Tenancy Application Form

This information is required for the purposes of assessing your eligibility as a tenant. The more information you can offer the more likely you are to successfully obtain a tenancy.
This application will be stored on a TINZ database, and with your consent will be accessible to property managers and landlords who are TINZ members. Note that TINZ requires Property managers to digitally signify that they have your authorisation before they are able to search your Tenancy Application.
A separate Tenancy Application form is required by each person responsible for the tenancy. eg. A spouse or partner will require their own application form.

*All fields marked with an asterix are compulsory
*Surname:
*First Name:
Middle Name:
*Date of Birth:	(dd/mm/yyyy ie Day/Month/Year)
*Gender:
*ID Type	Why is photo ID a requirement?
*ID Number	Driver Licence numbers must be 8 characters long
DL Version	5B on Drivers Licence eg 002. If you have used Drivers License as ID type please put version.
Bank Account Number
Upload photo	Must be a current photo of you. Photo of Drivers License is good.

Current Address Note that proof of address may be required by the Property Manager
*StreetNo	* Note, enter apartment addresses in unit/street format, eg 3/56
*Street
Suburb	If street address is a suburb within a City/Town please insert a suburb name
*Town / City	Must be a town or city that has a postcode

Time at this address
Current rent
Current Phone number
Mobile phone
Length of time you have had this Mobile number
Email address
Current Landlord Name
Current Landlord Phone Number
Reason for moving
Preferred time length of next tenancy
Number of intended occupants (Adults)
Number of intended occupants (Children)
Pets (If dogs please state breed and registration number)
Are you a smoker?
Ever been party to a Tenancy Tribunal or Mediated order?
Facebook name
Trademe username
Upload a written reference	Must be in word document or PDF format

Previous Address if Current Address is less than one year.
StreetNo	* Note, enter apartment addresses in unit/street format, eg 3/56
Street
Suburb	If street address is a suburb within a City/Town please insert a suburb name
Town / City	Must be a town or city that has a postcode
Landlord Name
Landlord Phone Number

Vehicle
Car Registration		Make & Model

Employment
Employer		Phone number
Time there		Job description
.
If you are currently receiving your income from WINZ please provide your customer number
Benefit Type		Customer number

Contact / References ï»¿ (We prefer 2 contacts. They cannot be family members nor people you intend to have living with you)

Contact 1. Name		Phone number
Address
Contact 2. Name		Phone number
Address

Next of Kin
Name		Phone number
Address

Spouse
Name		Phone number
Address		Date of Birth

Comments in support of this application

Privacy Statement

By completing this Application Form you agree to the collection, use and disclosure of Personal Information in accordance with this Privacy Statement. Personal Information includes any information that identifies you or another person, that you provide, or have provided, to us or authorise us to collect at any time (including default information and updated information). This Privacy Statement does not limit our rights and obligations under the Privacy Act 1993.

If you provide to us, or authorise us to collect, Personal Information about a third party (such as a guarantor), you confirm that that the relevant person has authorised us to collect, use and disclose their Personal Information in accordance with this Privacy Statement and that you have informed them about their rights to access their Personal Information set out below.

It is not mandatory to provide us, or authorise us to collect, Personal Information. However, if you do not do so, it is likely to affect our assessment of your tenancy application.

We may collect and use Personal Information to: (a) assess your suitability for a tenancy, including assessing your and your guarantor’s creditworthiness and reference checking; (b) manage and monitor your tenancy (if your application is approved); (c) collect any amounts that you owe to us and/or enforce any Tenancy Tribunal order. We may use the services of, or provide services to, Dun & Bradstreet (New Zealand) Limited (D&B) (and any other credit reporter and/or debt collection agency), Tenancy Information New Zealand Limited (TINZ) and their respective related companies (together Authorised Agencies).

We may collect Personal Information from, and disclose Personal Information to, Authorised Agencies for any of the purposes described in this Privacy Statement and we may authorise Authorised Agencies to hold, use and disclose Personal Information for the purpose of providing their (or other Authorised Agencies’) services to us and to other clients. You agree that, subject to applicable laws, Authorised Agencies may use and disclose Personal Information to provide marketing services to their clients and Authorised Agencies and their clients may communicate with you (including by electronic means) about services and offers that they think may be of interest to you. Personal Information will be held by us at our business address. You have the right to access and request correction of your Personal Information by contacting us.

I confirm that all of the information I have provided to you is accurate, complete and not misleading and I have read, understood and agree to the Privacy Statement set out above.

Make this application accessible to property managers and landlords.