Unit Name & Number

Responsible Party Particulars:

Name

Surname

Full Name

Pets (choose)
yesno

Not all complexes allow pets. Formal approval needs to be obtained from the Body Corporate. Please ensure that you complete the required pet application form and that it is submitted to the Body corporate for approval.

Title (choose)
MrsMrMissOther

ID Number

Nationality

Marital Status (choose)
MarriedSingleEngaged

Number of Dependents

Present Address

Work Tel Nr

Postal Address

Cell Nr

E-mail Address

Employment Particulars:

Name of Employer

Contact Person

Occupation

Contact Person Nr

Work Address

Work Switchboard Nr

Monthly Income (After Deductions)

Period at Current Employer

Lease Particulars:

Term Required (choose)
6 Months12 Months

Commencement Date

Rent Amount

Student Accommodation
Are you, or your dependent, a NSFAS or other bursary student? (choose)
yesnoN/A

Student Number

Occupant Particulars:

(The person who is going to stay in the unit)

Title (choose)
MrsMrOther

Name

Surname

Occupant ID

Relationship

Cell Nr

E-mail Address

Monthly Income (After Deductions)

Work Tel Nr

Previous Accommodation:

LandlordFamilyFriend (choose)

Their Name

Their Contact Nr

Unit Name & Nr / Address

Period at Previous Accommodation

Rental Amount

I hereby confirm that my net salary or income is at least three times the rental amount or portion of rental amount for which I will be responsible.

Other Contactable References (family/friends) – Provide minimum of 2:

Name

Contact Number

Relationship

And

Name

Contact Number

Relationship

In order to complete your application, we will need the following documents:
* Copy of your ID (or passport and work permit if foreign national)
* Proof of income (latest payslip or letter of employment)
* 3 Months bank statements
* Proof of payment of application fee – R250.00

Application fee:

Kindly take note that a non refundable application fee of R250.00 is payable before an application will be considered and a credit check requested. The application fee must be paid into the following bank account.

Account holder: Potch Eiendomme Verhurings (Pty) Ltd
Bank: ABSA
Account Number: 4104636602
Type: Trust
Branch Code: 632005
Reference: App Surname

Upload Documents:
*If you need to upload documents larger than 10MB, we recommend using an online tool like ilovepdf to easily compress your PDFs. If you are unable please e-mail the attachments to admin@potcheiendomme.co.za
*Please note when the documents have been uploaded the document names will be displayed followed by a red cross. The red cross does not indicate an error and is merely an option to delete the documents and upload again.

The applicant hereby consents that, and authorises the landlord or agent to contact, request and obtain information from any credit provider (or potential credit provider) or registered credit bureau relevant to an assessment of the behaviour, profile, payment patterns, indebtedness, whereabouts, and creditworthiness of the tenant.

Yes

I hereby consent that Potch Eiendomme may use my Personal Information in accordance of the POPI act. For more information visit Privacy Policy

Yes