Download, Print and Email us a copy or fill in the form below.
Sections in the form marked with a * are mandatory.
Date of Birth
PERSONAL REFEREE 1*
PERSONAL REFEREE 2*
Income Per Week $
Furnished / Unfurn
Rent Per Week $
Do you own a pet?
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?
IDENTIFICATION (Include at least one of the following) *
NZ Drivers Licence
Version: (Position 5B)
PREVIOUS EMPLOYER (If less than 2yrs at current)*
NEXT OF KIN CONTACT (In case of emergency)*
PLEASE PROVIDE DETAILS
IF YOU ENTER A TENANCY AGREEMENT WITH US, WE WILL CHARGE
YOU ONE WEEKS RENT PLUS GST AS A LETTING FEE.
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.
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.
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