urbanstatus.co.za/application-form
Dear [fname]
Thank you for your social housing application with Urban Status.
We have successfully received your submission.
IMPORTANT: Credit Check fee
Please note the Credit Check fee which is R250 is to be paid in the following Account
ABSA BANK
ACC HOLDER : DEVMARK PROPERTY GROUP
ACC TYPE : CHEQUE CURRENT ACCOUNT
ACC NO : 409 652 6036
BRANCH CODE : 632 005
REFERENCE : FIRST 6 DIGITS OF YOUR ID NO AND SURNAME
Your application will only be considered once all required documentation has been submitted.
Please upload your documents here now:
www.urbanstatus.co.za/documentation
Documents required:
– Proof of payment of R250 for Credit Check
– Your ID
– Your spouse/ partner’s ID (if applicable)
– Current Payslip
– 3 Month’s bank statements
– Birth certificates of dependant children (if applicable)
Click here to upload your documents:
www.urbanstatus.co.za/documentation
PLEASE SEE YOUR COMPLETED APPLICATION BELOW
SECTION 1: UNIT DETAILS
Select Unit Type preference : [unitpreference]
Select Floor preference : [floor-preference]
Any disabled household members : [radio-diabled01]
If yes to above, do you require a special unit for disabled persons? : [radio-diabled02]
Details of the Unit
Number of single adults to occupy the unit : [number-singleadults]
Number of children under 16 living in the unit : [number-children]
Parking Space
Do you own a car : [radio-car155]
If yes, would you like to rent a parking bay : [radio-763car]
Car registration number(s) : [text-car-registration]
SECTION 2: Personal Particulars
First Name : [fname]
Last Name : [lname]
Gender : [gender-822]
Nationality : [nationality-876]
Form of Identification : [checkbox-idtype]
ID/ Passport Number as selected above : [idnumber-183]
Contact Details
Contact Number : [phoneno-183]
Email Address : [email-115]
Residential Address : [address-310]
Criminal Record
Do you or any of members of your household have a criminal record? : [criminalrecord-550]
If yes to above, please explain : [criminalrecord-551]
Credit Check Fee
Do you consent to a credit check? : [checkbox-cconsent1]
Banking Details
Account holder : [accountholder-943]
Bank Name : [bankname-881]
Account Type : [accountrype-543]
Account Number : [accnumber-914]
Bank Branch : [branchcode-881]
Do you consent to and authorize your rental being deducted via debit order from the above bank account? : [checkbox-cconsent2]
SECTION 3: Income & Employment
Gross Monthly Income : [salary-893]
Income Particulars for applicant (required) : [incomeapp01]
Income Particulars for partner (if applicable) : [incomeapartner02]
Work Status
Please indicate if you are : [employmentstatus-893]
Current Employer (Name of Company) : [employer-591]
Your Occupation : [occupation-591]
Length of service (in months) : [service-206]
Contact Person at company : [superior-591]
Work Telephone Number : [wnumber-362]
Work Address : [waddress-137]
SECTION 4: SPOUSE
PARTNER : [areyoumarried]
First Name : [fnams02]
Last Name : [lnames02]
Gender : [gender-822s02]
Nationality : [nationality-876s02]
Form of Identification : [checkbox-idtypes02]
ID/ Passport Number as selected above : [idnumber-183s02]
Spouse Contact Details
Contact Number : [phoneno-183s02]
Email Address : [email-115s02]
Residential Address : [address-310s02]
Spouse Employer Details
Work Status : [employmentstatus-893s02]
Current Employer (Name of Company) : [employer-591s02]
Occupation : [occupation-591s02]
Length of service (in months) : [service-202s02]
Contact Person at company : [superior-598s02]
Work Telephone Number : [wnumber-362s02]
Work Address : [waddress-137s02]
SECTION 5: Residency History
Current housing situation : [applicanthousing-165]
Partner’s current housing situation (optional) : [partnerhousing-165]
If renting, basic current rent per month R : [rental-655]
Current residential address
Address : [address-589]
Length of Residence : [text* text-Residency-292]
Landlord/ Reference name : [landlordname-589]
Landlord/ Reference contact number : [landlordcontact-116]
SECTION 6: Next of Kin
Relative/Friend’s Name : [friendname-620]
Your relationship with them : [frienddrelationship-620]
Relative/Friend’s contact number : [friendno-395]
Relative/Friend’s Email : [friendemail-752]
SECTION 7: Household Composition
Please select the appropriate option : [dependants-164]
Number of dependants currently presently residing with you : [kidsnumber-970]
Dependant 1
Full Name : [depname-1]
Date of Birth : [birthdate-1]
Relationship : [deprel-1]
Dependant 2
Full Name : [depname-2]
Date of Birth : [birthdate-2]
Relationship : [deprel-2]
Dependant 3
Full Name : [depname-3]
Date of Birth : [birthdate-3]
Relationship : [deprel-3]
SECTION 8: Confirmation
YES – I understand that I need to submit my documentation upon completing this form in order for the application to be processed.
YES – I hereby give consent to Urban Status Rentals to obtain any information necessary from the relevant credit bureaus, previous landlords, employers and individuals provided as references in order to consider this application.
YES – I declare that I have read this form carefully and that all fields are true and correct.
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Submission Date: [_date] – [_time]
[_url]