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Tenancy Application

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FIRST APPLICANTS DETAILS :
Surname :*
First Name :*
Drivers License No :
Date of Birth :
Version (5B) :

SECOND APPLICANTS DETAILS :

Surname:
First Names:
Drivers License No:
Date Of Birth:
Version (5B):
Vehicle Make & Model :
Registration :
Number of People to Reside
Names of People to Reside :
Children :
Ages :
Pets :
Smokers :
(Details) :

CURRENT DETAILS:

Current Address :
Home Phone :
Mobile :
E-mail :*
How Long at This Address :
Reason for Leaving :
Owned / Rented :
Current Rent $ :
Land Lord / Agent :
Contact Number :

TENANCY HISTORY:

Have You Ever Had Money Deducted From Your Bond Yes/No (Please Give Details) :

EMPLOYMENT DETAILS:

Current Employer :
Work Phone :
Address of Employment:
Position :
How Long with this Employer :
Referee Contact Person :
Phone :
Source of Income (Salary / Wages / Beneeficiary) :
Gross Weekly Income $ :
Beneficiary Client Number :
Case Worker :
Phone No :
Previous Employe (If Less then 2 year with the Above) :

NEXT OF KIN:

Address of Employment :
Name :

CAUTIONS PROVIDED PURSUANT TO THE PRIVACY ACT 1998

BEFORE APPLYING FOR A RESIDENTIAL TENANCY

IN TERMS OF THE PRIVACY ACT 1993 YOU ARE GIVEN NOTICE THAT:

  1. REQUEST INFORMATION: THIS APPLICATION FORM ASKS YOU TO PROVIDE PERSONAL INFORMATION AND
  2. PURPOSE OF COLLECTION: THE INFORMATION IS BEING COLLECTED ON THIS FORM SO THE LANDLORD/PROPERTY MANAGER CAN CHECK THE INFORMATION AND BE ABLE TO ASSESS WHETHER YOU WOULD BE THE BEST APPLICANT ON MERIT FOR THE TENANCY AND WE ARE ALSO OBLIGED TO INQUIRE WHETHER YOU ARE A MINOR AND
  3. RECIPIENT OF INFORMATION: THE INTENDED RECIPIENT OF THIS INFORMATION IS THE AGENT WHOSE NAME APPEARS AT THE TOP OF THIS FORM OR THE LANDLORD AND
  4. SIGHT INFORMATION: WE ADVISE YOU THAT YOU HAVE THE RIGHT TO SEE THE INFORMATION WE HOLD AND
  5. CORRECT INFORMATION: TO CORRECT THAT INFORMATION IF IT IS INCORRECT AND
  6. HOLDING INFORMATION: IF YOUDO NOT ENTER A TENANCY AGREEMENT WITH THE LANDLORD REFERRED TO ON THIS APPLICATION FORM, THE FORM WILL BE DESTROYED BUT IF YOU SIGN A TENANCY AGREEMENT WITH NW PROPERTY MANAGEMENT LTD WE WILL KEEP A RECORD OF THE INFORMATION YOU GIVE US.

OTHER INFORMATION DRAWN TO YOUR ATTENTION

UNDERSTANDING: BY COMPLETING THIS FORM YOU ACKNOWLEDGE THAT YOU ARE APPLYING TO RENT A RESIDENTIAL HOUSE/FLAT/APARTMENT AND

YOU ARE FURTHER ADVISED THAT: IF YOU DO NOT SUPPLY ALL THE INFORMATION REQUESTED IN THIS FORM YOU MAY NOT BE CONSIDERED AS THE BEST APPLICTION ON MERIT FOR A SPECIFIC PROPERTY OR OTHER PROPERTIES AVAILABLE FOR RENT AND

Relationship :
Phone Number :
Address :
Signature of Applicant :
Date :

TENANTS DECLARATIONS, CONSENTS AND AGREEMENTS

I AGREE TO YOU OBTAINING OTHER INFORMATION ABOUT ME AND CONTACTING ANY OF THE FOLLOWING REFEREES:

Name:
Phone Number:
Name:
Phone Number :
Name :
Phone Number:

I AGREE THAT YOU MAY USE ANY OF THE INFORMATION ON THIS FORM TO ENFORCE ANY JUDGEMENT IN RESPECT OF THE TENANCY AGREEMENT OR IN RESPECT OF ANY ORDER AGAINST ME MADE BY THE TENANCY TRIBUNAL AND

I AGREE TO ANY OF THIS INFORMATION BEING GIVEN TO ANOTHER LANDLORD, CREDIT BUREAU OR TENANT DEFAULT DATABASE AND

I CONFIRM THE INFORMATION IN THIS FORM IS TRUE AND CORRECT AND THAT I HAVE READ AND SIGNED THE CAUTIONS UNDER THE PRIVACY ACT 1993 AND OTHER INFORMATION ON THIS FORM BEFORE COMPLETING THE APPLICATION ITSELF.

Signature of Applicant:
Date: