PGSN Application Form
PGSN Application Form
APPLICATION FORM
Applicant Information
Application fee for membership is once-off N$250 which is non-refundable even if application is rejected or cancelled.
Names:
Date of Birth:
ID Number:
Phone Number:
City/Town
Region:
Fixed Residential Address:
Postal Address:
Email:
Marital Status:
Employment Information
Current Employer:
Employer Address:
Occupation:
Phone Number: Email:
How long are you employed?
City:
Region:
Postal Address:
Beneficiary Information
Names:
Relationship:
Date of Birth:
ID Number:
Phone Number:
City/Town
Region:
Property Options
Option 1:
Two Bedroom House 1 Master Bedroom 1 Bedroom
Living Room
Dining Room
Kitchen
Two Bathrooms
Size: 70 Square Meters
Price: N$350,000.00
Monthly Installment: N$2,916.70 Payment Period: 120 Months
Administration Fee: N$500.00 Total Payment: N$3,416.70
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Property Options
Option 2:
Three Bedroom House 1 Master Bedroom 2 Bedroom
Living Room
Dining Room
Kitchen
Two Bathrooms
Porch
Single Garage
Size: 120 Square Meters
Price: N$650,000.00
Monthly Installment: N$5,416.70 Payment Period: 120 Months
Administration Fee: N$700.00 Total Payment: N$6,116.70
Property Options
Option 3:
Four Bedroom House 1 Master Bedroom 3 Bedroom
Living Room
Dining Room
Kitchen
Two Bathrooms
Porch
Pantry
Storage Room
Double Garage
Size: 200 Square Meters
Price: N$850,000.00
Documents to be Submitted
ID:
Pay slip:
3 Months Bank Statement
Proof of Residence
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Banking Details:
Account Name: Property Group Save Namibia
Account Number: 2000441177
Account Type: Saving
Bank: Bank Windhoek
Branch: Lifestyle Centre
Branch Code: 483-871
Swift Code: BWLINANX
DECLARATION
I confirm that I agree to be bound by Property Group Save Namibia’s constitution. I confirm further that all information provided by me in this
application is true, correct and complete.
I (full names) ………………………………………………………………………………………………………………………….. solemnly declare and acknowledge that I
voluntarily join the Property Group Save Namibia and that I shall obey, uphold and respect their constitution.
Signed on …………… day of………………. Year ……………… at ……………………………………………
Signature (member): …………………………………………………………. Witness: ………………………………………………….
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