Where do you want to apply? (required)
----Bridge ParkKhomas HillKwankomo VillageMondesa ViewOtjomuise EstatePelican View

Your Name (required)

Your Surname (required)

Your email (required)

Cellphone number (required)

Have you already been on a site visit?
YesNoIf approved I want to come view

What amount would you like to be pre-qualified for?

ID/ Passport number

Assessment type (required)
Individual ApplicationCo-application: Married in community of property (ICOP)Co-application: Married out of community of property (ANC)Co - Leasing with another personCompany or Trust applicationForeigner

CONCENT

I consent and authorize the Lender pursuant to this application to:
1. Obtain from a/any/all credit bureau(s) all data relating to the Applicants credit profile;
2. Disclose and obtain information from credit bureau regarding my credit history; and
3. Transmit to a/any/all credit bureau(s) all data relating to this application, opening and termination of any agreement as permitted in terms of the National Credit Act, 34 0f 2005.

Please do a credit check using my personal information provided and declare to be true & correct.
(please tick to accept & proceed)

INCOME

Gross Monthly income (before deductions)

Nett Monthly income (after deductions)

Additional income (if applicable)

DOCUMENTATION

Please upload a copy or photo of your ID or Passport in order to proceed with a credit check:

Applicant ID
Co-Applicant ID

Notes (if applicable)