JOIN OUR MAILING LIST

Finance Appplication
 
  * Fields are mandatory
  * I hereby give consent to the Credit Provider to make enquiries about my credit record with anty credit agency and to obtain whatever information on me they might require to process the application. I also give consent to the Credit Provider to share my payment behaviour with any credit agency.
     
  YES I CONSENT
   
   
 

 You can fill in the online form below and we will submit your application for approval promptly.

We need the following documentation:

  • Valid Drivers Licence copy
  • RSA Barcoded ID copy 
  • Proof of physical address – water/lights account (Not older than 3 months) 
  • Completed e-application 
  • Latest proof of income e.g. payslip 
   
   
 

1. CONTACT DETAILS

   
  * Please complete the fields below:
     
  Vehicle e.g. Ford Rager Wildtrak
  Your Title e.g. Mrs, Mr, Dr, Prof
  Preferred Language
  First Name
  Middle Name
  Surname
  Identity Number
  Email
  Mobile Number
  Work Phone Number
  Fax Number
  Home Language
  Date of Birth e.g. 1/1/1983
 
     
  * Gender
     
 
   
  * Self Employed
     
 
   
  * Cellphone Contract
     
 
   
  * Preferred Method of Contact
     
  Cellphone
  Work Phone
  Home Phone
  Email
     
   
 

2. PERSONAL DETAILS

   
  * Residential Address
     
  Residential Address
  Suburb
  Postal Code
  Province
     
  * Postal Address
     
  Postal Address
  Suburb
  Postal Code
  Province
     
  * Please complete the fields below:
     
  Property Value
  Monthly Rent / Bond
  Outstanding Bond
  At Address Since? e.g. 1/08/2018
     
  * Is this property a Bond?
     
 
   
  * Property Status
     
 
   
   
 

3. AFFORDABILITY

   
  * Please complete the fields by giving the estimated expenditure in Rand value
     
  Gross Income (before any deductions)
  Disposable Income
  Credit Cards
  Personal Loans
  Clothing Accounts
  Furniture Accounts
  Policies / Insurance
  Overdraft Repayments
  Transport Costs
  Education Costs
  Food & Entertainment
  Other Expenditure
     
   
 

4. EMPLOYMENT STATUS

   
  * Please complete the fields below:
     
  Occupation
  Type of Industry
  Started Employment Date
  Employer
  Employer Contact Person
  Employer Contact Number
  Employer Email Address
     
   
 

5. YOUR BANKING DETAILS

   
  * Please complete the fields below:
     
  Account type e.g. Savings, Current, Transmission
  Bank Name
  Account Number
  Branch Name
  Branch Code
     
   
 

6. SPOUSE & RELATIVES

   
  * Marital Status
     
 
   
  * Marital Contract Type
     
 
   
  * Please complete the fields pertaining to Marital status
     
  Date Married
  Spouse First and Middle Name
  Spouse Surname
  Nearest Relative Name
  Nearest Relative Surname
  Nearest Relative Relationship e.g. Mother, Father, Uncle
  Relative's Residential Address
  Relative's Suburb
  Relative's Postal Code
  Relative's Home Phone
  Relative's Mobile Phone
  Relative's Work Phone
  Relative's Email Address
     
   
 

PLEASE ATTACH ALL REQUIRED DOCUMENTATION TO FINALISE TO YOUR APPLICATION BELOW:

PLEASE NOTE: THESE FILES ARES LIMITED TO 1MB AND CAN ONLY BE THE BELOW FILE TYPES.
.doc, .pdf, .xls, .docx , .xlsx, .ppt, .pptx, .pps, .jpg, .jpeg, .png

   
  Copy of Valid Driver's Licence
 
   
  RSA Barcoded ID Copy
 
   
  Proof of Residence / Physical Address (not older than 3 months)
 
   
  Latest Proof of Income e.g. Payslip
 
   
 


 
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