Telephone No (011) 8695551 Fax No (011) 8695632
 
Cellular 082 902 1985
 
PERSONAL FINANCE APPLICATION 
PERSONAL DETAILS  
SURNAME
I D NO
FIRST NAMES
NATIONALITY
HOME TEL NO
CELLULAR
HOME ADDRESS
PERIOD
POSTAL ADDRESS
CODE
PREVIOUS ADDRESS
PERIOD
DATE OF BIRTH
MARITAL STATUS
HOW MARRIED??
FULL NAME OF SPOUSE
I D NO
EVER BEEN INSOLVENT?
ANY COURT JUDGEMENTS
DETAILS
NAME OF NEAREST RELATIVE
ADDRESS OF RELATIVE
   
PROPERTY DETAILS  
PROPERTY IN YOUR NAME (ADDRESS)DRESS)
MARKET VALUE
OUTSTANDING BOND
BOND HOLDEROLDER
   
BANKING DETAILS  
PERSONAL BANKERS
BRANCH
A/C NO   
PERSONAL OVERDRAFT FACILITY
HOW SECURED? 
   
EMPLOYMENT DETAILS  
EMPLOYER
POSITION HELD
TEL NO
MONTHLY INCOME
OTHER INCOME
NO OF YRS
PREVIOUS EMPLOYER
NO OF YRS
SPOUSE'S EMPLOYER
SPOUSE'S INCOME
POSITION HELD
NO OF YRS
   
DETAILS OF GOODS PURCHASED
DESCRIPTION OF GOODS
SUPPLIER
CASH PRICE
DEPOSIT
PERIOD
FINANCING OPTION