Urban Housing. For quality. For value. For location. For life

Prequalification Form
Main Applicant Details
Development (*)
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Title
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Surname
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First Name
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Email (*)
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ID Number
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Physical Adress
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Marital Status
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Employer
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Occupation
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Period Of Employment
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Previous Employer
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Period Of Employment
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Telephone (Work)
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Telephone (Cell)
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Gross Salary
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Comission (50%)
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Overtime (50%)
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Car Allowance
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Housing Allowance
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Less
Salary Deductions
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Net Income
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Monthly Expenses
Bond Installment / Rent
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HP / Personal Loans / Vehicle Install
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Credit Cards
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Insurance / Short Term / Life / Security
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Transport / Petrol / Maintenance Costs
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Telephone / Cellular
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TV Rental / DSTV / MNet
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Food / Groceries / Entertainment / Subscriptions
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Clothing Accounts & Other (specify)
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Total Expenses
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* Commission / Overtime must have been for at least the past 12 months to be able to include as income Income not considered: Cash payments, maintenance, other irregular / unsustainable income
*I/We hereby authorise Urban Housing and/or Old Mutual Finance to make inquiries with and receive information about my credit record from any credit bureau. (*)
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Applicant's Spouse/Partner Details (Skip if you are a Single Applicant)
Title
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Surname
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First Name
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ID Number
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Physical Adress
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Marital Status
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Employer
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Occupation
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Period Of Employment
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Previous Employer
Invalid Input
Period Of Employment
Invalid Input
Telephone (Work)
Invalid Input
Telephone (Cell)
Invalid Input
   
Applicant's Spouse/ Partner Details (Skip if you are a Single Applicant)
Gross Salary
Invalid Input
Comission (50%)
Invalid Input
Overtime (50%)
Invalid Input
Car Allowance
Invalid Input
Housing Allowance
Invalid Input
Less
Salary Deductions
Invalid Input
Net Income
Invalid Input
   
Applicant's Spouse/Partner's Details (Skip if you are a single applicant)
Monthly Expenses
Bond Installment / Rent
Invalid Input
HP / Personal Loans / Vehicle Install
Invalid Input
Credit Cards
Invalid Input
Insurance / Short Term / Life / Security
Invalid Input
Transport / Petrol / Maintenance Costs
Invalid Input
Telephone / Cellular
Invalid Input
TV Rental / DSTV / MNet
Invalid Input
Food / Groceries / Entertainment / Subscriptions
Invalid Input
Clothing Accounts & Other (specify)
Invalid Input
Total Expenses
Invalid Input
* Commission / Overtime must have been for at least the past 12 months to be able to include as income Income not considered: Cash payments, maintenance, other irregular / unsustainable income
*I/We hereby authorise Urban Housing and/or Old Mutual Finance to make inquiries with and receive information about my credit record from any credit bureau. (*)
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Human Verification Human Verification
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