Tenancy Application

Property Address applying for:

Rent per week: $

Personal Details
* Indicates manditory fields

Your Full Name: *

Date of Birth *

Home Phone:

Work Phone:

Mobile Number:

Email Address:

Number of Children and their Ages:

Drivers License Number:

Passport Number:

Car Registration:

Present Address: *

Date moved in: *

Previous Address:

Date moved in:

Do you have any pets? * Yes No

If Yes, specify:

Are you or any other intended tenants smokers? * Yes No

Number of Intended Occupants:

Preferred Tenancy Commencement Date:

Beneficiary NZISS Card Number:

Type of Benefit:

Employment Details

Place of Employment:

Occupation:

Supervisor/Managers Name:

Address:

Start Date:

Please provide the following for all other intended occupants over 18 years of age.
Full Name, Date of Birth, Place of Employment, Date Employment Commenced, Work Phone number as well as their preferred personal contact details (Mobile/Email)

Occupant (1)

Occupant (2)

Occupant (3)

All other occupants

Emergency Contact (Next of Kin or Close Friend)

Name: *

Address:

Telephone contact *

Relationship to you: *

References

Current Landlord:

Telephone:

Email:

Previous Landlord:

Telephone:

Email:

Fee:
A fee equivalent to one weeks rent plus GST is payable to Kennard Real Estate Ltd if a tenancy is arranged.

Credit Check:
I/We authorise any person or company to provide you with such information as you may require in response to your credit and/or employment enquiries. I/We further authorise you to furnish to any third party details of the application and any subsequent dealings that I/we may have with you as a result of this application being actioned by you

Your Name: *

Date: *

PRIVACY ACT 1993 STATEMENT
For the purposes of the Privacy Act 1993:

This application form collects personal information about you.

This information is required to:
Assess your eligibility as a tenant; and
Collect information which would be provided to the tenant default database or credit bureau if you enter into a Tenancy Agreement and fail to comply with the terms of the agreement. (A tenant default database records the names of persons who have been found to breach the Tenancy Agreement or the Residential Tenancies Act 1986 by the Tenancy Tribunal).

The information which would be provided to a tenancy default database or credit bureau if you enter into a Tenancy Agreement and fail to company with the terms of the agreement. (A tenant default database records the names of persons who have been found to breach the Tenancy Agreement or the Residential Tenancies Act 1986 by the Tenancy Tribunal).

The information will also be made available to credit bureaus or tenant default databases.

If you do not supply all the information in this form, you may not be considered as a tenant for any of the properties we administer.

You have the right to see the information we hold about you and to correct that information in accordance with the privacy Act.

You have the right to see the information we hold about you by any credit bureau or tenant default database and to correct it in accordance with the Privacy Act 60.

Tenancy Application

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