Tenancy Application

A separate applicant section is required for each person over 18 who propose to enter a tenancy agreement as a tenant.

CAUTIONS PROVIDED PURSUANT TO THE PRIVACY ACT 1993 BEFORE APPLYING FOR A RESIDENTIAL TENANCY:

• This application form collects personal information about you to assess whether you would be the best applicant on merit for a specific property or for other properties available for rent, and we may also carry out a credit check, and review publicly available social media and government databases.
• If you enter into a tenancy agreement with us, the information in this application form will be held on a database and used by us and by the owner of the rental property, and may also be made available to a credit bureau or tenant default database.
• If you do not supply all the information requested in this form, you may not be considered as a tenant for any of the properties we administer.
• You have the right to see the information we, any credit bureau or tenant default database holds about you and to correct the information in accordance with the Privacy Act.
• Photo ID will be required before entering into a Tenancy

Note: If you do not enter into a tenancy agreement with the Company following completion of this form, this form will be destroyed.

Property Type

Property Type
Property applied for		If Known
Other Properties applied for
Tenancy Length	--- Select Tenancy Length --- 6 months 1 year 18 months 2 years 30 months 3 years
When Required
Number of Applicants	1 2 3

Applicant's Details

Details Present Accommodation Employment/Income Occupants Referees Consent First Applicant Title --- Select Title --- Dr Mr Mrs Ms Miss   First Name*   Last Name*   Email Address*   Phone (home) Phone (work) Phone (mobile) Service Address Date of Birth* Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900   Suitable Photo ID* --- Select Photo ID Type --- Photo Driver's Licence Passport WINZ I.D Photo Credit Card   ID Number*  Card No.*   Car/Vehicle Registration   WINZ #   Next of Kin* Relationship*   Address   Phone Number*   Have you rented before? Yes No   Criminal Convictions* Do you have any Criminal Convictions? Yes No     First Applicant's Present Accommodation   Present Accommodation* -- Select present accommodation -- Home Owner Renting Boarding Living at Home New to NZ   Present Address*   Duration at this address* YY 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40+ years MM 0 1 2 3 4 5 6 7 8 9 10 11 12 months   Have you given notice? Yes No   Why are you moving?*     First Applicant's Employment/Income   Occupation*   Employer company name/WINZ* Duration at this employer* YY 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40+ years MM 0 1 2 3 4 5 6 7 8 9 10 11 12 months   Contact name   Phone   Mobile   Email     First Applicant's Occupants   Adults* -- Select number of adults -- None 1 2 3 4 5+ Children None 1 2 3 4 5+   Any Smokers?* -- Select any smokers? -- Yes No   Pets* -- Select number of pets -- None 1 2 3+ Pet Details*   Vehicles None 1 2 3+   First Applicant's Referees   Landlord 1 Name   Rented Address Contact Phone   Contacting Landlord* Do you agree to us contacting the above landlord for a verbal reference? Yes No     Landlord 2 Name   Rented Address Contact Phone   Contacting Landlord* Do you agree to us contacting the above landlord for a verbal reference? Yes No   If new to New Zealand, you must provide a New Zealand contact - Name     First Applicant's Consent     I confirm and accept all Terms & Conditions and give my consent

Second Applicant's Details

Details Present Accommodation Employment/Income Occupants Referees Consent Second Applicant Title --- Select Title --- Dr Mr Mrs Ms Miss   First Name*   Last Name*   Email Address*   Phone (home) Phone (work) Phone (mobile) Service Address Date of Birth* Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900   Suitable Photo ID* --- Select Photo ID Type --- Photo Driver's Licence Passport WINZ I.D Photo Credit Card   ID Number*  Card No.*   Car/Vehicle Registration   WINZ #   Next of Kin* Relationship*   Address   Phone Number*   Have you rented before? Yes No   Criminal Convictions* Do you have any Criminal Convictions? Yes No     Second Applicant's Present Accommodation   Present Accommodation* -- Select present accommodation -- Home Owner Renting Boarding Living at Home New to NZ   Present Address*   Duration at this address* YY 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40+ years MM 0 1 2 3 4 5 6 7 8 9 10 11 12 months   Have you given notice? Yes No   Why are you moving?*     Second Applicant's Employment/Income   Occupation*   Employer company name/WINZ* Duration at this employer* YY 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40+ years MM 0 1 2 3 4 5 6 7 8 9 10 11 12 months   Contact name   Phone   Mobile   Email     Second Applicant's Occupants   Adults* -- Select number of adults -- None 1 2 3 4 5+ Children None 1 2 3 4 5+   Any Smokers?* -- Select any smokers? -- Yes No   Pets* -- Select number of pets -- None 1 2 3+ Pet Details*   Vehicles None 1 2 3+   Second Applicant's Referees   Landlord 1 Name   Rented Address Contact Phone   Contacting Landlord* Do you agree to us contacting the above landlord for a verbal reference? Yes No     Landlord 2 Name   Rented Address Contact Phone   Contacting Landlord* Do you agree to us contacting the above landlord for a verbal reference? Yes No   If new to New Zealand, you must provide a New Zealand contact - Name     Second Applicant's Consent     I confirm and accept all Terms & Conditions and give my consent

