Rental Application

Personal Information (Single Applicant)

First Names *

Surname *

Identity Number *

Physical Address

Post Code

Postal Address

Post Code

Cell

Tell. (H)

Tell. (W)

Email *

Income and Expenses (Single Applicant)

Monthly Gross Salary

Monthly Salary Deductions

Monthly Nett Income

Monthly Other Income

Bank & Branch Name (Banking Details)

Referral Agent

Personal Information (Spouse/Joint)

First Names

Surname

Identity Number

Physical Address

Post Code

Postal Address

Post Code

Cell

Tell. (H)

Tell. (W)

Income and Expenses (Spouse/Joint)

Monthly Gross Salary

Monthly Salary Deductions

Monthly Nett Income

Monthly Other Income

Bank & Branch Name (Banking Details)

I / We 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.