ࡱ> AC@5@ bjbj22 .XX nnnnnnn  2(ZZZZZZZ) + + + + + + $ R @O nZZO nnZZd  vnZnZ) )   nn Z& J<  ) z 0  . . nnnn.n (ZL6 ,ZZZO O  . QUALITY SINGLE ROOM ACCOMMODATION 187 Gillies Avenue - Epsom - Auckland Phone (09) 630 0845 - Fax (09) 623 9721 Email  HYPERLINK "mailto:info@rocklands.co.nz" info@rocklands.co.nz - Website  HYPERLINK "http://www.rocklands.co.nz" www.rocklands.co.nz APPLICATION FOR RESIDENCY Date: _________________________ Bond Paid: ____________________ Room: ________________________ 1st wk rent Paid: ________________ Arrival Date: __________________ Deposit Paid: __________________ Departure Date: ________________ Date Paid: _____________________ Note: If you change your mind for any reason your deposit will be forfeited. If you are declined residency, your deposit will be refunded. Name: ________________________ M/F: _________________________ Occupation: ___________________ D.O.B. _______________________ Place of work/Study: ____________ Nationality: ___________________ Previous Address: ________________________________________________________ ________________________________________________________ Contact Phone: _________________ Mobile Phone: _________________ Email Address: _________________ Car Registration: _______________ Do you have any medical conditions? If yes, please state: _________________________ __________________________________________________________________ Name of Next of Kin: _____________ Relationship: __________________ Address: ________________________________________________________________ ________________________ Phone: _______________________ CHECKOUT TIME: 11.00AM I AGREE that my liability for this bill is not waived and gree to be held personally liable in the event that the indicated person or company failed to pay for any part or full amount of these charges including any missing/damaged items etc. I agree that if any attorney is retained to collect these charges, I will pay all reasonable attorneys fees and costs incurred. If payment is by credit card you are authorized to charge my account for all charges incurred, including any and all damages/missing items, etc. I agree that the sole purpose of renting this room is for my own residency only. I have been given and acknowledge