2 Apply Application
2 Apply Application
Passport Details
Expiry Date Gender DOB Country Nationality
23/12/24 Unspecified 3/05/89 IND IND
Files Connected
1
Other Occupants
Name Relationship Currently Living With
anup raghuveer - -
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Application Questions
Last Completed: 30/11/23 10:05 PM
Are you a New Zealand Citizen or Permanent Resident?
No
Have you ever been convicted of any crime or offence?
No
Have you ever had a tenancy terminated before?
No
Are you or any other prospective occupant a smoker?
No
Have you previously rented?
No
Have you viewed the property in person?
Yes
Are there children under 12 years old?
Yes
Are there other occupants who will living at the property over the age of 18?
Yes
If yes, what are their names?
Husband
Are you able to pay the weekly rent for this property?
No
I consent to a credit check being conducted if am a preferred applicant?
Yes
I give permission to be added to your mailing list
Yes
Personal References
Years Known Relationship
- Friend
Contact Name Contact Mobile Contact Phone
Deepak Mohanraju 027 214 3186 -
Contact Email
Deepak.mohanraju@gmail.com
Comments
-
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Signed Terms and Conditions
GENERAL TERMS
1. I acknowledge that by completing this form I am applying to rent a residential house / flat / apartment;
2. I confirm that the property has been viewed by me or on my behalf.
3. If I am the successful applicant, I agree to pay any or all costs of collection of any charges relating to
my tenancy including disbursements, fees, commissions and charges.
4. Photographs - If I am the successful applicant, I consent to you (Barfoot &Thompson)
•taking photographs of the premises as part of your service to the landlord and understand that these
photographs may be supplied to the landlord or any other party as required as a record of the condition
of the premises.
•to the photographs and/or video recordings being stored for a period of up to 1 year after the
termination of the tenancy, or such period of time as is reasonably necessary for a lawful purpose
relating to my tenancy.
•ensure that the photographs do not contain any information that could lead to identification of myself or
the other occupants of the premises and
•ensure that the photographs are securely stored.
5. Illicit Substances - I agree that the property may be tested for the presence of any illicit substances
during the term of the tenancy.
6. I confirm that I am authorised by any other applicants or intended occupants of the property or other
relevant third parties to provide you with the information above, including any Personal Information.
7. I confirm the information in this form is true and correct to the best of my knowledge and belief and
that I have read the Privacy Statement as stated above. I understand that any false or misleading
information given in this application may render the tenancy liable to termination, if I am accepted as a
tenant.
Would you like your details passed on to Fast Connect who can contact you to assist with setting up or
moving Electricity, Internet, Gas, Telephone and TV services? This is a free service offered to our
customers.
Extra Attachments
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