Pre-Tenancy Application Form online

Pre-Tenancy Application Form

Which property are you interested in? *

What date did you view this property? *

Applicant Information

* Indicates required field

Full Name *

First

Last

Email *

Phone *

What is your current address? *

How long have you lived at this address? *

Agent/Landlord

Name of current Agent or Landlord? *

Landlord/Agents phone number *

Weekly rent paid? *

What is your occupation? *

Company name? *

Employer's name? *

Employer's phone number *

Length of employment? *

Contacts/References (One)

Name *

First

Last

Address *

Phone *

Relationship to you? *

Contacts/References (Two)

Name *

First

Last

Address *

Phone *

Relationship to you? *

Other information (Please provide at least one form of ID below)

Are you providing a drivers licence or passport for proof of identity? *

Upload proof of identity *

Max file size: 20MB

Upload second proof of identity *

Max file size: 20MB

How many people will occupy the property? *

Adults *

How many vehicles? *

The adults you have included above will need to complete a pre-tenancy application form (excludes children).

Full name for the second adult: *

Untitled *

Children *

Pets - If so what type? *

If your application is successful, what date would you want to move in? *

I the applicant hereby authorise the Landlord/Property Manager to:

collect, retain and use this information for the purpose of assessing my creditworthiness; and
disclose information about me, whether collected from me directly or from any other source, to any other credit provider or any credit reporting agency for the purposes of providing or obtaining a credit reference.

(Written name will suffice as signature for emailing purposes)
Complete name/date below and submit.

Under the Privacy Act 1993, you have the right to ask for a copy of all information held about you, and have the right to request the correction of any incorrect information.

Name *

Date *

Submit

Eastside Rentals Limited

Heather 021 738 800
Stacey 021 062 4213

Fax (09) 535 8116
Email heather4rentals@gmail.com
stacey4rentals@gmail.com

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