Residential Tenancy Application Form
This information is required for assessing your eligibility as a tenant. Questions are not compulsory, however a complete form will find its way to the preferred list
PROPERTY DETAILS (Address you are appling for)
Address of property
Preferred commencement date of tenancy
Period expecting to tenant this property
*Have you Viewed the property?
APPLICANT DETAILS
IF YOU INTEND TO USE DRUGS IN THIS PREMISE, DO NOT APPLY FOR THIS PROPERTY AS WE OCCASIONALLY DO DRUG TESTS .
NOTE: Each Applicant over 18 Years will need to complete a form, once you have sent this form, you will get a prompt
*Full name
*Phone
*Email
*Mobile
*Date of birth
My preferred method of communication is Phone:
Texting:
Email :
EMPLOYMENT / WINZ Details
Employer (company)
Position
Contact person
Contact phone
My Payday is
My preferred rent due day is
Do you have a WINZ Card ? please complete the following
Type of benefit
WINZ No.
Community card No.
Photo copy of community services card required. Please scan to rental@twinelm.co.nz
CURRENT LIVING SITUATION (Where you live now)
*Address
Renting
Owner
Current rent per week: $
How long have you lived in the property
Reason for moving
Landlord / Property Manager
Contact email
Contact phone
*Do you expect a full refund of the bond
Have you ever had a tenancy terminated: if yes, why?
*Have you ever lived in Emergency Housing
PREVIOUS LIVING SITUATION (Your Previous address)
PREVIOUS Landlord / Property Manager
PREVIOUS Landlord / Property Manager Contact Email and ph
Have you ever resided in Australia?
If so when did you return to NZ?
PERSONAL DETAILS
Drivers Licence No. (5a)
Card Version No. (5b)
Passport No.
Other identity card : (Type)
(Number)
NOTE: Please supply a copy of your photo ID with this application, email to rental@twinelm.co.nz
If you own a car, please specify Make/Model and Registration No.:
*Have you had any criminal prosecutions
If yes, please detail
*Do you have any outstanding debts? Note a credit check will be completed, it is better to disclose any debt here.
If yes, please detail
*Do you have any pets?
*Do you smoke?
*Do you have any Gang affiliations?
*Do you have a Police record?
*I authorise Twin Elm to complete a police check
TENANCY DETAILS
*Total number of tenants to live in the new tenancy
*Are any of the occupants smokers?
Name of others to occupy the property:
NOTE: We require all proposed tenants over 18 years of age are required to fill out a seperate application form
1) Name
Age
Separate Application Reqd?
2) Name
Age
Separate Application Reqd?
3) Name
Age
Separate Application Reqd?
4) Name
Age
Separate Application Reqd?
5) Name
Age
*Separate Application Reqd?
REFFERENCE DETAILS
Is their anyone that can give you a reference, such as previous landlord or employer?
1) Contact Name:
Relationship to you:
Phone:
Address:
2) Contact Name:
Relationship to you:
Phone:
Address:
Note: If you have any written references from previous landlords or credit references of any kind, please forward them to rental@twinelm.co.nz.
Privacy Statement
By completing this Application Form you agree to the collection, use and disclosure of Personal Information in accordance with this Privacy Statement. Personal Information includes any information that identifies you or another person, that you provide, or have provided, to us or authorise us to collect at any time (including default information and updated information). This Privacy Statement does not limit our rights and obligations under the Privacy Act 1993.
If you provide to us, or authorise us to collect, Personal Information about a third party (such as a guarantor) you confirm that the relevant person has authorised us to collect, use and disclose their Personal Information in accordance with this Privacy Statement and that you have informed them about their rights to access their Personal Information set out below.
It is not mandatory to provide us, or authorise us to collect, Personal Information. However, if you do not do so, it is likely to affect our assessment of your tenancy application.
We may collect and use Personal Information to: (a) assess your suitability for a tenancy, including assessing you and your guarantor?s creditworthiness and reference checking; (b) manage and monitor your tenancy (if your application is approved); (c) collect any amounts that you owe to us and/or enforce any Tenancy Tribunal order.
We may use the services of, or provide services to, illion New Zealand Limited (Co. No. 361901) (and any other credit reporter and/or debt collection agency), illion Tenancy Limited and illion related companies (together Authorised Agencies). We may collect Personal Information from, and disclose Personal Information to, Authorised Agencies for any of the purposes described in this Privacy Statement and we may authorise Authorised Agencies to hold, use and disclose Personal Information for the purpose of providing their (or other Authorised Agencies?) services to us and to other clients. You agree that, subject to applicable laws, Authorised Agencies may use Personal Information to provide marketing services to their clients and Authorised Agencies and their clients may communicate with you (including by electronic means) about services and offers that they think may be of interest to you.
Personal Information will only be held for 7 days by Twin Elm unless the applicant is successful
I confirm that all of the information I have provided to you is accurate, complete and not misleading and I have read, understood and agree to the Privacy Statement set out above.
*I accept the terms and conditions
Attachments to email to rental@twinelm.co.nz
Drivers licence
Winz or community service card
Proof of income
Proof of current address
Other
TWIN ELM Property Management - rental@twinelm.co.nz ph 021636212