Tenancy Application Form

This information is required for the purpose of assessing your eligibility as a tenant for the property you have applied for. One form should be completed for every intending adult tenant.

  • Property applying for

  • Your Details

  • One form should be completed for every intending adult tenant.
  • If yes, please state breed.
  • Accepted file types: jpg, pdf.
    Please upload a copy of a recent Power/Phone account. JPG or PDF
  • Employment

  • If you are currently receiving your income from Work & Income New Zealand please provide details.
  • Identification

    A copy of identification is required. Suitable ID: Photo Drivers Licence, Passport, WINZ Customer ID, Photo Credit Card
  • If using driver's licence.
  • If using drivers licence.
  • Accepted file types: jpg, pdf.
    Please upload a copy of your proof of identity. JPG or PDF
  • References

    No references can be family or friends. Most recent landlords as referees.
  • 1. Second most recent Landlord:
  • 2. Third most recent Landlord
  • 3. Employer Reference
  • Next of Kin

    Please provide two Next of Kin details (not living with you).
  • 1. Next of Kin
  • 2. Next of Kin
  • Privacy Act 1993 Statement

  • This application form collects personal information about you. It is important for you to know why this information is collected. This information is required for the purpose of:-
    • Assessing your eligibility as a tenant;
    • Collecting information which may be provided to a tenant default database and/or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement;
    • Being retained within our office for your tenancy and seven years following;
    • Failure to supply all the information in this form means you may not be considered for the applied tenancy.
    • You have a right to see the information held about you by any credit bureau or tenant default database and to correct that information in accordance with the Privacy Act 1993.

    Acceptance

    1. I consent to you checking my references and credit checking including using the online Tenancy Information New Zealand (TINZ) database to check references and any associated and available databases.
    2. I consent to you providing the information in this form and details of any proven breach of my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.
    3. I acknowledge that the information may then be made publicly available through credit bureau or tenant default databases if I have given anyone my authority to do checks on these credit bureaux or tenant default databases or their checks otherwise conforms to the terms of the Credit Reporting Privacy Code 2004.
    4. I agree that you may use any of the information on this application form to enforce any judgment in respect of the Tenancy Agreement or in respect of any order against me by the Tenancy Tribunal.
    5. I agree that an identification photo and an assessment regarding my fulfilment of basic tenant responsibilities may be added to an internet based tenant reference website. This assessment will be regarding:
      • payment of rent;
      • keeping the dwelling and grounds tidy;
      • being considerate towards neighbours;
      • keeping and leaving the dwelling and grounds tidy;
      • if declined a tenancy - for any reason;
      • any verbal or physical threats;
      • any illegal use or manufacture of drugs within the tenancy.
    6. I agree that if I am declined this tenancy for reasons of a poor credit history or adverse Tenancy Tribunal Orders that have been made against me, I am aware that this may be placed on a tenancy database.
    7. I confirm the information in this form is true and correct and that I have read the Privacy Act 1993 Statement as stated above.