@®€skom a APPLICATION TO RENT (ESKOM & ROTEK EMPLOYEES) To be completed by applicant ‘Tenant information (Employee) ‘Spouse or partner information E ll name rt names ic Surname: [Surname: IO Number: ID Number: [Email Address [Email Address Employment information (Employee) Employment information (Spouse/ Partner) | mioyer: (Eskom or Rotek) Employer | Business Unit: lAddress: Joate employed [Dave employed: JUnique number: JEmployee number: Designation: Designation: [Tel number work: [Tel number Work: {Cell Number: [Cell Number: Number of dependants living with you: |f you are currently a property owner please complete the following Reason for applying to Lease Eskom Residential Property Tipe of property required: [House 2 3 or4 bedrooms, Flat 2 or 3 bedrooms, Bachelor fat ETC) 'hereby understands that the provision of residential accommodation by Eskom could result in a monthly taxable fringe benefit and the PAYE will be deducted from my salary. Applicant Signature: Application date: eee EE Eee eae To be completed by Property Practitioner: Application Received by: Date & time received: on wating ti: (ea) Senstre: Address Allocated: Employees current posit ‘Allocation of Property: Monthly Rental: Date Allocated: Occupancy Date: Aliocated by: ‘SAP RE RO number: Signature: SAP RE Contract number: