Apply for Residence Today! Property Information Property Name Room Type: (Single, Sharing, triple) Your Information Your Name Gender ID Number Cellphone Number Email Address Current Physical Address Allergies University/College Information University/College Attending Student Number Course Studying Attach Proof of Acceptance Funding Information Are You a NSFAS, Private Bursary or Private Student? (Specify which one) Bursary/Financial Aid Officer Name Bursary/ Financial Aid Officer Number Bursary Contact Email Address Details of person responsible for paying your account Name and Surname ID Number Cellphone Number Email Address Physical Address Details Attach Proof of Residence Alternative contact details Emergency Contact Name Emergency Contact Number Emergency Contact Email Address Bank Account Details (For deposit refunds) Bank Account Holder Name Account Number Branch Branch Code Type of Account Attach Proof of Banking
