2022 APPLICATION FORM

    Section 1: Applicant Details








    YesNo


    MaleFemale

    Section 2: Next of kin details







    Section 3: Please tick the month you want to move in

    September 2021October 2021November 2021December 2021January 2022February 2022March 2022

    Section 4: Room selection

    Six Sleeper: From R1 650Five Sleeper: From R1 970Four Sleeper: From R2 190Three Sleeper: From R2 800Two Sleeper: From R3 135One Sleeper: From R4 900

    Kindly Note: Above Price Excludes Fixed Water & Electricity Charges of R450.00 p/m.

    Section 5: Supporting Documents

    In addition to the information requested above, please attach clear copies of the following documents listed below in order to facilitate the processing of your application.

    (Only PDF's can be uploaded)






    Banking Details

    Account Name: Speedorikos Gonzalos Holding Trust
    Branch: ABSA – 632 – 005
    Account Number: 1372190015
    Reference: Please use your account number

    Disclaimer: Please note: Urban Einstein is fully compliant under the new POPI ACT regulations as of 1 July 2021.

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