Application – Apex Rentals

Application Form

Complete our online form or download below

Personal Application Information

Title

Initials

Full Name & Surname

Email Address

Phone Number

Address

Province

Postal Code

Date of Birth

Are you a S.A citizen?
YesNo

ID Number

Attach Certified Copy of ID

Ethnicity

Marital Status

Home Language

Are you under Debt Review or have judgements against your name?
YesNo

Next of Kin

Contact Number

Are you the owner of the property where you currently stay?
YesNo

IF NO, please provide the following information:

Rental payment per month R

Period at current address

Landlord/Agency Name

Contact Number of Landlord/Agency

Banking Details

Bank

Branch

Branch Code

Account Number

Type of Account

Attach Bank Confirmation Letter

Attach 3 Months Bank Statement

Employment details

Job Title

Employment Status

Income Period

Monthly NETT Income

Attach Payslip

Current Employer

Employer's Address

General Information

Number of Adults

Number of Children

Pet Types

Number of Pets

I/We agree to all Apex Rentals Terms & Conditions and Privacy Policy. I/We declare that the information I/We have given in this application form is true and correct to the best of my/our knowledge and that I/We have not failed to provide any information which, if the Landlord of the premises had known such information, would not have allowed the application to be successful. I/We undertakes to inform the Landlord or his/her/it's Property Practitioner in writing of any changes to any information provided in this application form. I authorise Apex Rentals and their Associates to retrieve my credit report to assess my credit worthiness.

Dated at (Place)

Please Sign Your Signature below