Online Rental Application Please fill in the required fields. Full Name Current Address Previous Address Email Address Phone Number Date of Birth Vehicle Registration Number Drivers Licence Number (5A) Card Version Number (5B) Please Upload a Copy of Your Identification Please Upload a Photo ID (Provision of this number is voluntary and will only be used to verify your identity and for carrying out a credit check) Current Landlord Landlords Phone Number Are You Interested in a Particular Property? If So Which One? I Require a: > * Choose One * House Flat Number of Rooms * Choose One * 1 2 3 4 5+ Intended Number of Adults Intended Number of Children Max Rent Per Week Locality Preferred Do Any of the Occupants Smoke? * Choose One * Yes No Do Any of the Occupants Have Pets? * Choose One * Yes No Any Other Requirements Declaration I declare that the information given is correct and that the Landlord/Agent may check on any of the details. I agree to any of the information supplied being given to another Landlord/Agent. I authorize any person or company to provide Mid North Real Estate Ltd with such information as Mid North Real Estate Ltd may reasonably require in response to credit enquries. Credit check enquiries will include Ministry of Justice Overdue Fines Balance Search. I agree that the Landlord/Agent may use any of the information on this application to enforce any judgement or money order obtained against me. I authorize the Landlord/Agent to obtain information against me from Tenancy Services, any electronic tenant screening agency, any postal authority, any power supply company or any telecommunications company. I declare that this authority cannot subsequently be cancelled by me. I Agree 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. 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. 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 digital form in New Zealand or in a country that provides a 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/ Declaration 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; and 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; and As part of providing a credit report, may check the Ministry of Justice fines database for any overdue fines I may have. I Agree Submit
