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Connecting Cities Agent Application

This portal application must be linked to the reference number rendered on the group website: www.connectingcities.co.za.

Application Reference

Main Website Application Reference Number * Enter the reference number generated on www.connectingcities.co.za. This helps head office match the group application with this agent portal profile.

Personal Details

Full Name & Surname * First Name Surname ID Number * Email Address * Cellphone Number * WhatsApp Number * Alternative Number

Location & Coverage

Province * District / Municipality Town / City * Exact Area / Village / Suburb

Agent Work Details

Preferred Division * Secondary Division Sales / Marketing Experience Employment Status Languages You Can Use With Clients Motivation *

Social Media / Networking

Facebook Link TikTok Link LinkedIn Link

Documents

ID Copy * Proof of Address * CV / Short Profile

Commission Payout Banking Details

Bank Name Account Holder Account Number Account Type Branch Code Bank Confirmation Letter

Emergency Contact

Emergency Contact Name Emergency Contact Number

I confirm that the information provided is true and I understand that approval is not automatic. I understand that commission is only payable on successful paid deals approved by Connecting Cities Group. I agree that Connecting Cities Group may process my information for agent application and commission payout purposes.