Apply for finance
Fill out our online finance form and attach the required documentation to apply.
Apply for finance
Fill out our online finance form and attach the required documentation to apply.
Apply for finance
Fill out our online finance form and attach the required documentation to apply.
Apply for finance
Fill out our online finance form and attach the required documentation to apply.
- Section A
- Section B
- Section C
- Section D
INFORMATION REQUIRED
Consultant’s name
PERSONAL DETAILS
Title
Full names
Initials
Surname
ID Number
Dependants
Gender
Language preference
Ethnic group
Married
Date married
Home address
Province
Period
Telephone (H)
Telephone (W)
Cell number
Fax number
Email address
Postal address
Province
Postal code
Previous address
Province
Period
Spouse name
Spouse ID number
Next of kin
Relationship
Address
Province
Tel number
BOND DETAILS
Bond holder
Amount outstanding
Property Rand value
Installment per month
Purchase Rand price
Date purchased
Registered
Rent
EMPLOYER DETAILS
Employer
Occupation
Employer address
Province
Telephone number
Number of years
Salary date
Previous employer
Number of years
Spouse employer
Number of years
Telephone numbers
Occupation
BANK DETAILS
Bank name
Branch name
Branch code
Name of account holder
Account number
Type of account
TRADE REFERENCE
Reference 1 (Branch, account number, installments, paid up/current/t be settled)
Reference 2 (Branch, account number, installments, paid up/current/t be settled)
PERSONAL APPLICATION FORM
OWN: Basic salary (excluding car allowance)
OWN: Car allowance
OWN: Total salary (Basic & car allowance)
OWN: Monthly commission
OWN: Net take home pay
OWN: Income other than salary/wages
SPOUSE: Basic salary (excluding car allowance)
SPOUSE: Car allowance
SPOUSE: Total salary (Basic & car allowance)
SPOUSE: Monthly commission
SPOUSE: Net take home pay
SPOUSE: Income other than salary/wages
Source of other income
TOTAL MONTHLY HOUSEHOLD INCOME (Net salary & other)
HOUSEHOLD’S EXPENSES PER MONTH
Bond payment / Rent
Rates, water and electricity
Vehicle installments (excluding those to be settled)
Personal loan repayments
Credit card repayments
Furniture accounts
Clothing accounts
Overdraft repayments
Policy/insurance repayments
Telephone repayment
Transport costs
Food and entertainment
Education cost
Maintenance
Household expenses
Other
TOTAL MONTHLY HOUSEHOLD EXPENSES
HOUSEHOLD SURPLUS DISPOSABLE INCOME
Are you currently liable as
Specify liability details
DOCUMENTATION
Copy of ID document
Max. size: 20.0 MB
Copy of driver’s license
Max. size: 20.0 MB
Proof of residence
Max. size: 20.0 MB
I confirm that
If any of the above is not checked, please provide details
I hereby grant the Credit Provider the right to communicate with me through any electronic/written media or verbally in order to make available to me, their product offering.
Consent
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