APPLICATION FORM FOR THE PURCHASE OF NKULUMANE/PUMULA RESIDENTIAL STANDS: KNOW

YOUR CUSTOMER CHECKLIST

1. DETAILS OF PROSPECTIVE PURCHASER:

Title: Mr. Mrs Miss Other

First Names…………………………………………………………………………………………...

Surname…………………………………………………………………………………….

Date of birth: …...……………………………………………………………………………...

Nationality: ………………………………………………………………………………

ID / Passport number: ……………………………………………………………………….

Physical Address: ……………………………………………………………………….

………………………………………………………………………

Mobile Number: ……………………………………………………………………………

Landline number: ………………………………………………………………………….

Email: …………………………………………………………………………………….

2. STAND DETAILS

Stand number: ………………………. Stand size .........................sqm

Total selling price (Inc. VAT): …………………………………………………………..

PAYMENT TERMS: ……………………………………………………………………….

 3. SOURCE(s) OF FUNDS
……….……………………………………………………………………………
…………………………………………………………………………………………
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4. BANK DETAILS

Bank / Building Society ……………………………………………………………………

Account ho l d ers n a m e : ………………………………………………………………

Account number: …………………………………………………………………………...

Branch code: ……………………………………………………………………………………………………...

Account type: Current Savings

FOR INTERNAL USE

RECOMMENDED BY…………………………………

DATE……………………………………………………

APPROVED BY……………………………………….

DATE………………………………………………..