Rental Housing Application Form - Trust House
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1
2Application For Rental Housing
PAGE ONE
Tel: 06 370 0522 | Fax: 06 378 8824
APPLICANT 1
Surname:
First/Given names:
Known as:
Date of birth:
Male:
Female:
Length of
Name of your employer:
employment:
What is your weekly take home income?$
Benefit no:
APPLICANT 2
Surname:
First/Given names:
Known as:
Date of birth:
Male:
Female:
Length of
Name of your employer:
employment:
What is your weekly take home income?$
Benefit no:
PERSONAL DETAILS
*What household type do you belong to?
Couple:
Single person:
Single parent:
Couple with children:
Other:
Names and ages of all people to be housed(do not include yourselves):
Females:
DOB:
Males:
DOB:
TO ENABLE YOUR APPLICATION TO BE PROCESSED YOU MUST PROVIDE THE FOLLOWING:
- Photo ID such as drivers licence/ passport(mandatory for all persons over 18).
- Sufficient references.
COMMUNICATION DETAILS
What is your present address?
Home phone:
Work phone:
Cell phone:
Current email address:
Reason for leaving your current
accomodation:
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Parent category: Business