Please enable JavaScript in your browser to complete this form.Compulsory Supporting Documents (Please email to: info@povicom.co.za) *Current Payslip (not older than 3 months)Identity Document of ApplicantIdentity Document of Spouse (If applicable)Married, Divorce or Death Certificate (if applicable)Proof of AddressBirth Certificate of dependants (if applicable)Affidavits for unemployment (if applicable)Bank statements (last 3 months)Credit Check (R150 per applicant non refundable)Criminal record clearanceThese are the documents needed in order for your application to be considered. Please email these to info@povicom.co.za.A. Name of Applicant *FirstLastDate of Birth *Age *ID number *Nationality *South AfricanOtherContact Number *Email *Occupation *Current Employer *Employer's Address *Employer's Contact *Length of Service *A.2 Co-Applicant's Name (If Applicable or Proceed to Section B)FirstLastCo-Applicant's Date of BirthCo-Applicant's AgeCo-Applicant's ID numberCo-Applicant's NationalitySouth AfricanOtherCo-Applicant's Contact NumberCo-Applicant's EmailCo-Applicant's OccupationCo-Applicant's Current EmployerCo-Applicant's Employer's AddressCo-Applicant's Employer's Contact Number:Co-Applicant's Length of ServiceB. House Hold Composition *SingleMarried or Otherwise CoupleCouple WITH a child or child(ren)Single Parent with Child(ren)Name of Dependants / Additional OccupantsPeople staying with applicants who are unable contributing to rent.C. Residency History (Current & Previous) *Please list your residential address(es) for the past 2 years. (Address/Duration)Current Landlord Name & Contact Number *This is a reference for your tenancy Previous Landlord Name & Contact NumberThis is a reference for your tenancy Home Owner Status *Have NEVER owned a homeHave OWNED but not anymoreLiving with familyRental apartment or houseInformalApplicant must not have owned or currently own a house or any form of real estate.Current Rent Amount (If applicable)The amount you are currently paying for rent.D. Income Particulars - Applicant *Formal LabourInformal TradePensionDisability GrantMaintenance GrantOther (Please Specify)Income Particulars - Co-ApplicantFormal LabourInformal TradePensionDisability GrantMaintenance GrantOther (Please Specify)Income Particulars, If other specify below:Gross BASIC Income of Applicant (excluding overtime, odd jobs, etc) *Your income before deductionsGross BASIC Income of Co-applicant (excluding overtime, odd jobs, etc)Your partner's income before deductionsNet House Hold Income (After monthly expenses and excluding rent) *To calculate total surplus available for rent calculation.E. House Type *Bachelor Unit 1 Bedroom Unit 2 Bedroom Unit (Small)2 Bedroom Unit (Medium)2 Bedroom (Large)3 Bedroom Unit Choose a unit that you would like.Floor Preference *Ground FloorFirst FloorSecond FloorChoose what floor you prefer.Would you like a parking bay? *Open (R150/month)Covered (R200/month)NoParking is optional additional monthly expense.F. How did you hear about Povicom rentals? *FacebookPrivate PropertyGumtreePrinted mediaFamily/FriendsIf Other, Specify below.Marketing and ResearchIf other, How else did you hear about us?Declaration *I declare that I have read this form carefully and that all particulars are true and correct.I have read and understood the Povicom Information Booklet.I understand that my rental will be based on an average of 30% of my gross monthly income.Digital Signature *Fill out your full name as a form of digital signature.Special Comments or Messages to PovicomSingle Line TextPhoneSubmit