Personal Details
Name:
*
Surname:
*
Email:
*
Cellphone number:
*
Work phone number:
*
ID Number:
*
Income & Expenses
Employment type:
*
Period in employment:
*
Are you employed in any of these industries
(If none, please select 'Other'):
*
Monthly gross income (as per payslip):
*
Monthly nett income (after tax / deductions):
*
Monthly loan & credit repayments:
*
Monthly other living expenses (excl. loans / credit):
*
Your Credit Profile
Are all your accounts up to date:
*
Any bounce debit orders in last 3 months:
*
Been declined for a personal loan in last 3 months:
*
Do you have any judgements or garnishee orders:
*
Under debt review / declared insolvent:
*
With which bank do you have an account:
*
Your address (for verification)
Address:
*
Suburb:
*
City:
*
Postal code:
*
Loan Details
What loan value would you like:
*
What is the purpose of the loan:
*
Ts & Cs
.By clicking 'NEXT' you agree to the TERMS AND CONDITIONS And you are giving consent for credit providers to use your South African identity number to check your credit record.: