Finance Application Form.

Personal Details

Title

ID Number

Full names and Surname

Gender

Marital Status

Date Married

Address

Street Address City Province Postal Code

Tel (H)

Tel (W)

Cell

NEXT OF KIN (NOT LIVING WITH YOU)

Full names and Surname

Cell

Relationship

Address

EMPLOYMENT

Occupation

Address

Number

Salary Date

Tel(W)

Employment Period (Years)

Employment Period (Months)

INCOME

Basic Salary (EXCL Car Allowance)

Car Allowance

Total Salary

Monthly Commission

Net Take Home Pay

Income Other than Salary/Wages

Source of Income

Total Monthly Income

EXPENSES

Bond/Rent

Vehicle Installments(EXCL Trade-in/Settling)

Credit Card Payments

Clothing Accounts

Policy/Insurance Repayments

Transport Costs

Education Costs

Household Expenses

Rates, Water & Electricity

Personal Loans

Funiture Accounts

Overdraft

Telephone Payment

Groceries

Maintenance

Other

Todatl Monthly Expenses

Disposable/Surplus Income

Are you currently liable as

Surety

Guarantor

Co-Debtor

Finance Application Form.

Personal Details

NEXT OF KIN (NOT LIVING WITH YOU)

EMPLOYMENT

INCOME

EXPENSES

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