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VIADUCT HARBOUR RENTALS 
TENANCY APPLICATION

Download, Print and Email us a copy or fill in the form below.
Sections in the form marked with a * are mandatory. 


APPLICANT DETAILS*

First Name:

Middle Name

Last Name:

Date of Birth


CONTACT DETAILS*

Phone 1

Phone 2

Email 1

Email 2


PERSONAL REFEREE 1*

Full Name

Relationship

Phone


PERSONAL REFEREE 2*

Full Name

Relationship

Phone

      


CURRENT EMPLOYER

Employer*

Occupation*

Duration yrs/mths*

Address

Contact Phone

Income Per Week $

    

     


APPLICATION REQUIREMENTS

Bedrooms

Bathrooms

Carparks

Furnished / Unfurn

Rent Per Week $

Occupants

Adults


 

Children

Do you own a pet?

Assistance Animal?


APPLICANT LIFESTYLE / HISTORY / BACKGROUND*

Are any of the occupants smokers?

Have you ever had a tenancy terminated?

Have you ever had money deducted from your bond?

Have you ever had a tribunal order against you?

Have you ever been incarcerated?

Do you have consumer finance?

Do you owe money to a Landlord or Prop Manager?


HOW DID YOU HEAR ABOUT VIADUCT HARBOUR RENTALS?

     

InternetTrademeReferralRadioNewspaperOther

IDENTIFICATION (Include at least one of the following) *

NZ Drivers Licence

Expiry:

Version: (Position 5B)

Passport Number

Expiry:

Country Issued


CURRENT ADDRESS*

Landord /PMGR

Contact Phone


PREVIOUS ADDRESS*

Previous Address

Duration Yrs/Mths


Previous Address

Duration Yrs/Mths


Previous Address

Duration Yrs/Mths


PREVIOUS EMPLOYER (If less than 2yrs at current)*

Employer

Location

Duration yrs/mths


Employer

Location

Duration yrs/mths


NEXT OF KIN CONTACT (In case of emergency)*

Full Name

Relationship

Phone


VEHICLES

Make/Model/Rego

Make/Model/Rego

    


PLEASE PROVIDE DETAILS

$

$


LETTING FEE

IF YOU ENTER A TENANCY AGREEMENT WITH US, WE WILL CHARGE
YOU ONE WEEKS RENT PLUS GST AS A LETTING FEE. 

* MANDATORY


APPLICATION CONSENTS

I agree to the collection, use and disclosure of my personal information for the following purposes, and warrant that I have supplied all information on this form freely, including my drivers licence details and passport details. I agree that any information found through any third party databases that relates to me can also be used for the purposes outlined in this application.
 


RECIPIENT OF INFORMATION 

The information is provided by you to the Owner / Landlord / Agent / Property Manager.


PURPOSE

The purpose for the collection of my information is: 1. To perform background checks, reference checks and credit checks to assess if I am the best applicant on merit. I consent that my personal information including debts may be discussed with any personal or work referees. 2. To add my information to any background reference and credit checking database.  3. To allow the Landlord to add a review to a tenancy review database that can be viewed by other companies and/or Landlords.  4. To check Ministry of Justice fines, Tenancy Tribunal, District Court, High Court, Court of Appeal, Supreme Court, Department of Parole, and New Zealand Police databases.  5. For debt collection purposes.  6. To check the Personal Properties Securities Register.  7. To verify my passport details via the Department of Internal Affairs.  8. To check and update a credit bureau.  9. To update the Tenantcheck system. 


INFORMATION PROVIDED

The information provided on this form and any information found through the background check, reference check and credit checking process may be passed onto an agent and entered into third party databases, inclusive and any credit reporting databases.  Subscribers to the databases will have access to my information and use that information for the purpose of credit reporting or for any other lawful purpose including debt collection.   I agree that I have been advised that I have a right to see the information you hold about me, and to have any information held corrected if it is in error.   I confirm the information in this form is true and correct and that I have read the Privacy Act 1993 Statement published on the www.viaductrentals.co.nz website.   I agree that if I enter a tenancy agreement then this application form will form part of the tenancy agreement.  I agree to pay a letting fee upon entering the premises.
 

SIGNATURE OF APPLICANT

DATE

 

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