Long Term Rentals Application

NB: Provision of this number is voluntary and will only be used to verify your identity and for carrying out a credit check

Please provide two referees that I can contact. Referees can be a friend, co-worker, your employer or someone who knows you well. NB: We do prefer to be able to contact past landlords. 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.

  • Tenancy
  • Applicant
  • Identification
  • References
  • Term

Tenancy Details

Property address/ID

Commencement date of Tenancy

How many people will live here, including children or baby?

How long will you plan to live here?

Applicant Details

Your Name


Phone Number

Current address

How long have you lived there?

Please state why you are leaving this address

Identification Details

Identification Type

Licence Number/Passport Number

ID Number

Car/Vehicle Registration Number

Make and Model

Identification Photo

Emergency Contact





Who will be living in this property with you?

Do you have pets?

What type of pet do you have?

Occupation Details



Phone number


May I contact this person for a reference?

Current Landlord’s Details

Landlord’s Name

Mobile Phone


May I contact this person for a reference?

Referee 1


Mobile Phone



Referee 2


Mobile Phone



Term Details

I authorise the Landlord/Property Manager to:
• Collect, retain and use this information for the purpose of assessing my creditworthiness and suitability for the tenancy;
• 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 report (which will involve the credit reporting agency providing information about me to the Landlord/Property Manager).

I understand that the credit reporting agency:
• May hold my information on their credit reporting database and use it for providing credit reporting services, and they may disclose my information to their subscribers for the purpose of credit checking or debt collection;
• As part of providing a credit report, may check the Ministry of Justice fines database for any overdue fines I may have.

By clicking submit you accept the terms and acknowledge the information you have entered is true and correct.

Accept the terms and acknowledge the information you have entered is true and correct