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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 If the applicant did not apply on www.connectingcities.co.za before, they must write Not Applicable. If they did apply before, enter the reference number generated on the group website.

Personal Details

Title * Gender * Surname * Full Names * Initials * Full Name & Surname * Your agent email alias will follow this format: SurnameInitials@agents.connectingcities.co.za. Example: MokabaneMW@agents.connectingcities.co.za. 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.