Date of Birth
Institution of Study
Name of Degree / Course
Undergraduate / Postgraduate? ---UndergraduatePostgraduate
Year of study for 2022
Tell us about yourself in short:
Are you a bursary student? ---YesNo
Apartment Option — Select —
*Please note - only available rooms will show in drop-down menus
Wifi upgrade @ R150---YesNo
Would you like a parking bay?---YesNo
*Please note - the parking bay comes at an additional cost of R450/month.
*Guarantor - The person/institution responsible for the payments of accounts.
Name of Employer
Work Tel. No
Copy of IDs/Passports (Applicant and Guarantor)
Proof of Earnings (Payslip or 3 months bank statements)
Proof of Registration/Acceptance at Institution
Letter of Bursar/Sponsor, if Applicable
Please attach your proof of payment, as well as the reference you used when making the payment. If you have not done so, please see banking details below in order to do so.
Proof of Payment
A copy of the Applicant’s vaccination card (if available*)
Vaccination Status: ---Fully vaccinatedSinge shot / partially vaccinatedNot vaccinated yet, planning to receive
*Note that all residents must be fully vaccinated prior to taking occupation of their rooms. A failure on the resident’s part to be fully vaccinated prior to the occupation date shall not entitle the resident to cancel or terminate the accommodation services agreement and the resident shall receive access to his room as soon as they are able to provide proof of vaccination.