Auckland Home

Rentals
Pre-tenancy application form
Please complete this form to apply for tenancy at the address below. The information you
provide is for applying for this tenancy and may be used for a credit and reference check.
Your privacy is protected under the Privacy Act 1993.
Tenancy details
Property address:
Commencement of tenancy:

Date:

Applicant details
Full name:
Phone number:
Email:
Current address:

Date of birth:
Mobile phone:

How long have you lived there?

Please state why you are leaving this address:

Years:

Months:

Identification
Please provide photo identification, such as your drivers licence or passport.
Drivers licence or passport number:
Car/vehicle registration number:
Make and model:
Alternative form of ID:

Version no. (if applicable)

Spouse or Partner Details

Full name:
Phone number:
Employer:

Date of birth:
/
Mobile phone:
Length of Employment:

Emergency contact
Name:
Address:
Phone number:

Mobile phone:

Email:
Current landlords details
If you are currently renting, please provide your landlords name and contact details.

Landlords name:
Phone number:
Email:
May I contact this person for a reference?

Mobile phone:
Yes / No
(Please circle)

For tenancy advice and information call the Department of Building and Housing on 0800 TENANCY
(0800 83 62 62), visit www.dbh.govt.nz or email info@dbh.govt.nz
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Employer Details
Name:
Address:
E-Mail:
Job Description:

Phone:
Length of Employment:

References
Please provide two referees that I can contact. Referees can be a friend, co-worker, your
employer or someone who knows you well.
One of your referees should be able to provide a reference about your credit worthiness. If you
have already provided your current landlords details, only one additional referee is needed.
Please let these people know I may be contacting them for a reference.
Referee name 1:

Phone:

Acceptance

Email:

Referee name 2:

Phone:

I authorise
the Auckland
Home Rentals to:

Email:

collect, retain and use this information for the purpose of assessing my creditworthiness;
and

disclose information about me, whether collected from me directly or from any other
source, to any other credit provider or any credit reporting agency for the purposes of
providing or obtaining a credit reference.

I agree to pay a letting fee equivalent to one weeks rent (plus GST) to Auckland Home Rentals
on acceptance of this application and if I withdraw my application acknowledge this fee is nonrefundable.
I understand that this application is subject to the approval of the owner/agent.
I confirm that I have read and agreed to the terms and conditions on this form and that the
information provided is true and correct.
the information in this form is true and correct and

Signed by:
Print Name:

Under the
Privacy Act
1993, you have
the right to ask for a copy of all information held about you, and have the right to request the
correction of any incorrect information.
Date signed:

For tenancy advice and information call the Department of Building and Housing on 0800 TENANCY
(0800 83 62 62), visit www.dbh.govt.nz or email info@dbh.govt.nz
T134 04/11

Please save your completed form and e-mail a copy to us at info@aucklandhomerentals.co.nz

For tenancy advice and information call the Department of Building and Housing on 0800 TENANCY
(0800 83 62 62), visit www.dbh.govt.nz or email info@dbh.govt.nz
T134 04/11