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.

Identification
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., Driver's Licence or Passport*

Cancelof

Current Landlord's Details
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

References
Please provide two further referees that I can contact.

One of your references needs to be your current employer, the other reference can be someone who will be able to provide a character reference. Please let them know I will be in contact with them.
Employment Details:
Company*
Position*
Do you work full-time?*

YesNo
Referee Name #1*

First NameLast Name
Phone*

Area CodePhone Number
Email*
example@example.com
Character Reference:
Referee Name #2*

First NameLast Name
Phone*

Area CodePhone Number
Email*
example@example.com

Other Information
Vechicles 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 you failed to perform any obligations of a rental agreement or have you been a defendant in an eviction situation? If yes, please explain:*

END
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:

Please provide two further referees that I can contact.