RENTAL APPLICATION FORM FOR RESIDENTIAL PREMISES

Rental Application for Residential Premises

!!NB!! This is a SINGLE PERSON APPLICATION. Each applicant needs to complete their own form.
Premises applying for?*
Date of occupation?*

DayMonthYear
Date
Details of Person Applying:
Full Name*

First NameLast Name
ID/Passport number*
Date of Birth*
Nationality
Marital Status
If Married, please select;
Cellular Number*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you the owner of the property where you currently stay?*

YesNo
If no, please provide us with the following information:
Rental Paid*
How long have you rented there?*
Name of the property practitioner/landlord*
Contact number of the person above*
Banking Details:

Kept on file in the case of debit orders or for deposit refunds
Bank and Branch *
Branch Code*
Account Number*
Type of account*
Employment Details:
Self-employed?*

YesNo
Occupation*
Current Employer*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Period of employment*
Gross monthly salary (before tax deductions)*
Nett monthly salary*
Current monthly expenses*

General Details

Who will be staying at the Premises for the whole period of the lease if an agreement (“Lease Agreement”) is concluded with the landlord of the Premises (“Landlord”)?
Number of Adults*
Names of Adults and their respective ID nrs*
Number of Children*
Names of Children and their respective ages*
Number of vehicles at the premises*
Please list vehicle type and registration number*
Have you ever had any judgements/defaults granted against you? If yes, please provide details*
Are you presently under, or have ever undergone, debt review proceedings? If yes, please provide details*
I / we declare that the information we have given in this application form is true and correct to the best of my / our knowledge and that I / we have not failed to provide any information which, if the Landlord of the Premises had known such information, would not have allowed the application to be successful.

I / we undertakes to inform the Landlord or his / her / its Property Practitioner in writing of any changes to any information provided in this application form.
Upon acceptance of this application by the Landlord and the conclusion of a Lease Agreement, I / we agree to pay the following:
Deposit: R   Type a label*
Lease Fees: R700.00
Pro-Rata Rent: R   Type a label*
1st Month's Rent: R   Type a label*
Total: R   Type a label*
The following documents are required and will need to be uploaded:
1. Certified RSA ID documents / passport
2. Proof of current address (no older than three months)
3. Three months' certified payslips / bank statements
4. Verified SARS tax number
Submit your supporting documents here:*

Cancelof
I agree and allow the Landlord or Property Practitioner at all times to:
1. contact, request and obtain information from any credit provider (or potential credit provider), bank or registered credit bureau that may be necessary to assess my / our behaviour, profile, payment patterns, indebtedness, whereabouts, and creditworthiness;
2. furnish information concerning the behaviour, profile, payment patterns, indebtedness, whereabouts, and creditworthiness of me / us to any registered credit bureau or to any credit provider (or potential credit provider) seeking a trade reference regarding my / our dealings with the Landlord.
Date*

MonthDayYear
Date
Name of Applicant*

First NameLast Name
Signature*

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Rental Application for Residential Premises

General Details