Khayalethu Residence Application Form

Khayalethu Student Accommodation Application Form

Please fill out the application form carefully
RESIDENCE PHOTOS
Khayalethu Student Accommodation_Clau Clau
Riverview Luxury Apartments_Emfuleni
Swan Street, Kanyamazane (Close to N4 Road). Click on the link for directions https://maps.app.goo.gl/8mPALLGPqyNrujMCA
Personal Information
Year of Application
Head-to-shoulder photo (ID like photo)*

Please do not wear sunglasses or cap
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ID Card 1st Side or Book*

Please send both sides of the ID Card
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ID Card 2nd Side*

Please send both sides of the ID Card
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Full Names*

Title (Mr/Ms/Dr)First NameMiddle NameSurname
ID Number*
Gender*
Birth Date

MonthDayYear
Ethnicity*
Home Language*
E-mail*
example@example.com
Phone Number*
Format: (000) 000-0000.
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Medical history (Optional)
This is optional. However, it would be at our advantage to know more about your conditions.
Parent/Guardian Details
Full Names*

Title (Mr/Ms/Dr)First NameMiddle NameSurname
ID Number*
Email
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Education Background

List your current or previous university/college/schools, beginning with the most recent
- University/College name*
- YesNo
- 1st Year2nd Year3rd Year4th YearHonorsMastersPHDProfessorship
- Entry date*
  
  MonthDayYear
  Date
- Graduation date
  
  MonthDayYear
  Date
- School name
- Entry date
  
  MonthDayYear
  Date
- Exit date
  
  MonthDayYear
  Date
- Course of Study name*
- Funder
- Name of funder*
  Select the funder
- Other
  If selected other, please specify the funder
- Activity Information
- Tell us more about yourself
  What activities do you like? What sport do you play?
- Residence and room selection
- Residence*
  Select the residence you wish to stay in (browse on the website to make an informative decision)
- Room type*
- LEASE AGREEMENT
  
  After completing this form, make sure you apply on the NSFAS Accommodation Portal as well. Click here:https://xgprod.nsfas.org.za/login
  
  Lease Agreement shall be signed online on the NSFAS Accommodation Portal.
- Signature*
  
  Clear
- Person referred you*
- Should be Empty:

Khayalethu Student Accommodation Application Form

RESIDENCE PHOTOS

Khayalethu Student Accommodation_Clau Clau

Riverview Luxury Apartments_Emfuleni

Personal Information

Parent/Guardian Details

Education Background

Funder

Activity Information

Residence and room selection