Tenant Application

Tenant Application form

Click here to download the tenant application form or complete the form below.

Tenant Application
Fibre

Time to make it official!

Building:

Shop/Office No

Area

Surname and full names/registered name of company, corporation or partnership:

Registration/Identity/Permit No.:

Trade Name of Business

Nature of Business:

Use of Premises:

Postal address:

Telephone No.

Business Telephone:

Email:

DIRECTORS, SHAREHOLDERS OR MEMBERS

Full Name:

Identity No.

Residential Address:

Telephone:

% Share Holding:

Bank:

Branch:

Account No.:

Account Name.:

Full Name:

Identity No.

Residential Address:

Telephone:

% Share Holding:

Full Name:

Identity No.

Residential Address:

Telephone:

% Share Holding:

PRESENT PREMISES

Present premises:

Area (Square Meter):

Address:

Tel no. (landlord/agent):

Marital Status:

ACCOUNTS DEPARTMENT DETAILS

Full Name:

Telephone No.:

Telephone No 2:

Email (landlord/agent):

BANKING DETAILS

Bank:

Branch:

Telephone:

Account No.:

Account Name.:

TRADE REFERENCES

Name of Firm:

Contact Person:

Telephone:

Name of Firm:

Contact Person:

Telephone:

AUDITORS

Auditors:

Address:

Telephone:

I declare that the abovementioned particulars are correct, and consent to Abreal obtaining a credit check and that the above information may be utilized by TransUnion Credit Bureau as part of its database in the ordinary course of its business as a registered credit bureau.

I hereby consent to Abreal providing the following information Valgro Solutions (Pty) Ltd for the purposes of making contact with me to possibly arrange a fibre connection for the Potential Premises referred to in clause A above:

a) Full names/registered name of company, corporation or partnership
b) Contact person
c) Contact number

Please sign on the white box below