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Location: Registered Office 1st Floor – Rockforte Towers 200 Gladstone Road Gisborne New Zealand
Postal Address: P O Box 1264 Gisborne New Zealand
Contact Details: Tel: +64(0)6-867 7747 Fax: +64(0)6-867 7743 eMail: office@homerentalservices.co.nz
PERSONAL DETAILS:
Title*
(Mr, Mrs, Miss, Dr etc)
First Name*
Middle Name
Last Name*
Date of Birth*
Show as DD-MM-YYYY
Home Phone or Contact Number*
Work Phone
Mobile Phone
Email
Supplying an email address will enable us to send a confirmation email when this form has been submitted and ensure prompt future communications. Our Privacy Policy ensures only official emails from us.
Current Address*
How long at this address*
Please select Years Months
Reason for leaving this address?
Are you the tenant of this property?*
Yes/No
If YES, please complete the Current Landlord details below.
Current Landlord Name
Current Landlord Phone Number
PAST ADDRESS DETAILS:
Have you rented any other property in the past two years?*
If YES, please complete the Past Landlord and Address details below.
Past Landlord Name
Past Landlord Phone Number
Past Rented Address (In connection with the above Landlord)
If you have not rented a property in the past two years, please advise how you've been accommodated during this time
EMPLOYMENT DETAILS:
Occupation
Employer
Phone Number
OTHER DETAILS:
Will any one else be living with you?*
Names
Ages
Are you or anyone else living with you Smokers?*
Do you have any pet Cats?*
Yes/No If YES, how many?
Do you have any pet Dogs?*
Yes/No If YES, how many? If you do have a dogs(s), please state Breed(s) of Dog:
REQUIREMENTS:
Number of Bedrooms*
Affordable Weekly Rent Level
$
House Flat Unit Apartment Garaging
Area Preferred
Long Term Short Term
Preferred Start Date
Other Requirements or Relevant Information
This registration form asks you to provide personal information that may be subject to the Privacy Act 1993. The information collected is required so that the landlord is better able to assess whether you would be the most suitable tenant on merit for the tenancy. The information is provided to Home Rental Services and prospective landlords only. You do have the right to view this form from time to time and amend any of the information on it and you hereby agree that we may hold this information on file for a period not exceeding three years.
I authorise Home Rental Services to obtain any credit checks and previous landlord references necessary to assist with this registration and to provide the above information plus that from any such references or credit information obtained, to prospective landlords. I hereby declare that the above information is correct and may be used on a Tenancy Agreement.
In the event that I accept the tenancy of any property introduced to me by Home Rental Services (HRS), I hereby agree to pay HRS a bond not exceeding four weeks rent and two weeks rent in advance in accordance with the terms of my Tenancy Agreement.
The Rent and Bond must be paid in full prior to the commencement of the tenancy.
NB If you do not supply all information requested in this form you may not be considered for any rental properties available through Home Rental Services.
ACCEPTANCE:
To accept these conditions and register please type ACCEPT* in this box:
To sign this form please type YOUR FULL NAME* in this box: Show WITHOUT spaces between names
