APPL ICAT ION FORM - 2020
Emai l : info@k ingswayplace.co .za Web Address: www.k ingswayplace.co .za
P lease send the fo l lowinginformat ion with your app l icat ion
Copy of IDs/Passport (Applicant and Student)
Proof of Earnings: Payslip or 3 months Bank Statements
Proof of Registration/Acceptance at Place of Study
Letter of Bursar/Sponsor, if Applicable
How d id you f ind out about us?
Off ice Use
Yes / NoApproved
Room Number Allocated
MDA Reference Allocated
Room Type
Single Room
Full Name:
ID/Passport No:
Cell Number:
Email Address:
Work Tel. Number:
Spouse Deta i ls
I cert i fy that the informat ionprovided is true and correct
Signature:
Date:
Month ly Income
Gross Salary (Applicant): R
Gross Salary (Spouse): R
Other Income (Specify): R
Total Income: R
Student Deta i ls
Title:
First Name:
Surname:
ID/Passport No:
Nationality:
Date of Birth:
Cell Number:
Email Address:
Institution of Study:
Year of Study (2019):
Course:
Parent/Guardian Deta i ls
Title:
First Name:
Surname:
ID/Passport No:
Nationality:
Date of Birth:
Cell Number:
Email Address:
Residential Address:
Postal Address:
Name of Employer:
Occupation:
Work Address:
Work Tel. Number: