Annual Assessment Annual Assessment: It is very important that you complete this assessment. Phone Personal Details Name * Surname * Marital Status Single Married COP Married ANC Divorced Identity Number Contact Number * Home Address Owner / Tenant of Property Owner Tennant Email * Next of kin / Spouse Firs Name Next of kin / Spouse Contact Number Next of kin / Spouse Last Name Employment Details Employer Name Work Contact Number Employer Address Period Employed Dependants (Name, Age, Gender) Additional Comments or Questions Budget Information GROSS SALARY Salary Main Applicant Salary Spouse RENTAL INCOME Applicant Rental Income Spouse Rental Income PENSION INCOME Main Applicant Pension income Spouse Pension Income OTHER INCOME Main Applicant Other Income Spouse Other Income Armed Response Bank Charges DEDUCTIONS ON PAYSLIP Deductions on payslip amount Expenses Body Corporate Levies Cellphone Clothing Garden Service Tithe (Church) Groceries Bread & Milk Fresh Produce Insurance, Home / Vehicle Maintenance To Dependents Motor Vehicle License Petrol / Transport Policies (Life & R/A) Rent School Fees TV License Municipal Water Other Total Monthly Expenses Total Monthly Expenses: R