Online Lease Application Form 1Building Details2Personal Details3Next of Kin4Person Responsible For Rent5Terms and Conditions Unique IDName* First Last Email Address* Phone Number*What type of unit?Private Furnished Room: R4,500.00Private Unfurnished Room: R3,500.00Shared Furnished Room: R2,750.00Shared Unfurnished Room: R2,000.00Unit Number* Month of Occupation*MarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberWere you referred by a friend?NoYesReferrer's Name: First Last Referrer's Phone NumberReferrer's Email Address Do you require parking?NoYesHow many vehicles will be kept at the premises?*123Vehicle 1 Description (Make + Model)* Vehicle 1 Registration* Vehicle 2 Description (Make + Model)* Vehicle 2 Registration* Vehicle 3 Description (Make + Model)* Vehicle 3 Registration* Consent* I agree that by filling in this form, I give consent to Weinprop to review my personal information and perform a credit check. Are you a South African citizen?* Yes No Where are you studying?*Boston City Campus - BraamfonteinBoston City Campus - Johannesburg CityCentral Johannesburg CollegeDelcom Training Institute & Business CollegeGreenview CollegeJohannesburg City CollegeJohannesburg Institute of Engineering & Technology (TVET)Mpilo Royal CollegePC Training & Business CollegeUniversity of Johannesburg - Doornfontein CampusWits - Parktown CampusWits - Main CampusOtherPlease enter where you are studying.* Student Number I.D / Passport Number* HiddenPassport Number* ID or Passport Upload*Max. file size: 5 MB.HiddenID or Passport Upload (old) Study Permit*Max. file size: 50 MB.Birth date* DD slash MM slash YYYY GenderMaleFemaleOther Next of Kin Name First Last Next of Kin I.D / Passport Number Next of Kin Phone NumberNext of Kin Email Address Next of Kin Address Street Address Address Line 2 City Province Postal Code Person responsible for paying rent?*I will pay for rent myselfMy Parent/GuardianCompany SponsorOtherCompany Name* Responsible person's Name* First Last Relationship (mother, father, sibling, uncle, aunt, etc)* Responsible Person's I.D or Passport Number* Company Registration Number* Responsible Person's Email Address Responsible Person's Phone NumberIs the responsible person currently renting property?*YesNoLandlord Name First Last Landlord Email Address Landlord Phone Number*Responsible Person's Address* Street Address Address Line 2 City Province Postal Code How long has the responsible person lived here?* Have you / responsible person ever been evicted?*YesNoWhy were you evicted?*Responsible Person currently employed?*YesSelf EmployedNoPlease note that self employed applicants will need to submit 6 months' bank statements and will be required to provide proof of the business by means of CK documents and/or a letter from the bookkeeperResponsible Person's Current Employer* How long has the Responsible Person worked there?* Responsible Person's Monthly Nett Salary*Responsible Person's Gross monthly salary*Responsible Person's Current total monthly expenses:*Upload 3 months payslips of Responsible Person* Drop files here or Select files Max. file size: 5 MB, Max. files: 10. Please note that the payslips must be for the most recent 3/6 months. Old payslips may not be used.Upload 3/6 months bank statements of Responsible Person* Drop files here or Select files Max. file size: 5 MB, Max. files: 10. Please note that the bank statements must be for the most recent 3/6 months. Old payslips may not be used.Proof of Business. CK Documents / Letter from bookkeeper* Drop files here or Select files Max. file size: 5 MB, Max. files: 10. Responsible Person's ID / Passport Responsible Person's birth date* DD slash MM slash YYYY Is the Responsible Person a South African citizen?*YesNoNationality* Type of residency* Acknowledgement* Responsible Person agrees to the terms and conditions of this agreement Responsible Person's Signature* By submitting this application you agree that: The information provided herein is complete and accurate. Providing incomplete and/or false information could result in the your application being declined. Our leasing department is authorised to use any consumer reporting agency, credit bureau or other investigative means to verify your credit history and all other information provided, including verification of your banking details. Submission of this application does not guarantee rental of premises, which will only be reserved upon signing of a Lease Agreement by all parties. Additionally, no other agreements, either written or verbal, are binding on the applicant, owner or owner's agents until the completed Lease Agreement is signed by all parties. Additional information may be required in order to process your application. Our leasing department will contact you upon receipt of this online application to obtain any additional information necessary to complete the processing of your application. Acknowledgement* I agree to the terms and conditions of this agreement Applicant Signature*CAPTCHAHiddenApplication ProgressApplication SubmittedPaperwork CheckedTPN ProcessedApplication ApprovedApplication DeniedLease Drawn UpLoaded to MDAHiddenTPN DocumentAccepted file types: pdf, Max. file size: 5 MB.HiddenAdditional DocumentationMax. file size: 50 MB.HiddenDate of Occupation DD slash MM slash YYYY HiddenMonthly RentalHiddenDeposit AmountHiddenHeat PumpHiddenSewageHiddenParkingHiddenLease FeeHiddenWaterHiddenGas ChargeHiddenRefuseHiddenRemote ControlHiddenFumigationHiddenFirst Month Free?NoYesHiddenMonthly Rental BreakdownHiddenInitial PaymentHiddenLease Agreement*Max. file size: 50 MB.HiddenProof of Deposit Drop files here or Select files Max. file size: 50 MB. HiddenDeposit amount paidHiddenProof of Deposit (old)Max. file size: 50 MB.HiddenOccupation StatusMoved InDid not move inHiddenReason for unsuccessful applicationIncomplete PaperworkInsufficient IncomeFailed credit checkDeposit never paidOtherHiddenCancel ApplicationNoYesHiddenReasonReason for unsuccessful applicationHiddenComplete Lease AgreementMax. file size: 50 MB.HiddenLease agreement prices have changedNoYesHiddenBookkeepersLeratoAmoMaureenMerlePhoneThis field is for validation purposes and should be left unchanged.
