Application For Rental AccommodationDate : Applicants Full Details : Full Name* First Last Current Address* Street Address Address Line 2 City ZIP / Postal Code Contact Phone :*Mobile Number :*Date of Birth* ID : Drivers LicenceEmail Address : Do you smoke?*YesNoPet Details - Please state breed(If dogs, please state breed)Applicants Full Details : Full Name* First Last Current Address :* Street Address City ZIP / Postal Code Contact Phone :Mobile Number :Email Address : Date of Birth* ID : Drivers LicenceDo you smoke?*YesNoPet Details - Please state breed(If dogs, please state breed)Current Landlord's Details : (if you are currently renting, please provide your landlord's name and contact details)Landlord's Name :* First Last Phone Number :*Mobile Number :Email Address : Time at Current Address :*Reason for Leaving :*Previous Landlord's Details :Landlord's Name :* First Last Phone Number :*Mobile Number :Email Address : Time at Current Address :*Reason for Leaving :*References : (Not Family) Please provide two referees that I can contact. Referees can be a co-worker, your employer or someone who knows you well. One of your referees should be able to provide a reference about your credit worthiness. 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. Referee Name 1 :Email :Phone :Referee Name 2 :Email :Phone :Emergency Contact :Name :Address :Phone Number :Mobile :Email Address :Work Details :Name of Employer :* First Last Time There :*Employers Address : Street Address City ZIP / Postal Code Phone :Phone :Occupation :WINZ # :Requirements :Address of Property You are Applying ForMaximum Rent :Date Required By :Number of Intended Occupants :Adults :Children :Ages :Bedrooms :Fully Fenced : (Please state Yes or No)Garage : (Please state Yes | No or Yes but not essential)Will you be parking a motor vehicle on the property? Yes | No (if yes, how many?Long | Short TermAny Other requirementsApplicant History :Have you ever had a tenancy terminated before? Yes | No (If Yes, please provide details)*Have you ever had money deducted from your bond? Yes | No (If Yes, please provide details)*Letting Fee : If you enter a tenancy agreement with us, we will charge you ONE WEEKS RENT as a letting fee.Terms & Conditions for Elite Rental Management PRIVACY STATEMENT PRIVACY DISCLOSURE STATEMENT OF ELITE RENTAL MANAGEMENT We are an independently owned and operated business. We are bound by the Privacy Act 1993. We collect personal information about you in this form to assess your application for a residential tenancy. We may need to collect information about you from your previous landlords or letting agents, your current employer, credit agencies and your referees. Your consent to us collecting this information is set out below. We may disclose personal information about you to the owner of the property to which this application relates. If this application is successful we may disclose your contact details to maintenance contractors and the landlord’s insurers. We may also send personal information about you to the owners of any other properties at your request. You have the right to access personal information that we hold about you by contacting our office If you do not complete this form or do not sign the consent below then your application for a residential tenancy may not be considered by the owner of the relevant property or, if considered, may be rejected. PRIVACY CONSENT I the Applicant acknowledge that I have read the Privacy Notice of Elite Rental Management . I authorise Elite Rental Management to collect information about me from: 1. My Previous letting agents and/or landlords; 2. My personal referees; 3. Any Tenancy Default Database which may contain personal information about me. I also authorize Elite Rental Management to disclose details about any defaults by me under the tenancy to which this application relates to any tenancy default database to which it subscribes including Department of Housing & Building National Tenancy Database (NTD). I authorize Elite Rental Management to disclose the personal information it collects about me to the owner of the property even if the owner is resident outside New Zealand and to any third parties – valuers, contractors, sales people, insurance companies, body corporates, other agents and tenancy default databases. Acceptance of Terms* I have read and agree to terms and conditions CaptchaNameThis field is for validation purposes and should be left unchanged.