Licensed (REAA 2008) MREINZ

Phone (06) 278 2000

Licensed (REAA 2008) MREINZ

Phone (06) 278 2000​

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Pre-Tenancy Application Form

  1. Please complete the following details to apply for the tenancy at the above address or to go on a waiting list for other properties.
  2. The information you provide is for the purpose of applying for this tenancy only and may be used for a credit and reference check. Your privacy is protected under the Privacy Act 1993.

Applicant Details


Current Landlords Details


How Long have you lived there?



Please provide two referees (include telephone numbers) that I can contact. Referees can be someone you have worked with, your case manager, your employer or someone from your community who knows you well. One of your referees should be someone who can provide a reference about your CREDIT WORTHINESS. (If you have already provided your current landlord’s details above, one additional referee is enough.) Please let these people know I may be contacting them for a reference about you.








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