Online application form questions (MAIN) Order Number Online application form questions (MAIN) PERSONAL INFORMATION: Name & Surname * Identity Number (ID:No:) * Upload a Copy of your Identity Document * Upload your Salary Advice/ Proof of Income Upload your 3 months bank statement Click here to Download and Print the Consent to Obtain a Credit Report Upload the completed Consent to Obtain a Credit Report * Marital Status (ANC with accrual & ANC without accrual single/married COP/married ANC/divorced/widow/widower) * Address (Postal & Physical) Landline Number: Mobile Number * Email Address * Occupation * Employer & period employed * Employment address Spouses Name Spouses identity number Number of dependants * Property owner/tenant/boarder * Personal Budget INCOME Salary after tax & deductions * Additional income e.g. grants, spouses/children’s contribution, etc.) Irregular income Expenses A. Living expenses: 1. Rent 2. Electricity/Rates/Water/Levies * 3. Food/groceries/toiletries/cosmetics, etc. * 4. Travel/transport (include motor vehicle maintenance & petrol) * 5. School fees/Education costs * 6. Insurances (short term/life/motor vehicle) * 7. Medical Costs (Include Hospital Plan & Medical Aid/Gap Cover) * 8. Telephone & Internet (landline; mobile contracts & prepaid/pay-as-you-go) * 9. Home maintenance (domestic worker/gardener/security, etc. * 10. Other expenses not mentioned above B. Living expenses: 1. Bond repayments 2. Motor vehicle loans repayment * 3. Personal loans * 4. Credit cards * 5. Store accounts * 6. Other loans not mentioned above Agree to our Terms & Conditions! Yes No Click here to view our Terms & Conditions Have any Comments / Questions
