First Applicant: Personal Details
Are you the owner of the property where you currently stay?
Select
Yes
No
If no, please provide us with the following information:
General Details
Who will be staying at the premises for the whole period of the lease if an agreement is concluded?
Names of All Adults / Occupants *
Please upload photos of each pet and a copy of the current vaccination / vet book. Accepted formats: PDF, JPG, PNG (max 10 MB each).
Vehicles at the Premises
Have you (or both of you) ever had any judgements / defaults granted against you? *
Select
No
Yes
If yes, please provide details
Supporting Documents
Upload copies of the following documents. Accepted formats: PDF, JPG, PNG (max 10 MB each).
If a file is larger than 10 MB, or you prefer, you can email your supporting documents directly to
[email protected] . Please include the applicant’s full name in the subject line.
First Applicant
FICA: Client Information (Natural Person)
In terms of the Financial Intelligence Centre Act (FICA), we are required to collect the following information.
Residential Address (if different from above)
Politically Exposed Person (PEP) Assessment
Please indicate if you (or the second applicant) currently hold, or have held in the preceding 12 months, any of the following positions. Tick all that apply, or leave blank if none.
Foreign Politically Exposed Person (FPEP), meaning a member of royal family, cabinet, senior political party leader, senior judicial officer, senior executive of a state-owned entity, or high-ranking military officer in a foreign country
Domestic Politically Exposed Person (DPEP), meaning President/Deputy President, cabinet minister, premier, MEC, mayor, political party leader, member of royal family/senior traditional leader, head of a national/provincial department, manager/CFO of municipality, chair/CEO/CFO of public entity, prominent judge, ambassador, or SANDF officer above major-general
Prominent Influential Person (PIP), meaning a chairperson of a board of directors, chairperson of audit committee, executive officer, or CFO of a company providing goods/services to an organ of state above a prescribed threshold
Declaration & Consent
I / We hereby declare that the details furnished herein are to the best of my / our knowledge true and correct. If this application is approved, I / we accept full responsibility for payment of the rental in advance on the 1st day of each month.
No agreement of lease shall be deemed to exist between the landlord and the tenant until the lease has been duly signed by or on behalf of the landlord.
I / We undertake to inform the Landlord or his / her / its Property Practitioner in writing of any changes to any information provided in this application form.
I / We agree and allow the Landlord or Property Practitioner to contact, request and obtain information from any credit provider, bank or registered credit bureau necessary to assess my / our creditworthiness; and to furnish information concerning my / our behaviour, profile, payment patterns, indebtedness and creditworthiness to any registered credit bureau or credit provider. *
I / We consent to The Property Bureau collecting and processing my / our personal information in accordance with the Protection of Personal Information Act (POPIA) for the purpose of evaluating this rental application. *
I / We confirm that the information provided above is true and accurate to the best of my / our knowledge. *
I confirm that the documents submitted are true and accurate copies of the originals, and I consent to verification checks being conducted. *
Second Applicant: Electronic Signature
Disclaimer
This application does not constitute an agreement of lease. No lease agreement shall be deemed to exist until a formal lease document has been duly signed by or on behalf of the landlord. The Property Bureau reserves the right to decline any application without providing reasons. All personal information provided will be handled in accordance with the Protection of Personal Information Act (POPIA) and used solely for the purpose of evaluating this rental application and related credit and reference checks. The applicant(s) acknowledge that any false or misleading information provided may result in the immediate termination of any lease agreement entered into.
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