COHABITATION AGREEMENT ONLINE APPLICATION Phone COHABITATION AGREEMENT / LIFE PARTNERSHIP CONTRACT DATE THAT YOU STARTED LIVING TOGETHER: Physical Address where parties reside: Postal Code: DETAILS OF FIRST PARTNER Full Names: Surname: Is he/she a South African citizen? Yes No Gender Male Female Phone (W): Phone (H): Mobile: E-mail: What percentage will the First Partner contribute to the joint monthly living expenses? * DETAILS OF THE SECOND PARTNER Full Names: * Surname: * Is he/she a South African citizen * Yes No Gender * Male Female Phone (W): Phone (H): Mobile: E-mail: What percentage will the Second Partner contribute to the joint monthly living expenses? *