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

Back to top