Rental Application Form

Please note: The completion of this form is not mandatory, but the voluntary supply of information will enhance the likelihood of a tenancy being entered into. One person per form please.


Applicant Details

Previous Rental History

Previous Addresses for the Last Five Years


- - -

Sample account number:

Bank Branch Account Suffix


Income & Employment Details

Reference One - Next of Kin - New Zealand Preferred

Reference Two - Can be a Relative or Non-Relative

Reference Three - Can be a Relative or Non-Relative

Further Information

Are there any dependants? If so, give names and ages:
Yes No

Address for Service

The address for service is a physical address in New Zealand where notices and other documents relating to the tenancy will be accepted by you, or on your behalf, even after the tenancy has ended. (This address should be that of a family member or close friend who permanently resides at this address.)


“I/We authorise any person or company to provide you with such information as you may require in response to your credit and/or rental inquiries now or at any stage during or after the tenancy. I/We further authorise you to furnish to any third party details of this application and any subsequent dealing that I/We may have with you as a result of this application actioned by you.”

If under 21, please complete the following

Please Note: The Guarantor must be prepared to sign a Guarantee Form before the tenancy starts.

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