RENTAL APPLICATION FOR RESIDENTIAL PREMISES

NATURAL PERSON
Version - August 2022

Address of Property

Rental Amount R7500

DETAILS OF FIRST PERSON APPLYING TO RENT THE PREMISES

Full Name DESIREE NAIDOO

Identity / Passport No. 890321 0192 081 (certified copy to be attached)

Date of Birth 21-03-1989

Nationality SOUTH AFRICAN
Marital Status SINGLE
If Married: In Community of
ANC ACCRUAL
Property
Contact Number(s) Home : Work : Cellphone : 079 103 0543
Email desireemnaidoo@gmail.com
Physical Address 34 SOL HARRIS CRESCENT, NORTH BEACH DURBAN
Postal Address SAME AS ABOVE
Next of Kin SOBASHINI NAIDOO Cellphone : 083 697 9880

Are you the Owner of the property where you currently stay? NO
___________________. If No, please complete the following information;

Rental Paid R9550

How long have you rented there 5 Years
Name of Rental Agent / Landlord Leslie
Contact number

BANKING DETAILS
Bank CAPITEC
Branch & Code 470010
Account number 162 684 4702
Type of Account SAVINGS
EMPLOYMENT DETAILS
Self-employed: YES / NO NO
Occupation ACADEMIC ASSESSMENT COORDINATOR
Current Employer MANCOSA
Employer's address 26 SAMORA MACHEL STREET
Period of employment
2016-03-28
AFFORDABILITY DETAILS
Gross monthly salary (before
deductions & tax)
18500 (certified copy of payslip attached)

Net monthly salary 16000 (certified copy of payslip attached)

Salary payment date 25TH OF MONTH

Current monthly expenses R1000

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DETAILS OF SECOND PERSON APPLYING TO RENT THE PREMISES

Full Name
(certified copy to be
Identity / Passport No.
attached)
Date of Birth

Nationality

Marital Status

If Married: In Community of Property ANC ACCRUAL

Contact Number(s) Home : Work : Cellphone :

Email

Physical Address

Postal Address

Next of Kin Cellphone :

Are you the Owner of the property where you currently stay? _______________. If No, please complete the following information;
Rental Paid

How long have you rented there

Name of Rental Agent / Landlord

Contact number

BANKING DETAILS
Bank

Branch & Code

Account number

Type of Account

EMPLOYMENT DETAILS
Self-employed: YES / NO

Occupation

Current Employer

Employer's address

Period of employment

AFFORDABILITY DETAILS
Gross monthly salary (before
(certified copy of payslip attached)
deductions & tax)
Net monthly salary (certified copy of payslip attached)

Salary payment date

Current monthly expenses

Initial

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

Number of adults 4
Number of children
0
Children’s ages
Names of Schools attended
by children
Number Pets owned NONE Type

Number of vehicles at Premises

1. Type
KIA PICANTO Registration ND 399 362
2. Type Registration

3. Type Registration

Have you (or both of you) ever had any judgments / defaults granted against you? NO
If Yes, please give details

Are you (or both of you) presently under, or have ever undergone, debt review proceedings? NO
If Yes, please give details

I / we declare that the information we have given in this application form is true and correct to the best of my / our knowle dge and that I / we have
not failed to provide any information which, if the Landlord had known such information, would have not allowed the application to be successful.

Upon acceptance by the Landlord and the presenting of an Agreement of Lease, I / we agree to pay the following:

Deposit R

Key deposit R

Electricity deposit R

Lease fee R

Pro-rata rent R

1st Month rent R

Total R

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SUPPORTING DOCUMENTS TO BE ATTACHED WITH THIS APPLICATION

First Person & Second Person

Certified RSA ID Document / Passport

Certified Proof of current address

3 x Certified Pay slips

Certified 3 Month’s Original or Bank-
Stamped bank statements

Verified SARS Tax Number Verification

3470922141

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

1. 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;

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.

Signed by the Applicant at (place) MANCOSA on 03-05-2024 2022

APPLICANT

Signed by the Second Applicant at (place) on 2022

SECOND APPLICANT

(SIGNATURES REQUIRED OF BOTH HUSBAND AND WIFE, OR PERSONS SHARING)

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