Green Pine
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Applying For
Apartment —
K2,000/month
| Town area, Mufulira
Tenant Application Form
Full Name *
Phone Number *
NRC Number
Gender
Prefer not to say
Male
Female
Other
Marital Status
Select
Single
Married
Divorced
Widowed
Family Size
Employment Status *
Select
Employed
Self Employed
Unemployed
Student
Retired
Employer / Business Name
Income Range (K/month) *
Select income range
Below K2,000
K2,000 – K5,000
K5,000 – K10,000
K10,000 – K20,000
Above K20,000
Previous/Current Landlord Name
Previous/Current Landlord Phone
A placement fee of
K500.0
is payable upon successful placement. All information is confidential.
Submit Application