Application by Individual for Premises - Capital Land

Personal Information

Full Name of Applicant*

Identity Number or Passport Number of Applicant*

Physical Address of Applicant*

Address Line 1 Address Line 2 City Province Postal Code Country

Trading Name of Business*

Business Type*

Will the business be owner managed?*

Yes

No

Landline Telephone Number of the Applicant

Cellphone Number of the Applicant*

Email Address of the Applicant*

Are you the owner of any other businesses?*

Yes

No

Please list name/s and registration number/s*

Do you own your own property?*

Yes

No

Please confirm the name in which the bond is registered*

Please confirm if you are the sole owner?*

Yes

No

Please confirm the bond amount*

Please confirm if there is any equity?*

Yes

No

Please confirm which province the bond is registered in*

Marital Status of Surety*

Unmarried

COP (Married in Community of Property)

ANC (Married out of Community of Property with/without Accrual))

Please attach Marriage Certificate and Antenuptial Contract*

Max. file size: 64 MB.

Full Name of Applicant’s Spouse*

Identity Number of Applicant’s Spouse*

Bank Details

Name of Bank*

Branch*

Name of Account Holder*

Account Number (Current Account Only)*

Occupation

Current Occupation of Applicant*

Period of Employment*

Surety

Full Name of Surety*

Identity Number of Surety*

Landline Number of Surety*

Cellphone Number of Surety*

Email Address of Surety*

Marital Status of Surety*

Unmarried

COP (Married in Community of Property)

ANC (Married out of Community of Property with/without Accrual))

Attach marriage certificate and ante nuptial contract if applicable*

Max. file size: 64 MB.

Full name of surety’s spouse if married in community of property*

Name and Identity Number of surety’s spouse if married in community of property*

Do you own your own property?*

Yes

No

Please confirm the name in which the bond is registered*

Please confirm if you are the sole owner?*

Yes

No

Please confirm the bond amount*

Please confirm if there is any equity?

Yes

No

Please confirm which province the bond is registered in*

Credit Reference

Credit Reference*

Email Address*

Landline Number

Cellphone Number*

Previous Landlord

Previous Landlord (if applicable)

Contact Name

Contact Number

Duration of Previous Lease

Reason for Relocating

Business Concept

Please confirm which shopping centre you are applying for premises in

Please detail your business concept including a brief description of the type of merchandise and/or service that you will be offering.*

Please detail your previous experience in the intended type of business.*

Please attach a copy of your business plan which must specify the following:

a)The customer research that has been conducted to illustrate the demand for your products and/or service offered?

b)What is the optimal premises size for your business?

c)How will your business be financed? Please provide a detailed explanation.

d)Please indicate your turnover projections for the first 12 months? Please include your breakeven turnover and cash flow projections for the first 6 months.

e) Please detail your marketing plan in order to achieve your turnover goal. Please include the costing for your marketing strategy.

Please attach a copy of your business plan*

Max. file size: 64 MB.

Store Layout and Design

Please attach a sample sheet of the finishes to be utilised within your premises*

Max. file size: 64 MB.

Do you have an existing shop?*

Yes

No

Please attach photographs of your existing shop which depicts your layout, interior*

Max. file size: 64 MB.

FICA Documentation

To facilitate the processing of this application it is important that copies of all Identity documents, copies of Founding Statements for Close Corporations and Certificates of Incorporation for private companies and all other relevant documents as set out below are submitted with this completed application form, failing which this application will not be processed.

Copy of Identity Document (If lost or stolen a certified copy of temporary ID, Passport or Driver’s License is required together with an affidavit stating that the document is lost/stolen)*

Max. file size: 64 MB.

SARS document reflecting your income tax number and if registered for VAT, a SARS document reflecting your VAT number*

Max. file size: 64 MB.

Proof of physical residential address which may include any one of the following reflecting your initials and surname to enable us to verify your residential address:*

Utility bill (rates and taxes) (not older than 3 months)
Telkom account/DSTV account/electricity account (not older than 3 months)

Max. file size: 64 MB.

Please download the sample letter, relevant to your company and transcribe onto a letterhead and complete and upload.*

Max. file size: 64 MB.

Declaration

The Applicant further:

1.Certifies and warrants that the information furnished in this application form is true and correct, that he/she has the authority to sign this application form and that he/she has not misrepresented or concealed any material fact, which might have a bearing on The Community Property Company’s (“Comprop’s”) assessment of the Applicant. The Applicant by affixing his/ her signature hereto acknowledges that he/she understands the contents of this document and shall be bound by same.

2.Authorizes Comprop or its duly authorized agent to conduct any reference / financial / credit checks which they may deem necessary including, but no limited to credit checks, property ownership search and or background checks by third parties who are subject to confidentiality agreements.

3.Acknowledges its obligations to comply with the provisions of the Protection of Personal Information Act, 4 of 2013 (“POPIA”) and undertakes as follows:

3.1Where any party receives any personal information as defined in POPI it shall ensure that it fully complies with the provisions of the Act and only deal with the personal information to fulfil its obligations in respect of this application for premises (“application”). The personal information received shall not be further processed or disclosed without the consent of the disclosing party.

3.2Each party therefore understands and agrees, notwithstanding any contrary provision in any other agreement between the parties, that each party retains its full rights to pursue legal or equitable remedies in the event of any breach or threatened breach of the provisions dealing with POPI, and may prevent the other party, any of its agents or subcontractors, or any third party who has received records from that party from violating this application by any legal means available. Each party further understands that violation of the provisions dealing with POPI may subject that party to applicable legal penalties, including those provided under POPI.

3.3If the application is unsuccessful then, within thirty (30) days after the rejection of the application or within ninety (90) days of making the application and failing to be offered premises, for whatever reason, the receiving party of either party`s personal information shall return same or at the discretion of the disclosing party of such personal information, destroy such personal information, and shall not retain copies, samples or excerpts thereof.

3.4If the application is successful the personal information will be retained and secured for the applicable legislated period and thereafter returned and destroyed as per afore going clause.