CONTACT FORM 7

Person Responsible for the Lease Contract (required)

Your Name (required)

Your Last Name (required)

Your ID (required)

Your passport number (NON RSA residents)

Your Email (required)

Your mobile number (required)

Your Physical Address (required)

Acknowledgement of one yearly payment

Your Bank (required)

Your Bank Account Name (required)

Your Account Number (required)

Your Account Type (required)

Your Swift Code (Non RSA bank accounts)

STUDENT DETAILS (Occupent staying in unit)

Your Name:

Your Surname:

Your Gender:

Your ID number:

Your Student Mobile Number:

Your Email:

University/College:

Your Student Number:

Your Course to Study:

Your Current Academic Year:

What House are you currently staying in?(required)

What room are you currently staying in?(required)

Would you like to stay on in your current house/room? If no, please fill in below choices:

Preferred Building/Unit number - First Choice:

Preferred Building/Unit number - Second Choice:

Preferred Building/Unit number - Third Choice:

Please list any medical conditions that we should know of:

Next of kin: (required)

Additional notes:

FICA DOCUMENTS (required)

Copy of ID (person signing contract):

Proof of Residence:

Copy of ID (Student):

Proof that Tenant is a Student:

Please leave this field empty.