receipt of hostel policies. Signed by Applicant: _____________________________________________________ Office Use Only: Identification: _____________________ Identification: _________________ APPROVED/DECLINED DIRECTOR: ______________________________________ tyz{    ! # 4 no ︙} hthhtht5>*hthtCJaJhth@CJaJhpTWh@6CJaJhpTWh@H*h@ h@>*hh@>* hthtj3hUh#h0JjE2hUhthjhU#&Lt  " # h 4  B  V 4 y &d P gdt$a$gd@gd@$a$gdtgd$a$gdy op U &d P gdt ,1h/ =!"#$% E2Dd(#qH  C $A logo1b13rf"g~Y^1Drn}13rf"g~Y^PNG  IHDRXLIPLTE{Zcckss))1Ƅ{{֭kksJJRƌB9Bsksskk1))1)1ZZc!!!!!99BRJJ{{{RJR#!"cZZcZcB99434ٗEEFVUVfefwww~,tRNS@fbKGDH cmPPJCmp0712Hs05IDATx^}BHݹ=z5P*ej9)R$Pe.TfxG`px8P@Xv>y^,6?V|7 'M?{~ՋcaY, 唅붥fg cK{g og;G ;KmnQ>Hًc-Z䏖iI dً|-WUB*Cz&So!g .s«9r=>wсEDYh|HiY(8gjg6*CG{A_ggsv?ځ3Efo+[ ~Jo/ؕidd["1&r<|s?J4l[g/ϻ1L.) @Tά.|ȇh{G.AV1bF`8R4faws&SD<XX[i;AϠ`2I]74lB*\)6}kr arzp}X S]v1u$n"Lq,YeARK݊8cR0x_Hg2j90#C\X9؂Y#e sy>2K=.fkưTtbS}LW<Yiͅ/ wGrQa=[SkDSNݽMn2c-n1lt0x]Tr^\;Yv\YlZgU->tBbYcN|A!{i eA:`j ,|t?>2`܉0TzKп 8=-Ln% r5fX^Y6׭OoN}R@sL H'@wNd}mT˹g<>cWy,9M_=,-"pryg'$fS@X0⌦ABF%X b"O9gY X~XǚS6S,S>DVv34"{kM`)0\, .Ҕ6mip61&%yd!vEQV&eBJAÿu &3,Ifؘ RY#wR{8HMLHdEդ&" S,$R@sv$ )iQ>4a;9xƥ/oELfx 6mJ9j76=K>f DZ$۱(lŨF3/dUI|D'PiA,?粿UcSjUN O:7 Wٌ✇ !ʌIΘ61C54 Q;5]GChX` hq,졶R9I3,׺./Ml)LK0IQEmQp&6 `W>>"s,KVa}[S-X)io;9M75>әmɥBtjfKq, p\pݐnSV.)ӿǕwXٹxĘsd+TЖ1/S9K8bmk!eҵكimT?\3hQu=@ԬhY8 $lZ`khG""Ї 4vOƆl%5±b~n`II|k:lF=?&q,W@Ѣ~#gvЅcYZךrP(ixnlNW0cq T >~/yH"x$[M;j^0*`M&WTc5|,aW]kgIy_|_q s&:7 5kFXh1JW#$Bs{ =%Io^Ʀ`Ny.KrfMW\"+Z 8E!VCF%*t[0͚bܺ s $`#"MP{g6YNkȆɛ5&pj[p'*Sm&Q{Kn<"SdTTJ͠d $LR= Q/UWʭC:03Q02$m | __Ic0yC?U) c{]*n_`a:!m&BY+͔A$CՂxӳ~;r0y (=e;'?c-'JDab6.lacwN6} sdc,} e!26{8z9H72:5,sYsY`f,Ҟp\@Om5]T{-1,ja<< WVÉ7/, MyOK?[K00.Fi b܁A($+ /W3&S7!d(5{gc6u~As7##7[q ,,j*dGAxCbIj}ګj"a&OCA6tXԱg+cz)A#`8DCg(eF^yY$rN_k]9','WV*,wd|MX$7 rkIYДAz ?cQT2NU(D2[Y) ΃-ܣeW,l!u5pq8h\#kZ9Ą>$~¬5nb+_SDZUx^v $"C\^KJjgYJ搵^ /PBGʎ-!7$/b2tg9XrV` EzhՏ! %%] vV:1|! b [m Kr)D0cwS̓czb(a+@]vϩM.{Z *dG`dF 2[l92~$H^tN٩۔+I&b,'%ZX:SpB;b:5#0he|tIw( A&>c1"Xl͌?!k2bV;qZc<k} ߯42ycD"X|@3mvKM*VEӑAZRGd^Q,$ijl4o F Cex*-ߛ!5|xM֘;`Tq*-vgՇfL,REsȀ:5.ܽxлp8P*"i8:1זRg"59\~w>J(nq`ьbI526hJQ0?Mɋ?