Application & Info

The completed application form applying to be placed on the waiting list must be accompanied by R1000 (Debit/Credit Card/EFT).

Please note, the waiting list lasts about 12-14 years.

If accepted by the Executive Committee, the person’s names will be entered on the waiting list. The R1000 is refundable at any time. It is not a deposit and Santos Haven will not pay interest on the R1000.

DOWNLOAD

APPLICATION FORM

Click here to download. Then complete and return via e-mail

OR

COMPLETE ONLINE

APPLICATION FORM

Complete the below online form and submit

Applicant Details

First Name *
Surname *
Familiar Name
ID Number *
Occupation

Spouse Partner Details (If applicable)

First Name
Surname
Familiar Name
ID Number

Applicant Address

Physical Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Postal Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Applicant Contact Details

Telephone Number
Cellphone Number *
Email Address *

Accommodation Requirements

Accommodation Type and Information *
Please provide information regarding your accommodation requirements i.e the number of bedrooms/size etc.
Date Accommodation Required

Verification

Please enter any two digits *Example: 12
This box is for spam protection - <strong>please leave it blank</strong>:

Bank Details

Santos Haven Retirement Village
Nedbank – Mossel Bay
Cheque Account
Account Number: 162 601 1141
Branch Code: 198 765

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