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SECTION A SECTION B - Daleglen

RESIDENTIAL APPLICATION FORMTel: 021 424 1210 Fax: 086 212 9333 IMPORTANT NOTES: For each Applicant/Occupant copies of the following documents should accompany this Application form . (Please tick box)ID DocumentProof of income - ( Payslip or 3 months bank statements)Proof of current residential address - ( copy of lease, cell phone, clothing, bank or credit card account) Completion of this form does not guarantee that you will be accepted as a Lessee as final acceptance is that of the Lessor. Successful applicants are notified within three days. A R125-00 credit check fee is payable by each adult Applicant once application has been accepted. Pets / Animals may NOT under any circumstances be kept in or on the premises. PLEASE ENSURE THAT THE APPLICATION form IS COMPLETED IN FULL IN ORDER TO BE ELIGIBLE FOR - ACCOMODATION APPLIED FOR:Flat / House:No:Garage No:Parking Bay No:Occupation Date:Number of adults to occupy the premises:( SECTION B to be completed by First Applicant and SECTION C for every other.)

RESIDENTIAL APPLICATION FORM Tel: 021 424 1210 Fax: 086 212 9333 residential@daleglen.co.za www.daleglen.co.za 5 - EMPLOYMENT REFERENCE …

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