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Loan Application Form
Loan Application form
PERSONAL DETAILS
CONTACT DETAILS
EMPLOYMENT DETAILS
LOAN DETAILS
COLLATERAL DETAILS
BANK DETAILS
SUPPORTING DOCUMENTATION
LEGAL TERMS
PERSONAL DETAILS
Name
First
Last
ID Number
Date of Birth
Gender
Please select
Male
Female
Race
Please select
African
Coloured
White
Indian
Other (please specify)
Do you receive a Social grant?
Please select
Yes
No
Ever Declared insolvent?
Please select
Yes
No
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CONTACT DETAILS
Residential Address
Postal code
Suburb
City
Province
Please select
Eastern Cape
Free State
Gauteng
KwaZulu-Natal
Limpopo
Mpumalanga
Northern Cape
North West
Western Cape
Telephone number (Home)
Telephone number (Work)
Cellphone number
Email address
*
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EMPLOYMENT DETAILS
Employment status
Please select
Full-time
Temporary
Contract
Occupation
Employee number
Fund membership number
Union number
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LOAN DETAILS
Loan Plan
Please select
Mini Loan
Maxi Loan
Mega Loan
Loan Amount (ZAR)
Purpose of loan
Please select
Deposit on Property
Purchase land
Purchase of Property
Renovations/Enhancements
Personal use
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COLLATERAL DETAILS
Employer-guaranteed Loan Payment Authorization
I accept to repay my loan from my wages / salary
I authorize my employer to repay my loan from my wages / salary
Company Name
Company Address
Company Telephone
Company Website
COMPANY APPROVAL'S DETAILS
HR MANAGER'S NAME
Please select
Mr
Mrs
Ms
Miss
Dr
Prefix
First
Last
HR PHONE
Email address
*
Net Salary: As per payslip (ZAR)
Gross Salary: As per payslip (ZAR)
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BANK DETAILS
BENEFICIARY DETAILS (Account loan to be paid into)
I accept to receive my loan payment on the bank details registered on my profile
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SUPPORTING DOCUMENTATION
BENEFICIARY DETAILS (Account loan to be paid into)
Latest Payslip
Valid acceptable Identity Document (eg certified copy of green bar-coded Identity Document)
Valid, acceptable verification document confirming residential address (eg utility bill not older than 3 months)
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LEGAL TERMS
I acknowledge that the information supplied by me shall constitute the basis on which my application is to be considered and that all such information is of material importance and directly relevant to the consideration of my application.
I warrant that all information I supplied is to the best of my knowledge and belief true and correct in all material respects and I am not aware of any other information which, should it become known to you, would affect the consideration of my application in any way.
I consent to the Asonge Sonke, my fund and/or its fund administrator as well as my employer sharing any of my personal and financial information among them as may be required to proceed and implement this loan that I have applied for.
I declare and warrant that:
I am not under debt counselling or subject to debt review;
I have disclosed to you all other applications for credit that I have made to other credit providers, whether they have been processed or not at the date of this application;
entering into this agreement will not cause me to become over-indebted as set out in the National Credit Act.
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