ROBOGUARD Outdoor Security Beams

Rental Application

Please fill in details below, you will be contacted to discuss your rental
and equipment requirements.

PERSONAL DETAILS

* =required fields

Title*

(required)

Name & Surname*

(required)

ID Number*

(required)

Date of Birth

Marital Status

Cell Nr.*

(required)

Home No.*

(required)

Work No.*

(required)

E-mail*

(required)

RESIDENTIAL STATUS

Residential Status

Residence Type

Years at Current Residence

Physical Address*

(required)

Aera Code*

(required)

Postal Address

Postal Code

LANDLORD DETAILS (TENANTS ONLY)

Landlord Name & Surname

Contact No.

Email Address

EMPLOYMENT DETAILS

Occupation

Employer*

(required)

Gross Monthly Income - Applicant

Gross Joint Income - Household

SPOUSE'S DETAILS

Title

Full Name

ID Number

Cell Nr.

E-mail

Occupation

Employer

PERSONAL REFERENCES 1

Name*

(required)

Cell Nr.*

(required)

Work No.*

(required)

Relationship*

(required)

PERSONAL REFERENCES 2

Name

Cell Nr.

Work No

Relationship

DECLARATION

1. I hereby certify that all details in this application form are true and correct.
2. I hereby acknowledge that the information is given for the purpose of assessing my ability to pay the monthly rental and understand that Digifax (Pty) Ltd t/a Digirent may investigate my payment history and report information concerning the conduct of my account to credit bureau and other entities.

I have read and accept the above declaration.

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