Rental Property Application

Property you are applying for (if applicable)*

If your application is successful, please state your preferred commencement date*

First Name*

Last Name*

Date of Birth*

Current Address*

Phone*

Email*

Reason for leaving your current address

Number of adult occupants intended at the property applied for

Names of other adult applicants

Number of child occupants and their ages intended at the property applied for

Do you have pets?*

Yes No

Please state type, number and breed of pets (if applicable)

Do you smoke?

Yes No

IDENTIFICATION AND PROOF OF IDENTITY

Drivers licence number

Drivers licence version

Drivers licence expiry

Country of passport held

Passport number

Passport expiry date

Do you own a vehicle?*

Yes No

Type of vehicle (make/model)

Vehicle registration number

Are you currently employed?*

Yes No

Occupation

Name of current employer

Employer address

Employer phone number

State if you are employed full time or part time

Check box if you are currently receiving income from Work and Income New Zealand

Please provide your Work and Income New Zealand customer number (if applicable)

Please state the type of benefit you received from Work and Income New Zealand

Most recent landlord name

Most recent landlord phone number

Most recent landlord email address

Reason for leaving the property

Second most recent landlord name

Second most recent landlord phone number

Second most recent landlord email address

Reason for leaving the property

Have you been convicted of a criminal offence, please give details if applicable

Please provide any other information you believe is important and relevant for the tenancy application