Application Form - Te Whiti South Lands Trust

Applicant Information

Your Name(Required)

Your Full Name

Your Phone Number(Required)

Date of Birth(Required)

Your Email Address

Enter Email Confirm Email

Current Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Relationship to Papakāinga

(Whānau connection, shareholder, etc.)

Whānau or Group Details

(if you are applying in a group)

Group/Whānau name if applicable

Applicant 1

Full Name

Age

Applicant 2

Full Name

Age

Applicant 3

Full Name

Age

Applicant 4

Full Name

Age

Applicant 5

Full Name

Age

Applicant 6

Full Name

Age

Housing Need

Why are you applying for housing on this papakāinga?

How will tenanting this property support your whānau’s long-term wellbeing?

Financial Information

Do you have a source of income?(Required)

If yes please provide details

Can you meet the rental payment requirements?(Required)

Do you have any outstanding debts or arrears with previous landlords?(Required)

If you answered yes to the previous question please provide details

References

Please provide the names and contact details of two referees (preferably whānau or community leaders):

Referee 1:

Please provide name, relationship, phone and email address

Referee 2:

Please provide name, relationship, phone and email address

Connection to Papakāinga Values

Why do you want to be part of this papakāinga?

(Describe your connection to the kaupapa and how you will contribute to the community.)

Documents and Declaration

Document Upload

Please upload all documentation here

Drop files here or

Max. file size: 512 MB, Max. files: 5.

Checklist

Proof of identification (e.g., driver's licence, passport)

Proof of income (e.g., payslip, bank statement)

Reference letters (if applicable)

Name

This field is for validation purposes and should be left unchanged.

Apply

Applicant Information

Whānau or Group Details

Applicant 1

Applicant 2

Applicant 3

Applicant 4

Applicant 5

Applicant 6

Housing Need

Financial Information

References

Connection to Papakāinga Values

Documents and Declaration

Te Whiti South

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