Rental Application Form

This form is available in a printer friendly PDF format.

PDF format Rental Application Form Tenant Privacy Statement

 

All fields in this form are compulsary

Property Details    
Property Applied for:  
Date of Application:  
Rent per Week: $
Rent PCM: $
Bond: $
No. of Persons Occupying    
Adults:  
Children:  
Ages:  
Period of Lease:   6 Mths or 12 Mths
Commencement Date:  
 
First Applicant Details    
Title:   Dr Mr Mrs Ms Miss
Surname:  
Given Names:  
Date of Birth:  
Contact    
Work:  
Home:  
Mobile:  
Email:  
Drivers Licence No:  
Passport No:  
Do you own a Motor Vehicle:   Yes No
Registration No:  
Current / Previous Address Details    
Current Address Details:  
Period resident there:  
Weekly Rent: $
Current Landlord/Agent:  
Landlord / Agent Phone No:  
Reason for Leaving:  
Previous Accomodation Details    
Previous Address Details:  
Period resident there:  
Weekly Rent: $
Previous Landlord/Agent:  
Landlord / Agent Phone No:  
Reference Details    
Occupation:  
Employer:  
Address:  
Phone:  
Salary P.W. (Net): $
Period:   Yrs / Mths
Employment Status:   F/T P/T Casual
Business References (1)    
Relationship to Applicant :  
Home Phone :  
Work Phone :  
Mobile Phone :  
Business References (2)  
Relationship to Applicant :  
Home Phone :  
Work Phone :  
Mobile Phone:  
Next of Kin Name:  
Relationship:  
Address:    
Phone No:  

Second Applicant Details    
Title:   Dr Mr Mrs Ms Miss
Surname:  
Given Names:  
Date of Birth:  
Contact    
Work:  
Home:  
Mobile:  
Email:  
Drivers Licence No:  
Passport No:  
Do you own a Motor Vehicle:   Yes No
Registration No:  
Current / Previous Address Details    
Current Address Details:  
Period resident there:  
Weekly Rent: $
Current Landlord/Agent:  
Landlord / Agent Phone No:  
Reason for Leaving:  
Previous Accomodation Details    
Previous Address Details:  
Period resident there:  
Weekly Rent: $
Previous Landlord/Agent:  
Landlord / Agent Phone No:  
Reference Details    
Occupation:  
Employer:  
Address:  
Phone:  
Salary P.W. (Net): $
Period:   Yrs / Mths
Employment Status:   F/T P/T Casual
Business References (1)    
Relationship to Applicant :  
Home Phone :  
Work Phone :  
Mobile Phone :  
Business References (2)  
Relationship to Applicant :  
Home Phone :  
Work Phone :  
Mobile Phone:  
Next of Kin Name:  
Relationship:  
Address:    
Phone No:  

 
Other Details
Animals:   Yes No
Breed :  
Have you inspected the property :   Yes No
Will you be applying for Assistance from the Ministry of Housing :   Yes No

 

By submitting this form you acknowledge that this property is offered subject to the owner's approval and no action shall be taken by the applicant against the landlord and the agent should any circumstances arise whereby the property is not available for occupation on the due date.

Please make sure that you also download the TENANT PRIVACY STATEMENT. Please print this statement and once completed and signed, return it to this office so we may attach it to your tenancy application.

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