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Accommodation:

Accommodation Type: *

Single Bedroom in a commune

Sharing Bedroom in a commune

Ensuite Bedroom in a commune

Bachelors/Garden Cottage

One Bedroom Flat

Two Bedroom Flat

Other, please specify

Personal Details:

Name: *

Date of Birth: *

Age: *

Marital Status: *

Single

Married

Divorced

Widowed

Nationality: *

South African

Other, please specify

Religion: *

Christian

Muslim

Other, please specify

ID/Passport Number: *

Contact Number #1: *

Contact Number #2:

Contact Number #3:

Email: *

Current Address: *

Apt, suite, etc.

Country

City

State

Zip code

Tertiary Education Details:

Which institution are you enrolled at? *

UFS

CUT

Other, please specify

Student Number: *

First Year of Study: *

Course enrolled for: *

Parent/Guardian #1

Name: *

Contact Number #1: *

Contact Number #2:

Contact Number #3:

Email address: *

Relationship: *

Occupation: *

Employer Name: *

Work telephone number: *

Parent/Guardian #2

Name: *

Contact Number #1: *

Contact Number #2:

Contact Number #3:

Email address: *

Relationship: *

Occupation: *

Employer Name: *

Work telephone number: *

Who will be responsible for your rental?

Name: *

Contact Number #1: *

Contact Number #2:

Contact Number #3:

Supporting Documents:

ID Document of the student/tenant *

Proof that the student has been accepted by the study institution (eg. Acceptance letter) *

Bursary letter if applicable *

3 Months Bank statements of the person responsible for the payments *

Salary Advice of the person responsible for the payments *

ID Document of the person responsible for the payments *

Declaration

Confirm agreement of declaration *

I hereby declare that the details furnished herein by myself of this Rental Application Form are to the best of my knowledge and belief true and correct. If my application is approved, I accept full responsibility for payment of rental in advance on the 1st day of each month. No Agreement of Lease shall be deemed to exist between the Landlord or his appointed Agent and the Tenant until the Lease has been duly signed by or on behalf of the Landlord or his appointed Agent.

I Agree

Complete

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ACCOMMODATION APPLIED FOR

Accommodation:

Personal Details:

Tertiary Education Details:

Parent/Guardian #1

Parent/Guardian #2

Who will be responsible for your rental?

Supporting Documents:

Declaration

Complete

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