Applicant 1

Personal Details

First Name:*

Last Name:*

Date of Birth:*

Gender*

Male

Female

Current Address*

Example: 10 King Street, Palmerston North 4410, New Zealand

Drivers Licence / Passport Number*

Contact Number:*

Email*

Do you suffer from any medical condition?*

Yes

No

If yes, please state:

Are you a smoker?*

Yes

No

Do you have any criminal convictions?*

Yes

No

If so please state:

Do you give your permission to do a criminal background check?*

Yes

No

If no please provide details below.

Stay Information

Preferred Move in Day*

If this is not your CONFIRMED arrival date, please inform us in the comments section at the bottom of the application form. Correct arrival dates are extremely important during busy periods.

Move Out Day / Approximate length of stay*

Residential History

Have you previously rented in New Zealand?*Have you previously rented in New Zealand?

Employment / Study Details

Are you currently employed?*

YES, Employer & Occupation:YES, Employer & Occupation:

NO, What is your source of income?NO, What is your source of income?

Will you be studying while staying @ The Hub?*

YES, Place of Study & Name of Course:YES, Place of Study & Name of Course:

NO

Reason for leaving current / previous residence?

References

Please provide TWO references EXCLUDING friends and family. Preferred references are previous landlords, or work referees such as a Manager or Supervisor.

Reference 1

Name:*

Relationship:*

Contact phone:*

E-mail:*

Reference 2

Name:*

Relationship:*

Contact phone:*

E-mail:*

Applicant 2 (If applicable)

Personal Details

First Name:

Last Name:

Date of Birth:

Gender

Male

Female

Current Address

Example: 10 King Street, Palmerston North 4410, New Zealand

Drivers Licence / Passport Number

Contact Number:

Email

Do you suffer from any medical condition?

Yes

No

If yes, please state:

Are you a smoker?

Yes

No

Do you have any criminal convictions?

Yes

No

If so please state:

Do you give your permission to do a criminal background check?

Yes

No

If no please provide details below.

Stay Information

Arrival Date

If this is not your CONFIRMED arrival date, please inform us in the comments section at the bottom of the application form. Correct arrival dates are extremely important during busy periods.

Move Out Day / Approximate length of stay

Residential History

Have you previously rented in New Zealand?Have you previously rented in New Zealand?

Employment / Study Details

Are you currently employed?

YES, Employer & Occupation:YES, Employer & Occupation:

NO, What is your source of income?NO, What is your source of income?

Will you be studying while staying @ The Hub?

YES, Place of Study & Name of Course:YES, Place of Study & Name of Course:

NO

Reason for leaving current / previous residence?

References

Please provide TWO references EXCLUDING friends and family. Preferred references are previous landlords, or work referees such as a Manager or Supervisor.

Reference 1

Name:

Relationship:

Contact phone:

E-mail:

Reference 2

Name:

Relationship:

Contact phone:

E-mail:

Accommodation Choice: (Please tick which option you would prefer)

@ The Hub EAST

Single Studio Unit $285

Double / Twin Studio Unit $305 1 person

Double / Twin Studio Unit $370 2 people

1, 2, 3 Bedroom Apartments $375+

@ The Hub WEST

Studio Apartment $325

1 Bedroom Apartment $475

2 Bedroom Apartment $485

3 Bedroom Apartment $485

EXTRAS:

Overnight Guests – $20 per night

Underground Secure Carpark – $50 per week or $25 per night

Additional person long term – $65 per week

Additional child under 5 Years long term – $25 per week

Comments / Special Requests / Additional Information:

Terms and Conditions

Please view our terms and conditions by following the link. By submitting your application form you understand and agree to our terms and conditions.

Studio Units Terms & Conditions

Photo I.D (drivers license, passport or 18+ card)

Maximum file size: 5.24MB

Prove you are human below

Do you accept the terms and conditions?*

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Application for Long Term Accommodation

Applicant 1

Personal Details

Stay Information

Residential History

Employment / Study Details

References

Reference 2

Applicant 2 (If applicable)

Personal Details

Stay Information

Residential History

Employment / Study Details

References

Reference 2

Accommodation Choice: (Please tick which option you would prefer)

Terms and Conditions