Owner/Resident Contact Information Form – Mooikloof Equestrian Estate

(As specified on the title deed/lease agreement)

FIRST NAME

LAST NAME

IF TRUST / COMPANY / CC, FULL NAMES & ID OF REPRESENTATIVE/S:

IDENTITY/PASSPORT NUMBER:

MOOIKLOOF PROPERTY ADDRESS:

ERF:

RESIDENTIAL ADDRESS:

POSTAL ADDRESS:

EMAIL ADDRESS:

TELEPHONE NUMBER:

ALT EMAIL ADDRESS:

ALT TELEPHONE NUMBER:

OCCUPATION:

GENDER:

MALE

FEMALE

LEASE COMMENCEMENT DATE:

LEASE EXPIRY DATE:

VEHICLE MAKE:

VEHICLE MODEL:

REGISTRATION NUMBER:

(Only permanent residents are permitted access to the Mobile App and dialling list – list in order of preference.)

NAME:

ID/PASSPORT NUMBER:

EMAIL ADDRESS:

TELEPHONE NUMBER:

I hereby acknowledge receipt of a complete copy of the Mooikloof Owners’ Association NPC statutes and undertake to familiarise myself with the content of this document. By signing this document, I accept that I am a member/tenant of the said Association and would fulfil the terms of the articles of the Association.
I give my consent to the MOA to collect, store and process my personal information.
The MOA is committed to protecting your privacy and ensuring that your Personal Information is collected and used properly, and lawfully.
The MOA confirms that your Personal Information collected will be used and disposed of as is required by the Protection of Personal Information Act No. 4 of 2013 (POPI Act).
An owner must provide the MOA with a copy of the lease agreement for all new/existing tenants. Should a tenant extend the lease period, the variation/extension agreement must also be provided to the MOA in order to extend the tenant’s biometric access etc.

Email Address (Send a Copy of Application Form)

I hereby agree to the terms set out above