FINANCE

Should you require assistance with the application form or don't have your information at hand, please feel free to leave us your details here and our finance specialist will gladly assist you.



Business Information











*
*
*
*
*
*
*

Premises Information






Postal Address





Landlords Details






Banking Details










Previous or Current Amounts owing to Financial Institutions





















Description of Other Property Registered in Company Name










Financial Details



















Declaration


  1. I am not a minor
  2. I have never been declared unfit by a court
  3. I am not subject to an administration order
  4. I do not have a current application pending for debt review restructuring or alleviation
  5. I do not have any current debt re-arrangement in existence
  6. I have not not previously applied for debt re-arrangement
  7. I am not under sequestration
  8. I do not have any applications pending for credit, nor open quotations as envisaged in section 92 of the national credit act

Yes 
No 

Yes 
No 

Yes 
No 
  1. I understand that I will be liable for a monthly service fee
  2. I hereby consent to this credit provider making enquires regarding my credit history any credit bureau
  3. I consent to this credit provider reporting the conclusion of any credit agreement with me to national loans register in compliance with this credit providers obligation under the national credit act
  4. I hereby declare that the information provided by me is true and correct



Accept      
Top