EmailMeForm
Financial Assessment Form
Complete the below form and upload your latest payslip,Id and latest Bank statement. These documents can be uploaded via your cellphone camera or a document already on your cellphone.
Name and Surname
*
Identity Number
*
Address
*
Nett Salary R.
*
Salary pay date
*
Salary frequency
*
Please select
Monthly
Weekly
Fortnightly
Cell Number
*
Email
*
Are you under debt review?
*
Yes
No
By signing and submitting this electronic application I hereby confirm the following and acknowledge.
*
I hereby give consent to do a credit check.I agree to the use of Digital and Electronic signature as a valid method of signing this document.
Signature
*
Clear
Please upload your Bank Statements
*
Add File
Please upload your ID copy
*
Please upload your latest payslip/s::
*
Add File