New Client Application

If you have had a loan from us previously please login before applying for another loan.

Please confirm the amount you would like to borrow(*)

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Payday(*)

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Personal Details

Full Name and Surname(*)

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Contact Number(*)

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Flat or Appartment Number

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Street Name(*)

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City(*)

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Province(*)

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Identity Number(*)

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Email Address(*)

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Street Number(*)

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Suburb

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Post Code(*)

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Registration Details

Username(*)

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Password. Please ensure you use a secure password.(*)

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Confirm Password(*)

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Employment Details

Name of Employer(*)

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Gross Monthly Salary(*)

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Duration of Employment(*)

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Nett Monthly Salary ( after deductions )(*)

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Bank Details

Bank Name(*)

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Bank Account Number(*)

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Name of Account Holder(*)

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Type Of Account(*)

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File Uploads

Please upload a copy of your ID(*)

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Please upload a copy your latest Payslip(*)

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Please upload copies of your last 3 bank statements(*)

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Confirmation

Amount Required

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Repayment Amount

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Day of the month for repayment

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Please tick the box below(*)

I agree that if my application is accepted, the amount listed above as the repayment amount will be debited from my account on the day of the current month specified above as the repayment day

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Please tick the box below(*)

I AGREE TO THE PRIVACY POLICY AND TERMS & CONDITIONS AND BY SUBMITTING THIS APPLICATION I GIVE ANY TIME LOANS PERMISSION TO PERFORM A CREDIT CHECK ON ME AT THE RELEVANT CREDIT BUREAUS

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