Pre Residential Tenancy Application Form (Page 2 of 3) in pdf

Motor Vehicles: Will you be parking your motor vehicles on the property? Yes / No

If Yes how many_____

Registered

Make

Model

Colour

Registration

Year

Owner

Student: Yes / No

Name of College/University ______________________________________________________

Address: ____________________________________________ Phone No: _______________________________

Course Name: _______________________________________

How long will you study: _____________________

Emergency Contact: (must be family member): __________________________________________________

Address: ______________________________________________________________________________________

Relationship: _________________________________________ Contact No: ______________________________

£

How did you find out about this apartment: Word of mouth

Off-Street

TradeMe

All Real Estate

£

Referred from other agency

Mission Property Website

Other Website

Specify: …. ……………….

Additional Notes:

_______________________________________________________________________________

Applicant Consents

Cautions provided pursuant to the Privacy Act 1993 and other

information before applying for a residential tenancy.

I agree to the collection, use and disclosure of my personal

In Terms of the Privacy Act 1993 you are given notice that:

information for the following purposes:

1. Requests information- this application form asks you to provide

• Checking any of the details contained in this application form with

personal information and

third parties including any tenant information database and the New

2. Purpose of collection - the information collected on this form is

Zealand Transport Authority.

required so that the landlord is better able to assess whether you

• Making enquiries with third parties in relation to my

would be the best applicant on merit for the tenancy and to record

creditworthiness, including any credit reporting agency.

limited information contained in the application form on a web-based

• Placing any of the information regarding my identity supplied on this

database.

application form on a national online database.

The limited information concerns your identity and your last known

• Using any of the information contained on any Tenancy Tribunal

address.

Order to assist the enforcement of any unsatisfied Money Order

This information is required to assist the landlord in locating you to

made against me by listing details of the order on an online national

enforce any unsatisfied money order made by the Tenancy Tribunal.

database.

3. Recipient of information - the information is provided by you to the

• Using any of the information on this application form to assist in the

Owner/Landlord/Agent/ Property Manager.

enforcement of any unsatisfied Order made against me by the

4. Sight information - I/we advise you that you have the right to see

Tenancy Tribunal.

the information I/we hold about you.

• Debt recovery purposes including appointing an agent to collect any

5. Correct information - to correct that information if it is incorrect in

outstanding debts and listing defaults with any credit reporting

accordance with the Privacy Act 1993.

agency.

6. Holding information - if you do not enter a tenancy agreement with

• Checking the Ministry of Justice fines database. This may be

the landlord referred to on this application form, the application form

undertaken by a credit reporting agency on our behalf which will

will be destroyed.

require my personal information to be collected by and disclosed to

7. Uses of information - you are advised that some information

the credit reporting agency.

relating to your identity and last known address may be supplied to a

I understand that any credit reporting agency to whom you may

national web-based database.

disclose my personal information may:

8. Agree to pay letting fee on entering premises.

• hold that information on their credit reporting database;

Other information drawn to your attention:

• use that information for the purpose of credit reporting or for any

By completing this form you evidence the fact that you are applying

other lawful purpose;

to rent a residential house/ flat/apartment, and -

• disclose that information to their subscribers for the purpose of

You are further advised that: If you do not supply all the information

credit checking or debt collection of for any other lawful purpose.

requested (other than the driver licence information) in this

I understand that if I have provided to you driver licence information

application form you may not be considered as the best applicant for

that the provision of this information was voluntary.

the rental property or properties available.

I confirm the information in this form is true and correct and that I

PLEASE NOTE: A separate completed application form is required

have read and signed the Cautions under the Privacy Act 1993.

for each person who proposes to enter a tenancy agreement.

I agree that if I enter a tenancy agreement then this application will

A minimum of the first weeks rent in advance is required to hold the

form part of the tenancy agreement.

property for a maximum of one week. This deposit is non-refundable

once the application is accepted.

Pre Residential Tenancy Application Form Page 2

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