Mbire Rural District Council – Application to Join the Waiting ListPart A – Personal ParticularsName of Applicant *Applicant ID Number *Name of SpouseSpouse ID NumberPostal AddressCurrent Residential AddressApplicant Date of BirthSpouse Date of BirthApplicant Monthly IncomeSpouse Monthly IncomeMarital Status-- Select --SingleMarriedDivorcedWidowedOtherMarriage Certificate No.Marriage Certificate Date of IssueApplicant OccupationSpouse OccupationBusiness AddressPhone Number *Number of DependantsYears Resident in Council AreaApplication TypeType of Application *-- Select --Residential StandIndustrial / Commercial StandPart B – Residential StandType of Stand WantedLocationNature of Intended DevelopmentOther Residential Stands Leased or Owned in ZimbabweCapital Available for DevelopmentOther InformationPart C – Industrial / Commercial StandType of Stand WantedLocationNature of Intended DevelopmentOther Industrial / Commercial Stands Leased or Owned in ZimbabweCapital Available for DevelopmentOther InformationPart D – RefereeName of Referee *Referee Contact Telephone Number *Referee AddressRelationshipPart E – Declaration & AttachmentsThis application is required to be renewed annually in the selected month. Failure to renew may result in removal from the waiting list. False declarations may result in disqualification.Annual Renewal Month *-- Select --JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberApplicant Signature / Full Name *Supporting DocumentsID cards for both; proof of current occupation/employment; payslip/bank statement; letter from Councillor; lodgers card/receipts. I solemnly declare that the information contained in this application is a true reflection of the facts. *Official use only: Application number, priority number, processing officer, committee meeting, amount and receipt number are completed by authorised Council staff.Submit Application
