Ithemba Referral Agent Application

Ithemba Referral Agent Application

please complete all questions and submit the required documentation.
Name*

First NameLast Name
Are you renting at Ithemba Property?*

YesNo
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Home Number

Area CodePhone Number
Cellular Number*

Area CodePhone Number
Work Number*

Area CodePhone Number
File Upload*

Browse Files
Upload your ID and proof of bank account letter where we will make the payment here Cancelof
By submitting these details, you consent to receive communications from Ithemba Property Management (Pty) Ltd and accept that all personal information is held and processed in accordance with the Protection of Personal Information Act, No. 4 of 2013 and only used for the purposes for which it is collected.
I have read and AcceptI Decline
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