$tސaAe<ԥ-u;'IÉ iXΠYbʌGVPѽKW[{xZA+}dZ[6Դ/N`n6:0Gq,я( W*Uql{5 sTƭ6w x8l`iٟL`Bicc)/<48#Jn lkbϊÁU:?H H6J"*gXV,@Eq\x;2]vMq Yh?Oi&߲p(L Vfat;}BOΒ`(1=5X,YT v,EjM˶I= qgNcVSBw7=n7,$.PJ~בnMLGʀ@2oQ>` orıx5uwK[z޵ĄjPM,[(غX42nc? ؁) _XhQBX*Ɲ DұK2J2+ E'hw5Jb^c\2`եZ Xwmw@Ƌr{KFXM` ]+[:&wۋ},po0RV"?p@YHy%JL u>>YWcǯVу7PewˋvLK@Xn8C%J)KmII,H$FI}VBL2oXf,"ntL~;$Wnۭː×7"L~X--8ޡgk"@e{AleM_ޔB9`@Y㽕szu[i)V +cYS60/ (a`=p>Ǵ`B:~Q5DjՈ,w*2.ڎP$QU`lyW]ʱt\ț. Kف.=Xv#;"d9CP)Da-S-.N /?ۙWI &ߓgVeH3 ] {2ѼliI1pId&4!.B˝`fZ!E2S6닉”U"yA+y_.B.Wy9LIB:h wd|- +"zFbHYU ,h xK%^!csֱ%rM;gŸLfQ%p :9VX̢T 41c-h !*JvYؿH>j ]#+m7p҃;A,v9(ۀqY$_翁dcz7}M V%S0S?Y" e7l艶!XKCM=EA:"4BW./8BQ7AC><1R A1{ZTTCZ/Lխj?f^+s+ 4Q Tzh@ 8(N3|4̻oZؖS2CEQIJX ve_m7+%XA !RTWEJb<>r}^t7 /ŵB.}S+XZ]2gg.ؼXgr u" 2\$ r*5:uN_^vf XGW$'v*8N(dOÜ? e(1\w|GL|%}ה&;q* ^4M^'{^*q nOC<;4,р~0;iuiPVT|d4:~A/6V/̟ۊ0U)̇~sKq&ڱA5!Zh׺衤>/*-|^"8Plb¹?*I,Ynol C(lyߛ) Ju$lǼ 7` ؎0P"{X[3LWe;}'i yU%ml#[JkS#aҫDc,UVJp,-^:}H/p(=kkm`T.uBZf*KT;>D\4LN]A&svA+O{'"sLJ[ axh-lAlEXRaxJ84լ:?,.0` A]nUHnYO ԚhlCLhp7ybNnio(KVKٿϤM%M4Ev՛2N{(ᇢh<߳2Sq {޲ k4lbNqO-a "ZmC$|7\ĝgv}܅5kBw59 *'nE]&vv]TWŒ15Qmn&y_;1<ٵt%FG3j 1Ҳ=m3<+J.QKi~΅9O.ZS4{ }7Vi.ʿ ZOϯdsGӋmTud_Z;1~v/k,/SejU(p (p (p (p (p (p (p (|6,T ͥj"Ty sX(`5v. tf&~V VYhږD; A)UP:U[n|pi^H7ޮ^;@|뚓`/uDVaG=`p`/l({~*Ow8ߏ?כ #v8REPQ5澳 t`(V8ނ~V[*ȴ*s1Ei .>!k8ˌ=pX[V2pp/Ҵ-q`9{= GR]A"08-LxX!؞NR0бQ5&,8ǥ(t~}rQ&_{y7KCOJ)h6fdt+%b"Oj1%@{uQ8Jz<"IENDB`DyK info@rocklands.co.nzyK 8mailto:info@rocklands.co.nzDyK www.rocklands.co.nzyK 8http://www.rocklands.co.nz/D@D NormalCJ_HaJmH nHsH tHDA@D Default Paragraph FontRiR  Table Normal4 l4a (k(No List6U@6  Hyperlink >*B*ph &Lt"#h4BV4yop U 00000000p0@00000000000000p0p000000p00p0p00p0p0 y   z XXܠ3$C"ݠ3l"ޠ3lB"ߠ3,"3>!&&CC 88KK 8*urn:schemas-microsoft-com:office:smarttagstime;*urn:schemas-microsoft-com:office:smarttagsaddress:*urn:schemas-microsoft-com:office:smarttagsStreet9*urn:schemas-microsoft-com:office:smarttagsplace8*urn:schemas-microsoft-com:office:smarttagsCity 011HourMinute*1zQUq t %z#3Vvyy U zq OwnertM\Q@@h P@UnknownGz Times New Roman5Symbol3& z Arial;|i0Batang"1h:F:Fn*n*!4 3QH ? OwnerOwnerOh+'0x  4 @ LX`hp ssOwnerfwnewneApplication For Residency.Ownerat2neMicrosoft Word 10.0@F#@f#0@f#0n*՜.+,D՜.+,, hp|  o A  Title$ 8@ _PID_HLINKSA ~|http://www.rocklands.co.nz/fmailto:info@rocklands.co.nz  !"#$%&')*+,-./12345679:;<=>?BRoot Entry F<DData 31Table(WordDocument.SummaryInformation(0DocumentSummaryInformation88CompObjj  FMicrosoft Word Document MSWordDocWord.Document.89q