Postal Code
Yes No
Present Landlord Agent
Cell No
Tel (W)
Marital Status
Present Address
Postal Code
Cell No
Tel (W)
Marital Status
Present Address
Postal Code
Yes No
Present Landlord Agent
Cell No
Tel (W)
Initial
Building
Lease Period (6 or 12 Months)
Accommodation applied for:
Unit Number
Occupation Date
Rental
First Applicant
Name and Surname
Date of Birth
Identity Number
Cell No
Tel (W)
E-Mail
Are you the Owner of the property where you currently stay?
Years occupied
Rent amount per month
Next of Kin (First Applicant)
Name and Surname
Address
E-mail
Second Applicant (if applicable)
Name and Surname
Date of Birth
Identity Number
Cell No
Tel (W)
E-Mail
Are you the Owner of the property where you currently stay?
Years occupied
Rent amount per month
Email application to Kari van Wyk at:
kari@igrow.co.za | 021 206 0850
COMPLETION OF THIS FORM DOES NOT GUARANTEE THAT YOU WILL BE ACCEPTED AS A LESSEE.
FINAL ACCEPTANCE IS THAT OF THE LESSOR.
RENTAL APPLICATION FORM
Initial
Next of Kin (second applicant)
Name and Surname
Address Postal Code
E-mail Cell No
Tel (W)
CONTACT NUMBERS FOR ALL ADULT OCCUPANTS
Name
Number
Work Number
E-mail Address
DETAILS OF EMPLOYMENT
Employer’s Name
Employer’s Address
Occupation
Monthly Income
Payment Date
PAYE/Tax No
Period Employed
Tel No
Permanent Contract
HR Contact Person and number
First Applicant Second Applicant
NUMBER OF PERSONS TO OCCUPY UNIT
Adult (Male)
No:
Name/s Age/s
Adult (Female)
No:
Name/s Age/s
Child (Male)
No:
Name/s Age/s
Child (Female)
No:
Name/s Age/s
First Applicant
Name and Surname
Date of Birth Marital Status
Identity Number Present Address
Cell No
Tel (W)
E-Mail
Are you the Owner of the property where you currently stay? Yes No
Years occupied Present Landlord Agent
Rent amount per month Cell No
Tel (W)
Next of Kin (First Applicant)
Name and Surname
Address Postal Code
E-mail Cell No
Tel (W)
Second Applicant (if applicable)
Name and Surname
Date of Birth Marital Status
Identity Number Present Address
Cell No
Tel (W)
E-Mail Postal Code
Are you the Owner of the property where you currently stay? Yes No
Years occupied Present Landlord Agent
Rent amount per month Cell No
Tel (W)
Initial
BANKING DETAILS
NUMBER OF VEHICLES AT PREMISES
First Applicant
Second Applicant
Bank Branch Name Branch Code Account No
Bank Branch Name Branch Code Account No
First Applicant
Certified RSA ID document (of all occupants over 18 years)
Certified proof of current address
Certified pay slips (last 3 months)
Certified original or bank-stamped bank statements
(last 3 months)
Certified SARS tax number verification
Second Applicant
Certified RSA ID document (of all occupants over 18 years)
Certified proof of current address
Certified pay slips (last 3 months)
Certified original or bank-stamped bank statements
(last 3 months)
Certified SARS tax number verification
1. Type Registration
2. Type Registration
3. Type Registration
Yes No
Account
Name
Account
Name
SUPPORTING DOCUMENTS TO BE ATTACHED TO THIS APPLICATION
Have either of you ever had any judgements defaults granted against you?
Upon acceptance by the Landlord and the receipt of an Agreement of Lease, I/we agree to pay the following:
If Yes, please give details.
Deposit
Lease fee
Pro-rata rent
1st Month’s rent
TOTAL
R
R1200-00
R
R
R
Initial
DECLARATION
I/We declare that the information herein is correct. If the application is successful,
I/we agree to sign IGrow Rental’s standard lease agreement within 2 days of being requested to do so and, I/we shall be bound by all terms
and conditions thereof. No agreement of lease shall be deemed to exist between the Lessor (Agency) and myself until the lease has been
signed by, or on behalf of, the Lessor.
I/We (and all occupants listed on this application over the age of 18 years) hereby authorise the Landlord or Agent to:
• Contact, request and obtain information from any credit provider (or potential credit provider) or registered credit bureau relevant to an
assessment of my/our behaviour, profile, payment patterns, indebtedness, whereabouts, and creditworthiness;
Furnish information concerning my/our behaviour, profile, payment patterns, indebtedness, whereabouts, and creditworthiness to
any
registered
credit bureau or to any credit provider (or potential credit provider) seeking a trade reference regarding my dealings with
the
Lessor.
(SIGNATURES REQUIRED OF BOTH APPLICANTS IF SHARING )
Name
First Applicant
Signature
Signed at on this the this day of 20
Name
Second Applicant
Signature
Signed at on this the this day of 20
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signature
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signature
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