APPLICATION FORM

To apply for rental housing with Imizi Housing Utility , please fill in all the fields
Applicant declaration I declare that the information I have provided is true and current. I agree that Imizi Housing Utility NPC may check my credit record. I agree that my personal information may be processed in terms of the POPI Act.

I am aware that my combined household nett income must not exceed R22000 per month to be eligible.

I am aware that there is a non-refundable application fee of R170.00 payable for each application.

Please deposit R170.00 into:

Account Name: Imizi Housing Utility
Bank: FNB
Branch: 2610050
Account Number: 62098456439
Reference: Your Surname & Initials

Please include the proof of payment with the documents that you upload later, or email a proof of payment to applications@imizi.co.za.

I agree that I will attend the compulsory tenant interview/training sessions, should my application be approved.

Please enable JavaScript in your browser to complete this form.
1PERSONAL DETAILS
2PRE QUALIFICATION
3RESIDENTIAL HISTORY
4UNIT
5APPLICANT DETAILS
6OTHER APPLICANT DETAILS
7EMPLOYER
8
9SUBMIT
Full Name
Relationship
Do you have any children / dependents that stay with you?

APPLICATION FORM

To apply for rental housing with Imizi Housing Utility , please fill in all the fields
Applicant declaration I declare that the information I have provided is true and current. I agree that Imizi Housing Utility NPC may check my credit record. I agree that my personal information may be processed in terms of the POPI Act.

I am aware that my combined household nett income must not exceed R22000 per month to be eligible.

I am aware that there is a non-refundable application fee of R170.00 payable for each application.

Please deposit R170.00 into:

Account Name: Imizi Housing Utility
Bank: FNB
Branch: 2610050
Account Number: 62098456439
Reference: Your Surname & Initials

Please include the proof of payment with the documents that you upload later, or email a proof of payment to applications@imizi.co.za.

I agree that I will attend the compulsory tenant interview/training sessions, should my application be approved.

Please enable JavaScript in your browser to complete this form.
1PERSONAL DETAILS
2PRE QUALIFICATION
3RESIDENTIAL HISTORY
4UNIT
5APPLICANT DETAILS
6OTHER APPLICANT DETAILS
7EMPLOYER
8
9SUBMIT
Full Name
Relationship
Do you have any children / dependents that stay with you?