Rental Application

Property Details

Please let us know which property you're applying for.

Rental Address

Advertised Rent p/w

Why are you moving?

How many people will live here?

When can you move in?

Your Personal Details

Please let us know as much about yourself as possible. This will speed up the application process.

First Name (required)

Middle Name/s

Last Name (required)

Your Date of Birth (required)

Your Email (required)

Your Phone (required)

Your Car (make and model)

Car Registration Number

Do you have any children? If so, what are their ages?

Have you ever...
 Been to a tenancy court or mediation? Had a tenancy terminated? Had money deducted from a bond? Been refused credit? Been bankrupt? Been to prison?

Do you...
 Smoke Have credit issues Have a criminal record Have a community services card

Community card number

Drivers licence details (Number, version and expiry date)

Upload a scan of your licence

Where are you currently living?

Current Address

How long have you lived here?

Weekly Rent

Landlord's name

Landlord's email

Landlord's phone

Where have you lived before?

Previous Address

How long did you live there?

Weekly Rent

Landlord's name

Landlord's email

Landlord's phone

Where are you currently working?

Current Employer

How long have you worked here?

Employer's name

Employer's email

Employer's phone

Where have you worked before?

Previous Employer

How long did you work there?

Employer's name

Employer's email

Employer's phone

Your Personal References

First Reference's name

First Reference's relationship to you

First Reference's email

First Reference's phone

Second Reference's name

Second Reference's relationship to you

Second Reference's email

Second Reference's phone

Next of Kin

Next of Kin's name

Next of Kin's relationship to you

Next of Kin's email

Next of Kin's phone

Anything else you'd like to add?

I authorise KPH Rentals 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.