TENANT QUESTIONNAIRE FORM

(To be completed by the Applicant at the interview with Director/s)

1. NAME (Surname): ...........................................................................................................

(Christian Name/s) ...........................................................................................................
Contact Tel No: ............................................ Cell No: .................................................
Nationality:......................................... ID /or Passport No...........................................
Present Address : .............................................................................................................
................................................................................................... Postal Code ..............
2. Next of Kin: Family ........................................... Contact Tel No:..................................
Address.............................................................................................................................
Friend : Name .................................................. Contact Tel No:..................................
3. Name of (Present) Employer............................................................................................
Address of Employer: ......................................................................................................
Phone No: ........................................................... Fax no:..............................................
Date employed: ...............................................................................................................
PLEASE TICK NEXT TO YOUR ANSWER -

1. Have you ever been refused accommodation?

2. Do you have a Police record?
3. Is it your intention to run a business from this flat?
4. Who will be living with you?
...........................................................................................
5. Will there be extra people staying over?

YES............... NO................
YES............... NO................
YES............... NO................
YES............... NO................

Applicants Signature: _______________ Print Name:______________Date:________

_______________________________________________________________________
_
Shareholders Name: .....................................FLAT NO:........... No of occupants:.........
Contact Details : Telephone:........................... Cell No: .......................................______
Form revised December, 2010

FOR OFFICE USE

Merion Court (Durban) Share Block Limited, 19 Prince Street, Point, Durban,4001
Has a copy of ID / Passport / Resident documents been given for Merion Courts
records ? YES......................If NO, REASON....................................................................
To the best of my/our knowledge I/we accept the above information as true and correct.

Application: ACCEPTED date:.......................... DECLINED date:..............................

Board of Directors Signatures: (1) ___________________ (2) __________________
* Signed lease to be handed/checked by Supervisor before Tenant moves into flat,
* Tenant read the House Rules in the interview and acknowledges receiving a set.
Signed _______________________