Albertynshof - Kimberley

APPLICATION FORM

The application hereof does not guarantee the acceptance of the applicant as a tenant, nor does it constitute a lease.

6 ON ANGEL | ALBERTYNSHOF

081 049 7077 | albertynshof@mystudentsa.co.za

Guarantor Details Party responsible for signing the contract and paying the rental.

Full Name *

Landline No *

Surname *

Previous Rental Reference *

ID Number *

Employer/Student *

Residential Address *

Employer/Landlord Contact Number *

Email *

Banking Details of Guarantor/Student *

Cell No *

Monthly Income *

Student Details Party who will be occupying the room.

Full Name *

Student No *

Surname *

Academic Year *

ID Number *

Cell No *

Gender *

Email *

Admin Fee (Private Students)

R1 000.00 | Non-refundable | First month rental

Banking Details:

ABSA | MYSTUDENTSA – KIMBERLEY | CHEQUE

ACCOUNT NO: 4 0 9 9 1 7 2 2 4 4

BRANCH CODE: 6 3 2 0 0 5

STUDENT REF: Name & Surname

Accommodation Rates

BRONZE STUDIO, Sharing Room

SILVER STUDIO, Single Room

GOLD STUDIO, Single Room

The guarantor / student agrees and allows MyStudentSA to contact, request and obtain information at any time and from any credit provider (or potential credit providers) or registered credit bureau, to assess the behavior, profile, payment patterns, indebtedness, whereabouts and credit worthiness of the applicant as a potential tenant. The guarantor / student consent to MyStudentSA accessing, storing, screening or processing its personal information, as defined in the Protection of Personal Information Act (No 4 of 2013), which MyStudentSA reasonably requires. This is subject to MyStudentSA complying with all provisions of this Act.

Guarantor Signature *

Student Signature *

Date *

After signing please email to: albertynshof@mystudentsa.co.za

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Pictures used on the website are for illustrative purpose. Rates are correct at the time of publishing but we reserve the right to adjust the rates due and payable from time to time.