Tenant Application Form

APPLICANT DETAILS

Surname

Full first names

Cell number

ID number or Passport No

E-mail address

CO-APPLICANT DETAILS

Please fill in CO-applicant details if you are applying together

Surname

Full first names

Cell number

ID number or Passport No

E-mail address

CURRENT ADDRESS

Current residential address

Number of years resident

Name of rental agent or landlord

Contact number of rental agent or landlord

E-mail address of rental agent or landlord

EMPLOYMENT DETAILS

Name of current employer

Contact number of current employer

Gross monthly income (R)

How long have you worked there?

JUDGMENTS

Have you ever had any court judgments awarded against you?

Yes

No

PARTNER DETAILS

Name

If married, please indicate which is applicable

In community of property

Out of community (antenuptial contract)

SUPPORTING DOCUMENTS

Please add co-applicant copies as well if you are applying together

ID Copy

3 Month Banks Statement(s) or 3 Months Payslip(s)

Current Proof of Residence(s)

DECLARATION

The applicant declares that (i) all information provided above is truthful, complete, accurate and correct, and (ii) the applicant has not failed to provide any information which, if the agent or landlord had known of such information, they would not have approved the application.

No agreement of lease shall be deemed to exist between the landlord and the applicant until the landlord has signed a written lease, or the agent has signed a written lease on behalf of the landlord.

The applicant agrees and allows the agent to contact, request and obtain information at any time and from any credit provider (or potential credit provider) or registered credit bureau, to assess the behaviour, profile, payment patterns, indebtedness, whereabouts and creditworthiness of the applicant as potential tenant.

Subject to the agent complying with the Protection of Personal Information Act, Number 4 of 2013 ("POPI") (to the extent applicable), the applicant consents to the agent or landlord(s) disclosing, accessing, storing, screening and processing his or her personal information, as defined in POPI.

On condition that this application is successful, the applicant agrees that the agency or landlord may send payment profile and related data of the tenancy of this property to any registered credit bureau.

SIGNATURE

Signature

VERIFICATION

Please complete the verification.