Application for accreditation to the Social Housing Regulatory Authority to carry on the business of social housing in terms of the

Social Housing Act, 2008 (Act No. 16 of 2008)

Company Information:

Name of the Social Housing Institution/Company (Entity):

Type of company (Legal entity e.g. (Pty) Ltd:

Company registration number (e.g. CK)

Year of establishment:

If registered as a Non-Profit Organisation, please supply

PBO registration number:

Registered address of company:

Physical address of head office:

Postal address:

Email address:

Tel:

Cell:

Fax:

Existing Property Portfolio:

Project name:

Indicate existing or planned

Location—

Province

Location—

City/Town/Suburb

No. of Units

1.   Project a

2.   Project b

3.   Project c

4.   Project d

5.   Project e

6.   Project f

7.   Project g

8.   Project h

9.   Project i

10. Project j

Total Units

Ownership and Management of Units - Number of units:

Owned and managed by the entity

Owned by the entity, but management is outsourced to an external entity

Managed by the entity on behalf of an other external owner (earning management fees only)

Other (please specify)

Total Units

Rental Bands - Number of units being let at:

<  R601 p.m.

Between R601 and R750 p.m.

Between R751 and R875 p.m.

Between R876 and R1,050 p.m.

Between R1,051 and R2,250 p.m.

>  R2,250 p.m.

Total Units

Subsidy Regime - Number of units that have received:

Institutional subsidy

Restructuring Capital Grant

Unsubsidised

Total Units

Declaration

I, the undersigned, being the duly authorised signatory of the above applicant hereby acknowledge and warrant that:

The following documents have been attached (please tick):

Signed on behalf of the applicant

Name:

Signature:

Date: