Residential Rental Application Form

Name of Property your are interested in: *

DETAILS OF FIRST PERSON APPLYING TO RENT THE PREMISES

First Name *

Last Name *

Identity / Passport No. *

Date of Birth *

Nationality *

Marital Status *

If Married: *

Telephone (Home) *

Telephone (Work) *

Telephone (Fax)

Telephone (Mobile) *

Email Address *

Physical Address *

City

State/Province

ZIP / Postal Code

Country

Are you the Owner of the property where you currently stay? *YesNo

Rental Paid

How long have you rented there?

Name of Rental Agent / Landlord

Contact Number

BANKING DETAILS

Bank *

Branch & Code *

Account Number *

Type of Account *

EMPLOYMENT DETAILS

Self-employed: *YesNo

Occupation: *

Current Employer: *

Employer's Address: *

Period of Employment: *

AFFORDABILITY DETAILS

Gross monthly salary (before deductions & tax) *

Salary payment date *

Current monthly expenses *

DETAILS OF SECOND PERSON APPLYING TO RENT THE PREMISES

First Name *

Last Name *

Identity / Passport No *

Date of Birth *

Nationality *

Marital Status *

If Married: *

Telephone (Home) *

Telephone (Work) *

Telephone (Fax)

Telephone (Mobile) *

Email Address *

Physical Address *

City

State/Province

ZIP / Postal Code

Country

Are you the Owner of the property where you currently stay? *YesNo

Rental Paid

How long have you rented there?

Name of Rental Agent / Landlord

Contact Number

BANKING DETAILS

Bank *

Branch & Code *

Account Number *

Type of Account *

EMPLOYMENT DETAILS

Self-employed: *YesNo

Occupation: *

Current Employer: *

Employer's Address: *

Period of Employment: *

AFFORDABILITY DETAILS

Gross monthly salary (before deductions & tax) *

Salary payment date *

Current monthly expenses *

GENERAL DETAILS

Who will be staying at the Premises for the whole period of the Lease?

Number of adults *

Number of children *

Children’s ages *

Names of Schools attended by children *

Number Pets owned *

Type: *

Number of vehicles at Premises

1. Type

1. Registration

2. Type

2. Registration

3. Type

3. Registration

Have you (or both of you) ever had any judgments / defaults granted against you? *YesNo

If Yes, please give details

Upon acceptance by the Landlord and the presenting of an Agreement of Lease, I/we agree to pay the following:

Deposit *

Key deposit *

Electricity deposit *

Lease fee *

Pro-rata rent *

1st Month rent *

Total *

SUPPORTING DOCUMENTS TO BE ATTACHED WITH THIS APPLICATIONFirst Person

Certified RSA ID Document / Passport *

No file chosen

Certified Proof of current address *

No file chosen

Certified SARS Tax Number Verification *

No file chosen

3 x Certified Pay slips *

Certified 3 Month’s Original or Bank-Stamped bank statements *

SUPPORTING DOCUMENTS TO BE ATTACHED WITH THIS APPLICATIONSecond Person

Certified RSA ID Document / Passport *

No file chosen

Certified Proof of current address *

No file chosen

Certified SARS Tax Number Verification *

No file chosen

3 x Certified Pay slips *

Certified 3 Month’s Original or Bank-Stamped bank statements *

Date Signed *