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INFO PAGE

TENANT DETAILS

Erf: 8117 Addess: 5Starfish,Sandypoint,St Helenabaai

Full name:
Full name of spouse:
ID nr(s): (1) (2)
Married: Yes / No (If ‘yes’, how are you married )
Telephone nr(s): (H) (W)
(Cel) (Cel)
Email address:
Children: Yes / No (If ‘yes’, how many will live with you )
Vehicle registration:
Smoker/s: Yes / No
Pets: Yes / No (if ‘yes’, please specify )
Nearest family:
Address:
Contact number(s): (H) (W) (Sel)
Employer:
Employer address:

Employer contact nr(s): (W) (Cel)


Current address:
Agency: (Tel)
Address:
Agent Name: (Tel)
Occupation date: 1 April 2021 Smokers: yes/no

Hereby I certify that the above information is true and correct, and I give permission to Jacobsbaai Kontrei
Eiendomme to check my credibility.

Signed at on the day of 2021

___________________ _____________________
Applicant(s)

Witness(1)
Name: ID:

Witness(2)
Name:: ID:

Reg Name: Jacobsbaai Kontrei Eiendomme CC 2002/038446/23


Member: Marissa van Wyk

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