Application Form Complete our online form or download below Download Application Form Personal Application Information Title MrMrsMissMsDr Initials Full Name & Surname Email Address Phone Number Address Province Eastern CapeFree StateGautengKwaZulu-NatalLimpopoMpumalangaNorth WestNorthern CapeWestern Cape Postal Code Date of Birth Are you a S.A citizen? YesNo ID Number Attach Certified Copy of ID Ethnicity AfricanIndianColouredAsianWhiteOther Marital Status Never MarriedMarried COPMarried ANCMarried ANC without accrualDivorcedLegally SeparatedWidowed Home Language AfrikaansEnglishNdebelePediSothoSwatiTsongaTswanaVendaXhosaZulu 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 PermanentTemporaryContractSelf EmployedCommission Income Period WeeklyFortnightlyMonthly Monthly NETT Income Attach Payslip Current Employer Employer's Address General Information Number of Adults Number of Children Pet Types DogCatOther 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) ON 20 Please Sign Your Signature below Clear
