Application Date:MonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year212621252124212321222121212021192118211721162115211421132112211121102109210821072106210521042103210221012100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926APPLICANT DETAILS (COMPANY/CLOSE CORPORATION/SOLE PROPRIETOR/NPO)Entity Name:Represented by:Trading Name:Capacity:Registration Number:ID / Passport Number:VAT Number:Mobile Phone:Income Tax Number:Email address:Street Number:Telephone Number:Province & Postal code:Street Name:City:(For communication and invoicing purposes)(If this is a combined application, the second applicant will be required to a separate form)PREMISES INFORMATION (ALL AMOUNTS ARE EXCLUSIVE OF VAT)Building Name:Unit Number:Lease duration:APPLICANT DETAILS (INDIVIDUAL/SURETY/REPRESENTATIVE)First Name:Surname:ID/Passport No:Date Of BirthMonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year212621252124212321222121212021192118211721162115211421132112211121102109210821072106210521042103210221012100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926Mobile Phone:Telephone No:Email Address:Street Number:Street Name:City:Province & CodeCO-APPLICANT DETAILS (INDIVIDUAL/SURETY/REPRESENTATIVE) First Name:First Name:ID/Passport No:Date Of Birth:MonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year212621252124212321222121212021192118211721162115211421132112211121102109210821072106210521042103210221012100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926Mobile Phone:Telephone No:Email Address:Street Number:Street Name:City:Province & Code:APPLICANT BANKING DETAILSBank Name:Account Name:Branch Name:Branch Code:Account Number:Account Type:CurrentTransmissionSavingsSUPPORTING DOCUMENTS For IndividualUpload fileDrag and Drop (or) Choose FilesCopy of ID, Proof of residence, Work Permit (if Foreigner), & Latest 3 Month Bank StatementRegistered Entity At CIPCUpload fileDrag and Drop (or) Choose FilesClose Corporation (CK1/CK2), Companies (CM1/CM29/CoR14.3/CoR39) & Latest 6 Month Bank StatementAcknowledgement: By signing this document,1. I understand that I am applying for the tenancy which does not guarantee acceptance. All information provided is true and accurate to the best of my knowledge. 2. I also grant my consent to the Landlord to obtain my Credit Report from any credit reporting agency to verify my background and financial standing. 3. I also acknowledge and agree to the term that in the event that the application is accepted, and an account is provided to the applicant to make applicable advance payments for the premises applied herein for the preservation of the premises, then the amounts paid in the advance will not be refunded if the applicant fails to occupy the reserved premises.Submit Application
