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Full Name
Gender
Relationship Status
Tenancy
Address
City
Current outgoing payments
No. of defaults (if any)
No. of dependents
Weekly Rent/Board/Mortgage
NZ Resident? YESNO
Working Status
Net Wages/Benefit
Weekly/Monthly/Fortnightly
Employer's Name
Time at work: Ys/Mths
Occupation
CONTACT INFORMATION
Mobile
Home
Work
E-mail
Preferred Method of Contact CALLEMAIL
Document Upload
Please provide copy of valid photo id (drivers license , passport or 18+ card) , please also provide last 1 month bank statement with recent payslip for fast processing of application (If Possible)
PRIVACY ACT WAIVER
1Click To Open
PERSONAL INFORMATION
1. I understand that the information contained in the HOME PLANET application form,
information you collect about me in the future (including my payment record with you) and
the results of any enquires you make of referees, third parties, and credit agencies will be
used.
2. to process and assess my request for an account as well as any request for finance I make
now or in the future; for the management, assessment or enforcement by you of any
agreement or security I have with you or have given to you; to assess my credit worthiness
and financial position at any time; to offer me further finance; to market your products and
services to me.
REFEREES
2. I understand and confirm that you may contact the referees named in the HOME PLANET
application form to collect and/or confirm personal information about me.
THIRD PARTIES
3. I understand and agree that you may make enquires about me with any other person (including
other people that have carried out a credit check on me, advanced credit to me, my employer,
landlord and bank) to obtain any information you consider relevant about me from that person.
CREDIT AGENCY
4. I understand and agree that you:
will give my personal information to the credit agency and that they will hold that information on
their systems and use it to provide their credit reporting service; and
may supply my personal information to any other person who I have provided written consent to
receive my personal information;
subscribe to a monitoring service which will provide updates if any of the information held by the
credit reporting agency about me changes;
report any default in my payment obligations to you, in which case information about that default
may be given to the credit agency and the credit agency may give information about my default to
other customers of that credit agency.
5. I understand and agree that your credit agency may hold my personal information in their systems
and use it to provide their credit reporting service so that when their other customers use the credit
agency's credit reporting service, the credit agency may give my information to those customers.
FINES
6. I understand and agree that you may submit my personal information to your credit agency and
that your credit agency may submit my personal information to the Ministry of Justice to check my
fines records.
7. At any time I apply for credit from you I authorise you and your credit provider to:
use my personal information to carry out a fine status query with the Ministry of Justice; and
to receive and use the results of that search for the purposes set out in paragraphs 1(a) to 1(d).
ACCESS AND CORRECTION
8. I understand that:
you will use, disclose and make accessible my personal information in accordance with the Privacy
Act 1993.
I have the right to request a copy of the information you hold about me and the right to request that
you correct any incorrect information you hold about me.
If you want to download and print out a copy of this waiver you can find it at
rentnown.co.nz/RNWaiver.pdf.
I have read and understand the Disclosure Statement & Privacy Waiver *
