This information is required for the purposes of assessing your eligibility as a tenant.
One form MUST be completed for every person aged 18 years or older.
Tenancy Details
Property address
Date you can take the property?
How long do you want the property for?
Do you have a legal right to remain in New Zealand for the duration of a tenancy?
Applicant Details
*Full name
Date of Birth
Phone Number
Mobile number
Email
Current address
How long have you lived there?
Years
Months
Please state why you are leaving this address
Applicant Identification
Please provide photo identification, such as your drivers license.
ID Number
Version no. (if applicable)
NB: This number will only be used to verify your identity and for carrying out a credit check.
Car/vehicle registration number:
Make and model
Emergency contact
Name
Relationship
Address
Mobile phone
Phone Number
Email
Current Landlord's Details
If you are currently renting, please provide your landlord`s name and contact details
Landlords Name
Phone number
Mobile phone
Email
Please tick if I may contact this person for a reference?
References
Please provide two referees that I can contact. They cannot be family members or people you intend to live with.
One of your references should be able to provide a reference about your creditworthiness. If you have already provided your current landlord`s details, only one additional referee is needed. Please let these people know I may be contacting them for a reference.
Reference 1 name
Phone
Relationship
Email
Reference 2 name
Phone
Relationship
Email
Employment
Your employer may be contacted
What is your source of income (eg: Employment, WINZ, Benefit, StudyLink, Self-employed)?
Employer company name
Contact Person
Contact Phone
Tenant Information
How many Adults
Age(s) of Children
How many Pets
Type/Breed
Any Further Information
Notes
Privacy Statement
By completing this Tenancy Application Form, you agree to the collection, use and disclosure of Personal Information by illion Tenancy and or your Landlord (together ?We?) 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 Tenancy Tribunal orders, ratings/references, information relating to tenancy history, breaches of the Residential Tenancies Act 1986 and updated information). This Privacy Statement does not limit your rights under the Privacy Act 2020.
We may use the services of, or provide services to, illion (New Zealand) Limited, illion Tenancy Limited (illion Tenancy) and their respective 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. Personal Information will be held by us in a digital form in New Zealand or in a country that provides similar data protections to that of New Zealand (e.g., Australia).
You have the right to access and request correction of your Personal Information by contacting us at admin@illiontenancy.co.nz or making an online application at https://www.tenant.illiontenancy.co.nz/contact-us/
If you provide to us, or authorise us to collect, Personal Information about a third party (such as a guarantor or referee), you confirm 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 and or correct the Personal Information we may hold about them. It is not mandatory to provide us, or authorise us to collect, Personal Information, however, if you do not do so, it may affect the assessment of your tenancy application.
We may collect and use Personal Information to: (a) verify or allow for your identity to be verified (b) assess your suitability for a tenancy, including assessing you and or your guarantor?s creditworthiness and references; (c) manage and monitor your tenancy (if your application is approved); (d) assist with the collection of amounts outstanding in relation to a Tenancy agreement; (e) check if you have overdue fines with the Ministry of Justice.
Personal Information will be held by us at our business address 278A Rosetta Road, Raumati Beach, Paraparaumu 5032. You have the right to access and request correction of your Personal Information by contacting us at info@seddonstreet.com
I confirm that all 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.