Rental Application

Please fill in details below, you will be contacted to discuss your rental
and equipment requirements.
PERSONAL DETAILS
* =required fields
Dealer/Installer* (required)
Name & Surname* (required)
ID Number* (required)
Date of Birth
Marital Status
Cell Nr.* (required)
Home No.* (required)
Work No.* (required)
E-mail* (required)
RESIDENTIAL STATUS
Residential Status
Residence Type
Years at Current Residence
Physical Address* (required)
Aera Code* (required)
Postal Address
Postal Code
LANDLORD DETAILS (TENANTS ONLY)
Landlord Name & Surname
Contact No.
Email Address
EMPLOYMENT DETAILS
Occupation
Employer* (required)
Gross Monthly Income - Applicant* (required)
Gross Joint Income - Household
SPOUSE'S DETAILS
Title
Full Name
ID Number
Cell Nr.
E-mail
Occupation
Employer
PERSONAL REFERENCES 1
Name* (required)
Cell Nr.* (required)
Work No.* (required)
Relationship* (required)
PERSONAL REFERENCES 2
Name
Cell Nr.
Work No
Relationship
DECLARATION
1. I hereby certify that all details in this application form are true and correct.
2. I hereby acknowledge that the information is given for the purpose of assessing my ability to pay the monthly rental and understand that Digifax (Pty) Ltd t/a Digirent may investigate my payment history and report information concerning the conduct of my account to credit bureau and other entities.
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Word of mouth