PRIVACY ACT 1993

Cautions provided pursuant to the Privacy Act 1993 and other information before applying for a Residential

Tenancy

In terms of the Privacy Act 1993 you are given notice that:

Request Information:            This application asks you to provide personal information.

Purpose of collection:            The information on this form is required so that the landlord is better able to assess whether you are the best applicant on merit for the tenancy.

Receipt of Information:         This information is provided by you to Ted Ingram Property Services Ltd MREINZ.

Sign Information:                   I/We advise you that you have the right to see the information I/We hold about you and;

Correct information:  To correct that information in accordance with the Privacy Act 1993.

Privacy Act 1993 Statement

The information in this tenancy application form will, if you enter into a tenancy agreement with us, be held on a database and used by us and the owner of the rented property.

The information will also be made available to credit bureau or tenant default databases.

I consent to your contacting my employer or any person or company named in this application to confirm, verify and expand on any information given herein and complete a Baycorp Credit Check.

I consent to your providing the information in this form and details of any proven breach in my tenancy agreement or of the Residential Tenancies Act 1986 to any credit bureau or tenant default database.

I acknowledge that the information may then be publicly accessible through credit bureau or tenant default databases.

I agree that you may use any of the information on this form to enforce any judgement in respect of the tenancy agreement or in respect of any order against me made by the Tenancy Tribunal.

I confirm the information in this form is true and correct and that I have read and understood all of the above including the Privacy Act 1993 statement, and hereby appoint Ted Ingram Property Services Ltd MREINZ as my/our agent to find accommodation for me/us. Should you introduce me/us to any premises which leads to me/us taking a tenancy. I/we undertake to pay your fee equal to one weeks rent plus GST.