Third Applicant's Details

Details Present Accommodation Employment/Income Occupants Referees Consent Third Applicant Title --- Select Title --- Dr Mr Mrs Ms Miss   First Name*   Last Name*   Email Address*   Phone (home) Phone (work) Phone (mobile) Service Address Date of Birth* Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900   Suitable Photo ID* --- Select Photo ID Type --- Photo Driver's Licence Passport WINZ I.D Photo Credit Card   ID Number*  Card No.*   Car/Vehicle Registration   WINZ #   Next of Kin* Relationship*   Address   Phone Number*   Have you rented before? Yes No   Criminal Convictions* Do you have any Criminal Convictions? Yes No     Third Applicant's Present Accommodation   Present Accommodation* -- Select present accommodation -- Home Owner Renting Boarding Living at Home New to NZ   Present Address*   Duration at this address* YY 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40+ years MM 0 1 2 3 4 5 6 7 8 9 10 11 12 months   Have you given notice? Yes No   Why are you moving?*     Third Applicant's Employment/Income   Occupation*   Employer company name/WINZ* Duration at this employer* YY 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40+ years MM 0 1 2 3 4 5 6 7 8 9 10 11 12 months   Contact name   Phone   Mobile   Email     Third Applicant's Occupants   Adults* -- Select number of adults -- None 1 2 3 4 5+ Children None 1 2 3 4 5+   Any Smokers?* -- Select any smokers? -- Yes No   Pets* -- Select number of pets -- None 1 2 3+ Pet Details*   Vehicles None 1 2 3+   Third Applicant's Referees   Landlord 1 Name   Rented Address Contact Phone   Contacting Landlord* Do you agree to us contacting the above landlord for a verbal reference? Yes No     Landlord 2 Name   Rented Address Contact Phone   Contacting Landlord* Do you agree to us contacting the above landlord for a verbal reference? Yes No   If new to New Zealand, you must provide a New Zealand contact - Name     Third Applicant's Consent     I confirm and accept all Terms & Conditions and give my consent

Other Occupant's Details

Please list all other persons who will be living at the property (including children)   Name: DOB/Age Occupation Relationship to you Phone 1 2 3 4 5

CONSENT STATEMENT:

• I / We agree to pay EVES Realty Limited a fee of one week’s rent plus GST (non-refundable) 4 weeks rent as bond and first weeks rent on entering into an agreement to rent any property introduced to me / us by you.
• I / We consent that the above information may be used to obtain credit checks and/or personal references and review publicly available social media and government databases for use by EVES.
• I / We agree that the Company may provide any information collected as authorised by this form to prospective landlords or their agent.
• I / We acknowledge that Eves Realty Limited will retain information relating to any tenancy as required by relevant legislation.
• I / We declare that the information in this form is true and correct and that I have read the Privacy Act 1993 Statement below.

For the purposes of the Privacy Act 1993:

• This application form collects personal information about you.
• This information is required to:
  Assess your eligibility as a tenant;
  and Collect information that would be provided to a tenant default database or credit bureau if you enter into a tenancy agreement and fail to comply with the terms of that agreement. (A tenant default database records the names of persons who have been found to breach a tenancy agreement or the Residential Tenancies Act 1986 by the Tenancy Tribunal).
• The information in this tenancy application form will, if you enter into a tenancy agreement with us, be held on a database and used by us and by the owner of the property.
• The information will also be made available to credit bureau or tenant default databases.
• If you do not supply all the information in this form, you may not be considered as a tenant for any of the properties we administer.
• You have the right to see the information we hold about you and to correct that information in accordance with the Privacy Act. To view this information please contact: EVES Realty Ltd.
• Any collection fees accrued from this tenancy will be added to the balance owing on your debt.

I CONFIRM THE INFORMATION IN THIS FORM IS TRUE AND CORRECT AND THAT I HAVE READ AND UNDERSTOOD ALL OF THE ABOVE INCLUDING THE PRIVACY ACT 1993 STATEMENT AND THE CONSENT STATEMENT.