Agent Application - Nuru Real Estate

Step 1 of 5 Personal Details

Personal Details

Residential Address

Next of Kin

Employment Details

Upload Documents

Personal Details

Please provide your personal information

Surname

First Name

Middle Name

Maiden Name

Date of Birth

Type of ID

ID Number

Nationality

Gender

Male

Female

Residential Address

Please provide your residential address details

Erf No.

Street Name

Suburb

Location

Region

Town

Email Address

Mobile Number

Include country code if applicable

P.O.Box/Private Bag

Next of Kin

Please provide your next of kin information

Surname

First Name

Contact Number

Include country code if applicable

Email Address

Erf No.

Street Name

Suburb

Location

Region

Town

Employment Details

Please provide your employment information

Company Name

Job Title

Employment Number

Monthly Income

Gross Income

Total Deductions

Net Pay

Calculated automatically as gross income minus total deductions.

Employment Address

Email Address

Erf No.

Street Name

Suburb

Location

Region

Town

Upload Supporting Documents

Please upload all required documents

ID Document

Choose ID document or drag and drop

Proof of Residence

Choose proof of residence or drag and drop

Agency's FFC

Choose agency FFC or drag and drop

Agent's NEAB Card

Choose agent NEAB card or drag and drop

Agent's FFC

Choose agent FFC or drag and drop