Vungu Rural District Council

25%

Part A - Personal Particulars (To be completed by all applicants)
Name*
First Last
Date of Birth*
ID NUMBER*
Occupation*
Marital Status*
Name of Spouse*
First Last
Spouse ID Number*
Occupation of Spouse
Postal Address*
Street Address City State / Province / Region Country
Current residential address*
Street Address Address Line 2 City State / Province / Region Country
Business Address
Street Address City State / Province / Region ZIP / Postal Code Country
Email*
Phone Number*
No. of Dependants*
No. of years in Council area*

Part E Declaration (to be completed by all applicants)
This is requested to be renewed annual in the month of:
Select Renewal Month:
Failure to do so will result in the removal of the applicants from the waiting list.

Any false declaration made in this form will result in the applicant being disqualified from being placed in the waiting list.

I do solemnly declare that the information contained in this form is true reflection of the facts
Attachments
Please attach all the relevant documents as required by the fields below:
Nationa ID Card*
Drop files here or
If married attach both your National ID card and of your spouse.
Proof of current of occupation/employment
If employed please attach proof of your current employment
Proof of current of occupation/employment
If employed please attach proof of your current employment
Payslip/bank statement
Upon submission of this form a duplicate copy of this form is send to the applicant's email for their record: CHECK YOUR MAIL AFTER SUBMISSION AND PLEASE KEEP THE COPY SENT TO YOU!
Name
This field is for validation purposes and should be left unchanged.

Online Applications