Qokolweni Stand Purchase Application

Complete this form to reserve your stand in South Africa's first Smart Village

Personal Information

First Name *

Last Name *

Email Address *

Phone Number *

ID Number *

Date of birth will be calculated automatically

Date of Birth *

Auto-filled from ID number or enter manually

Nationality *

Marital Status

Current Address

Street Address *

City *

Province *

Postal Code *

Employment Information

Employment Status *

Employer Name

Monthly Income *

Years in Current Employment

Purchase Preferences

Stand Type *

Standard Plot & Plan (900m²) - R68,000Premium Double Stand (1800m²) - R136,000

Payment Plan *

Full Payment3-Month Plan (R28,000 deposit + 3 monthly payments)6-Month Plan (R18,000 deposit + 6 monthly payments)

Preferred Location

House Design Interest

Construction Timeline

Family Size

Additional Information

Special Requirements or Accessibility Needs

Maximum 500 characters

How did you hear about Qokolweni?

Additional Comments

Maximum 500 characters

I agree to the terms and conditions and acknowledge that the information provided is accurate. I understand that this application is subject to approval and verification.

I consent to receiving marketing communications about Qokolweni and Smart Villages developments.

Questions? Contact our sales team at sales@smartvillages.co.za or (+27) 79 413 9048