Additional Occupant Form

Applicant Details
Please enter the street address of the property you are applying for
Applicant details
Please upload a scan or photo of your drivers license or identification
Employment Details
Current/Most Recent Tenancy Details
Character Reference (not a friend or family member
Next of kin (used for address for service)
Applicant Consents

I agree to authorise Bolitho Property Management Ltd to use the details given here to obtain references as necessary.

I agree to the collection, use and disclosure of my personal information for the following purposes, and warrant that I have supplied all information on this form freely, including my drivers license details and passport details. I agree that any information found through any third party databases that relates to me can also be used for the purposes outlined in this application.

Recipient of information

The information is provided by you to the Owner/ Landlord/Agent/ Property Manager.


The purpose for the collection of my information is:

To perform background checks, reference checks and credit checks to assess if I am the best applicant on merit. I consent that my personal information including debts may be discussed with any personal or work referees

To add my information to any background, reference and credit checking database To allow the Landlord to add a review to a tenancy review database that can then be viewed by other companies and/ or Landlords To check the Ministry of Justice fines, Tenancy Tribunal, District Court, High Court, Court of Appeal, Supreme Court, Department of Parole, and New Zealand Police databases

For debt collection purposes

To check the Personal Properties Securities Register

To verify my passport details via the Department of Internal Affairs

To check and update a credit bureau

To update the Tenant check system.

Information Provided

The information provided on this form and any information found through the background check, reference check and credit checking process may be passed onto an agent and entered into third party databases, inclusive of any credit reporting databases. Subscribers to the databases will have access to my information and use that information for the purpose of credit reporting or for any other lawful purpose including debt collection.

I agree that I have been advised that I have the right to see the information that you hold about me, and to have any information held corrected if it is in error.

I confirm the information in this form is true and correct and that I have read and signed the Cautions under the Privacy Act 1993.

I agree that if I enter a tenancy agreement then this application will form part of the tenancy agreement.