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Tenancy Application Form
Please note; all fields marked with a (*) are required.
Application Property
: *
Rent per week
: *
Move in date
: *
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
13th
14th
15th
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17th
18th
19th
20th
21st
22nd
23rd
24th
25th
26th
27th
28th
29th
30th
31st
of
January
February
March
April
May
June
July
August
September
October
November
December
,
Surname of applicant
: *
First names
: *
Contact numbers
:
Home:
Mobile: *
Work:
Email:
Date of birth
: *
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
13th
14th
15th
16th
17th
18th
19th
20th
21st
22nd
23rd
24th
25th
26th
27th
28th
29th
30th
31st
of
January
February
March
April
May
June
July
August
September
October
November
December
,
Bank
: *
IRD number
: *
Drivers license number
:
5B
:
Vehicle make & model
:
Registration number
:
Smokers?
: *
Yes
No
Children
: *
Yes
No
If yes, what ages?
Pets
: *
Yes
No
Number of people to reside
: *
1
2
3
4
5
6+
Current address
: *
Period of time at current address:
Did you: *
Own
Rent
Live with family
Landlord or agents name:
Contact number:
Reason for leaving:
Current rent:
Previous address
:
Period of time at previous address:
Did you:
Own
Rent
Live with family
Landlord or agents name:
Current employer
: *
Employers address:
Position:
How long with this employer: *
Phone number: *
Work referee: *
Source of income: *
Salary
Wages
Beneficiary
Family
If you selected 'Beneficiary' please enter your client number.:
Gross weekly income: *
Previous employer
(if less than 2 years at current employment):
Employers address:
Position:
How long with this employer:
Phone number:
Work referee:
Next of kin or contact relative
: *
Contact number: *
Address: *
Relationship: *
This application form collects personal information about you. All unsuccessful application forms will be destroyed. Successful application forms will be retained by ASCENT PROPERTY MANAGEMENT LTD and/or the landlord. You have the right to see and, if necessary, correct information held. If you enter into a Tenancy Agreement and fail to comply with the terms of that agreement information will be sent to a Credit Bureau or Tenant Default database.
I/We authorise ASCENT PROPERTY MANAGEMENT LTD to make independent checks of the information provided in this application including checks with the people I have named as referees and any other Credit Bureau or Tenant Default Databases.
Full name
:
Date
:
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
13th
14th
15th
16th
17th
18th
19th
20th
21st
22nd
23rd
24th
25th
26th
27th
28th
29th
30th
31st
of
January
February
March
April
May
June
July
August
September
October
November
December
,
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