Tell us about yourself

1. Are You a New Tenant or an Existing Tenant?

New Tenant

Existing Tenant

2. What's your name?*

3. And your last name?*

4. What's your Student number?*

5. ID/Passport Number*

6. What's your Phone number?*

7. Your home address*

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Next of kin details

9. What's your next of kin's name?*

10. Next of kin's surname*

10. Next of kin's phone number*

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How will you be paying?

8. Will you be paying with NSFAS,Bursary or Cash?

NSFAS

Bursary

Cash

Back Ok ✓

Does it all look right?

Your Details

First name

Elon

Last name

Musk

Student Number

SpaceX

ID number

elon@doge.com

Phone Number

SpaceX

Home address

elon@doge.com

Next of kin's details

Next of kin's name

1-3

Next of kin's surname

15,000

Next of kin's phone number

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How you'll be paying

Payment method

Web Design

Webflow Development

Custom Code

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