Application Form

Applicant Details

Re-ApplicationNew Applicant MaleFemale

Please clearly indicate type and severity


Please clearly indicate type and severity

Parent/Legal Guardian or Next of Kin

Unit Types & Lease Terms

Please select one of the following unit types:
(Detailed information about each unit type can be found here)

Unit Type 1 – Loft Room (N$2,750)Unit Type 2 – Corner Room (N$2,950)Unit Type 3 – Rectangular Room (N$3,150)Unit Type 4 – Room for People with Disabilities (N$3,150)

Please select one of the following appropriate options which is applicable:

Self FundedGovernment Loan (NSFAF)Government Bursary (NSFAF)Other Government institutionBursary

Documents Required

In terms of the Financial Intelligence Act 3 of 2007, the following documentation is required in respect of the student / person / entity responsible for settling of the Tenant's account.

Payer Contact Details

Terms & Conditions

  1. I/We the undersigned hereinafter referred to as the Tenant, hereby warrant that the information contained in this lease application is true and correct
  2. The Tenant understands that this is not an agreement but only an application.
  3. The Tenant Agrees to pay a non-refundable administration booking fee. (As set out under Fees and Rooms above)
  4. The tenant agrees to enter into a written lease agreement with the landlord upon acceptance of this application by the Landlord, incorporating among other (inter alia) the terms and conditions as set out herein. In the event that the Tenant fails to sign the standard Agreement of Lease on a date not less than 15 days prior to the commencement date of the Lease, the premises will be placed back on the leasing schedule and the Tenant will forfeit, the booking fee. The Landlord, without derogating from any of its rights in law, including but not limited to claiming damages, will be entitled but not obliged to cancel this application with immediate effect.

I the undersigned understand that the Landlord will rely on the information provided by me should an agreement be concluded and I warrant that the information contained herein is true and correct.