Pre-tenancy application form

Pre-tenancy application form

Please complete this form to apply for the tenancy at the address below. The information you provide is for applying for this tenancy and may be used for a credit and reference check.Your privacy is protected under the Privacy Act 1993.
- Property address:*
  i.e. 2 Canon Hill
- Commencement of tenancy:*
  
  MonthDayYear
  Date
- Full Name*
  
  First NameLast Name
- E-mail*
- Phone Number
  
  Area CodePhone Number
- Mobile Number*
  
  Area Code (i.e. 021)Phone Number
- Birth Date*
  
  MonthDayYear
- Current Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- How long have you lived there?*
  Months or Years
- Please state why you are leaving this address:*
- Please provide photo identification, such as your driver’s licence.
- Driver’s licence number:
  NB: Provision of this number is voluntary and will only be used to verify your identity and for carrying out a credit check
- Version no.
  (if applicable)
- Alternative form of ID:
- Upload a form of ID, i.e., Drivers License or Passport.*
  
  Browse Files
  
  Cancelof
- Name*
  
  First NameLast Name
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Email*
  example@example.com
- Phone Number
  
  Area CodePhone Number
- Mobile Number*
  
  Area CodePhone Number
- If you are currently renting, please provide your landlord’s name and contact details.
- Landlord’s name:*
- Phone Number
  
  Area CodePhone Number
- Mobile Number*
  
  Area CodePhone Number
- Email*
  example@example.com
- May we contact this person for a reference?*
  
  YesNo
- Please provide two referees that I can contact. Referees can be a friend, co-worker, your employer or someone who knows you well.
  
  One of your referees should be able to provide a reference about your creditworthiness. If you have already provided your current landlord’s details, only one additional referee is needed. Please let these people know I may be contacting them for a reference.
- Reference #1 Full Name*
  
  First NameLast Name
- Relationship to Applicant*
- Phone Number*
  
  Area CodePhone Number
- E-mail*
- Reference #2 Full Name*
  
  First NameLast Name
- Relationship to Applicant*
- Phone Number*
  
  Area CodePhone Number
- E-mail*
- Vehicles to be parked on premises
  Make/Model/Year/License #
- In the past, have you been delinquent in paying rent or other financial obligations? If yes, please explain:*
- In the past, have you failed to perform any obligations of a rental agreement or have you been a defendant in an eviction situation? If yes, please explain:*
- Terms
- I authorise the Landlord/Property Manager to:• collect, retain and use this information for the purpose of assessing my creditworthiness and suitability for the tenancy; and• disclose information about me, whether collected from me directly or from any other source, to any other credit provider or any credit reporting agency for the purposes of providing or obtaining a credit report (which will involve the credit reporting agency providing information about me to the Landlord/Property Manager).I understand that the credit reporting agency:• may hold my information on their credit reporting database and use it for providing credit reporting services, and they may disclose my information to their subscribers for the purpose of credit checking or debt collection; and• as part of providing a credit report, may check the Ministry of Justice fines database for any overdue fines I may have.*
  
  I Agree
- Disclaimer
  
  Under the Privacy Act 1993, you have the right to ask for a copy of all information held about you, and have the right to request the correction of any incorrect information.
- Date Signed
  
  MonthDayYear
  Date
- Signed*
  Please enter your Full Name
- Should be Empty:

Pre-tenancy application form

Please provide two referees that I can contact. Referees can be a friend, co-worker, your employer or someone who knows you well.

Terms

Disclaimer