteria
acknowledgement*
- * I acknowledge that I understand and have read the above.

Name*
Title First Last
Date of birth*
Contact details
Current address*
Street Address Address Line 2 Suburb
Home phone
Mobile phone*
Work phone
Email*
Enter Email Confirm Email
Please choose at lease one form of identification*
- Passport
- NZ Drivers License
Passport details
Passport No*
Passport expiry*
License details
Drivers License No.*
License Version*
Criminal record
Have you ever been convicted of any crime or offence (other than one concealed by Criminal Records(Clean Slate) Act 2004)?*
- Yes
- No
Please provide details

Address of the property you wish to apply for*
Have you viewed this property?*
- Yes
- No
When would you like to move into new property?*
How long are you planning to stay in the new property?*
Occupancy details
Do you have pets?*
- Yes
- No
What type of pets do you have?*
Smoking
Are you or any other prospective occupant a smoker?*
- Yes
- No
Motor vehicle(s)
Will you be parking a motor vehicle on the property?*
- Yes
- No
Make*
Model*
Registration*
Occupants

Please enter the names of the occupants who wish to reside on this property*

Are you currently renting?*
- Yes
- No
Current rental details
Current rental per week (in NZD e.g. $500)*
Please enter the details of your current Property manager / Landlord
Name*
Title First Last
Phone*
Email*
Why are you planning to leave the current address?*
Previous rental details
Have you rented a house before?*
- Yes
- No
Details of previous rental
Previous rental per week (in NZD e.g. $500)*
Address*
Street Address Address Line 2 Suburb
How long have you stayed at this address?*
Date vacated*
Details of previous Property manager / Landlord
Name*
First Last
Phone*
Email*
Termination
Have you ever had a tenancy terminated before?*
- Yes
- No
Please provide details why was it terminated.*
Bond
Have you ever had any money deducted from your bond?*
- Yes
- No
Please provide details why money was deducted from your bond*

Evidence of Ability to Pay Rent*

Name*
Address*
Relationship*
Phone*
Email*

I agree to you obtaining other information about me and contacting any of the following referees ( not relatives )
Referee 1*
Previous Landlord/Property Manager
Refree 2*
Previous Landlord/Property Manager
Referee 2
Employer's Details/Work and Income (case officer)
Referee 3
Friends/Family
Additional documents
Drop files here or

Accepted file types: pdf, doc, docx, jpeg, jpg, png.
Agreement
1. I agree that the landlord may use this information to carry out any or all credit checks
2. 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 Tribunal and
I confirm the information in this form is true and correct and that I have read and signed the Cautions under the Privacy Act 1993 and other information on the other side of this form before completing the application form itself.*
- Yes
- No

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Tenancy Application

Tenancy Application

Tenancy Application

Contact details

Passport details

License details

Criminal record

Occupancy details

Smoking

Motor vehicle(s)

Occupants

Current rental details

Previous rental details

Termination

Bond

Agreement

Renexus

Regions

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