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APPLICATION FORM

To apply for rental housing with Imizi Housing Utility, please fill in all the fields.
Applicant declaration: I declare that the information I have provided is true and current. I agree that Imizi Housing Utility NPC may check my credit record. I agree that my personal information may be processed in terms of the POPI Act.

I am aware that my combined household net income must not exceed R22,000 per month to be eligible.

I am aware that there is a non-refundable application fee of R200.00 payable for each application.

Please deposit R200.00 into:
Account Name: Imizi Housing Utility
Bank: FNB
Branch: 2610050
Account Number: 62098456439
Reference: Your Surname & Initials

*Please include the proof of payment with the documents that you upload later*

*I agree that I will attend the compulsory tenant interview/training sessions, should my application be approved.*

Include Co-Applicant

Pre Qualification

Applicant 1

I am a South African citizen*

Yes

My total household Nett income is less than R22000.00*

Yes

I give consent to Imizi Housing conducting a credit check on me and every other adult applicant on this form*

Yes

I do have ID, payslips, and bank statements ready in .PDF, .JPEG format*

Yes

I have a bank account*

Yes

I give consent to my / our information being held in terms with the POPI Act*

Yes

I do not have nor ever had property (OR RDP HOUSE) registered in my / our name currently*

Yes

I have NOT applied for an RDP house in the last 12 months*

Yes

My total household Nett income is more than R4855*

Yes

Note: All fields must be answered "Yes" to qualify for rental housing.

Personal Details

Applicant 1

Title*

First Name*

Middle Name

Surname*

Phone Number*

Email*

Gender*

ID Number*

Date of Birth*

Housing Situation

Housing Situation*

Current Address*

Years at Current Address*

Landlord Name

Landlord Phone Number

Next of Kin

Next of Kin Full Name*

Next of Kin Relationship*

Next of Kin Phone Number*

Next of Kin Email*

Next of Kin Address*

Additional Information

Do you have special needs?

(e.g. Ground floor unit, disability unit)

Document Upload

Please upload all required documents to complete your application

Proof of Payment*

Upload Proof of Payment

Deposit receipt, bank transfer confirmation

ID Document*

Upload your ID Document

Supported formats* PDF, JPG, PNG

Proof of Income*

Upload Proof of Income

Recent payslips, proof of pension, or employment letter

Last 3 Months bank statements*

Upload your statements*

Statements

Employer Details

Applicant 1

If self employed, specify

Company Name*

Job Title*

Contact Person*

Office Phone number*

Company Address*

Income and Expenses

Applicant 1

Income

Gross Salary*

Deductions

Net Salary*

Other Income

Total Income

Total income must be between 4 855,00 and 22 000,00

Expenses

Rent*

Water and Electricity*

Phone Costs*

Groceries*

Travel Costs*

Vehicle Repayment and Insurance*

School Fees*

Total Credit Repayment*

General Insurances*

Medical Aid*

Child/Family Support*

Entertainment*

Other*

Total Expenses

Adults: 1 (applicant only), Children: 0

If you have no other occupants to add, click Submit Application to continue.

APPLICATION FORM

Pre Qualification

Applicant 1

Personal Details

Applicant 1

Housing Situation

Next of Kin

Additional Information

Document Upload

Employer Details

Applicant 1

Income and Expenses

Applicant 1

Income

Expenses

Unit Preference