Apply for the Waiting List

1 Birmingham Road

Plumstead

Cape Town

7800

Please ensure you have read the Plumrus Brochure (available above) to define your accommodation requirements and estimated costs.

I have read the Plumrus Brochure

I understand the service delivery options: Frail Care, Assisted Living and Independent Living

I understand the cost related to Plumrus's service delivery options.

I agree that Plumrus can only define my final levy based upon my income and services needed.

Personal Details

Title/Titel

Name/Naam

Surname/Van

Marital Status/Huwelikstaat

ID Number

Tel/Cell

E-mail/E-pos

I acknowledge that all future communication will be via email. For assistance, please use the " Need Assistance?" option on the menu.

Current Living Address

Area

Type of Existing Accommodation

Type of accommodation required

High Care -Single Room

Frail Care

Single room

Room for Couple

Dementia Single room

Assisted Living

Single Room

Bachelor flat with en-suite and very small kitchenette

Independant

Life Right - One Bedroom 1

Life Right - Two Bedroom 2

Rent - One Bedroom

Residential Accommodation Urgency

Urgent - required in 30 days

Urgent - required in 12 months

Can wait 2 - 5 years

Long Term Planning: 5 - 10 years plus

Please expand on urgency option chosen.

Send me a Copy

Thank you for your submission.

You will receive a copy of your application via email, if you selected the option on your submission,