Rental Application Form for Residential Premises

I / We
The Address of the Premises is:

Details of First Person Applying to Rent the Premises

Full Name:

ID No:

Passport No:

Date of Birth:

Nationality:

Marital Status:

If Married:

Home Telephone:

Work Telephone:

Fax:

Mobile:

Email Address/es:

Address where you currently stay:

Postal Address:

Are you the Owner of the property where you currently stay?:

If No, Please Give Us the Following Information:

Rental Paid:

How long have you rented there:

Name of Rental Agent / Landlord:

Office Number:

Mobile:

Email Address/es:

Banking Details:

Name:

Bank:

Branch & Code:

Account Number:

Type of Account:

Employment Details:

Self-employed:

Occupation:

Current Employer:

Employer's Address:

Period of Employment:

Affordability Details:

Net Monthly Salary (after deductions & tax):

Current Monthly Expenses:

Details of Second Person Applying to Rent the Premises:

Full Name:

ID No:

Passport No:

Date of Birth:

Nationality:

Marital Status:

If Married:

Home Telephone:

Work Telephone:

Fax:

Address where you currently stay:

Postal Address:

Banking Details

Name:

Bank:

Branch & Code:

Account Number:

Type of Account:

Employment Details:

Self-employed:

Occupation:

Current Employer:

Employer's Address:

Period of Employment:

Affordability Details:

Net Monthly Salary (after deductions & tax):

Current Monthly Expenses:

General Details: Please Complete this in Detail

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

Number of Adults:

Number of Children:

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:

Registration:

2. Type:

Registration:

3. Type:

Registration:

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

If Yes, please give Details:

Please Attach the Following:

Kindly compress (zip) all of the following documents for both the first and second person, and upload it using the field below.

RSA ID Document / Passport
Proof of Current Address
Payslip
3 Month’s Bank Statements

I/We agree and allow the Landlord or Agent at all times to:

Contact, request and obtain information from any credit provider (or potential credit provider) or registered credit bureau that may be necessary to assess my/our behaviour, profile, payment patterns, indebtedness, whereabouts, and creditworthiness;
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.

Upload your Files here:

Full Name & Surname:

Signed by the Applicant at:

on this the:

day of:

20:

Full Name & Surname:

Signed by the Second Applicant at:

on this the:

day of:

20: