aPPlication for retail sPace

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aPPlication for retail sPace
T H E
C O N S T A N T I A
V I L L A G E
Applic ation for retail space
Prospective tenant
Sur name and full names/Registered name of company, cor por ation or par tner ship:
Registr ation/Identity/Per mit no:
VAT registr ation no:
Address (residential address if pr ivate per son; registered address in all other cases):
Postal address:
Telephone: (h)
(w)
Cell phone:
Fax:
E-mail:
Directors, shareholders or members:
Surname, full names
and ID number
T H E
Residential address
F I N E S T
I N
Telephone no.
(home & work)
E V E R Y
% Shareholding
S E N S E
T H E
C O N S T A N T I A
V I L L A G E
Present premises (if any):
Address:
Name and telephone of landlord/agent:
Marital status of applic ant:
Mar r ied/Single:
Date of mar r iage:
Antenuptial contr act/In community of proper ty:
Guarantor:
Full names and sur name:
1.
2.
Residential address:
Tel: (h)
(w)
Name and address of bank:
Tel:
Account no:
ID no:
References:
Bank:
Tel:
Account name:
Account no:
References (tr ade):
T H E
F I N E S T
I N
E V E R Y
S E N S E
T H E
C O N S T A N T I A
Name of firm
Type of business
V I L L A G E
Address
Telephone no.
Auditor s:
Address:
Tel no:
Space required
Name of building: New Village / Old Village
Type of premises: shop / restaur ant / coffee shop
m 2 Date required:
Area required:
Nature of business:
Ar ticles to be sold or ser vices that will be rendered:
Projected tur nover figures for 1st year :
Remar ks:
I declare that the above par ticular s are cor rect.
Date:Signature:
Capacity:
T H E
F I N E S T
I N
E V E R Y
S E N S E
T H E
C O N S T A N T I A
V I L L A G E
FICA DOCUMENTS
List of documentation and infor mation required from clients of Growthpoint Management Ser vices (Pty) Ltd in ter ms of
the Prevention of Or ganised Cr ime Act 1998 and the Financial Intelligence Centre Act 2001.
Growthpoint Management Ser vices (Pty) Ltd, in ter ms of the above legislation, is required to be in possession
of the following documentation/infor mation in respect of all dealings with clients.
A. If the client is a natur al per son, the following documents are required:
1. Cer tified copy of green bar-coded Identity Document.
(In the case where the ID is lost/stolen – A cer tified copy of tempor ar y ID, passpor t or dr iver’s license .
All these documents must be accompanied by an affidavit stating that the ID has been lost/stolen.)
2. Any one of the following documents reflecting your initials and sur name , to enable us to ver ify your residential address:
- A utility bill (e .g. r ates & taxes). (Not older than 3 months.)
- A Telkom account. (Not older than 3 months.)
3. SARS document reflecting your Income Tax number and, if registered for VAT, a SARS document reflecting
your VAT number.
B . If the client is a company, close cor por ation or tr ust:
1. Cer tified copies of company/close cor por ation/tr ust documentation.
2. In the case of companies and close cor por ations, proof of business address (only if different from registered address)
on any one of the following documents:
- Utility bill in the name of the entity
- Telkom account in the name of the entity
- Letterhead
3. Income Tax and VAT number s of the entity on a SARS document.
4. Cer tified Identity Documents of director s of companies/member s of close cor por ations/tr ustees of a tr ust.
5. Confir mation of each beneficial controller’s contact par ticular s and residential address.
6. Proof of a per son’s author ity to act (e .g. CM29, CK1&/2).
In the case of a company or close cor por ation, a resolution giving one per son author ity to act on behalf
of the entity for the specific deal is acceptable .
PLEASE RETURN THE COMPLETED FORM TO: [email protected]
or fax it to: 021 794 1712
T H E
F I N E S T
I N
E V E R Y
S E N S E

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