Tenancy Application Form Quinovic - Apartmentsonline

Quinovic Apartmentsonline 136 Customs Street West Viaduct Harbour

/ Email:

val@apartmentsonline.co.nz

Phone: (09) 374 4587 Fax: (09) 374 4532 Mobile: (021) 844 337

APARTMENT APPLIED FOR

______________________________________________

WEEKLY RENT

$ ___________

Trade Me  Apartmentsonline Web  Quinovic Web  NZ Herald  Yellow Pages  Agent  Other 

How did you hear about Quinovic?

APPLICANT SURNAME:

FIRST NAME:

Alternative Address:

Phone:

Home

Work

Mobile

Email:

Occupation:

Employer:

Address:

YES  NO 

Student:

Contact:

University/ School

Passport/Drivers Licences attached: YES NO 

Date of Birth:

Passport No

Drivers Licence No.:

DL Version No

Car Registration:

Emergency Contact:

Relationship

Contact No.

Present Address:

Date moved in:

Present Landlord:

Work

Mobile

Home

Reason for Moving:

Previous Landlord:

Previous Address:

Phone:

Preferred Commencement Date of Tenancy:

_____ / ______ / __________

W EEKLY  FORTNIGHTLY  MONTHLY 

FIXED TERM: 12 month  / Other

Rental Payment Preference:

MOVING IN COSTS:

BOND: $

RENT IN ADVANCE: $

TOTAL: $

NAME OF 3 CHARACTER REFEREES – ( NO FAMILY MEMBERS PLEASE ) – (Boss/ Lawyer/ Professor / Landlord/ Colleague/ Friend)

(1) Name: _______________________________Relationship__________________ Email: _______________________________

: _______________________________

_________________________

_______________________________

Home

Work

Mobile

(2) Name: _______________________________Relationship__________________ Email: _______________________________

: _______________________________

_________________________

_______________________________

Home

Work

Mobile

(3) Name: _______________________________Relationship__________________ Email: _______________________________

: _______________________________

_________________________

_______________________________

Home

Work

Mobile

ANY PETS: YES  NO  Please Specify:

No. of Smokers in Property:

TOTAL NUMBER OF OCCUPANTS TO RESIDE IN PREMISES:

Comments:

Have you ever had any Tenancy Tribunal order against you? YES NO  -

Yes, please explain:

YES NO  -

Have you ever had money deducted from your bond?

:

Yes, please explain

YES NO  -

Do you owe any money/ rent to any other Landlord?

:

Yes, please explain

NAMES OF OTHERS TO OCCUPY THE PREMISES:

Occupant SURNAME:

FIRST NAME:

Date of Birth :

/

/

Email:

Mobile:

Daytime Phone:

Occupation:

Employer:

Student: YES  / NO  School/ University:

Contact:

Occupant SURNAME:

FIRST NAME:

Date of Birth :

/

/

Email:

Mobile:

Daytime Phone:

Occupation:

Employer:

Student: YES  / NO  School/ University:

Contact:

PLEASE ADVISE INFORMATION OF ADDITIONAL OCCUPANTS ON BACK PAGE OF THIS APPLICATION.

Get your services connected in just one easy step.

AGENT CODE 1129Z

Power 

Gas 

Telephone 

Internet 

Sky TV  Other Services 

I certify that all the above particulars are true & correct. I authorise Quinovic to contact my landlords and referees, carry out a credit check and obtain a police report on the

applicant. This information is for Quinovic use only.

I understand that Quinovic Property Management are requesting personal information so they can use Veda Advantages/ CENTRIX credit reporting service to complete a credit check and

release information about me for that purpose. Veda Advantage/ CENTRIX will hold that information on their system and use it to provide their credit reporting service and they can pass on

my credit reporting information to other Veda Advantage/ CENTRIX customers. I understand that if I default my payment to Quinovic Property Management, information about that default

may be given to Veda Advantage/ CENTRIX and other Veda Advantage/ CENTRIX customers.

APPLICANTS SIGNED: ________________________________________________________ DATE: ______ / _______ / ________

Pursuant to the Privacy Act 1993 we advise that the application collects personal information about you and is being collected to determine your suitability as a tenant. The intended recipient

of this information is Quinovic Property Management and its offices Nationwide and will be held by the local Quinovic office where this application was submitted. You have the right to access

and correct this personal information to the extent that it is not evaluative material pursuant Section 29(1)(b) Privacy Act 1993.