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Finance Application
Personal Details
Client Type
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SA Citizen residing in SA
Foreign National
Asylum seeker
Refugee
SA Citizen residing abroad
Title
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Mr
Ms
Mrs
Miss
Dr
Ds.
Prof.
Initials
First name
Surname
ID / Passport Number
Date of birth
Ethnic Group
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African
Coloured
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White
Gender
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Male
Female
Primary Language
Marital Status
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Single
Married
Divorced
Widowed
Marriage Type
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In Community of Property (COP)
Out of Community of Property (ANC)
Date Married
Contact Details
Tel (H)
Tel (W)
Mobile
E-mail
Address Details
Address
City
Postal/Zip Code
Period at Address
Residential Status
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Tenant
Lodger
Home Owner
Bank Bonded
Next of Kin
Name (Not living with you)
Relationship
Address
Mobile
Employment
Employer
Occupation
Salary date
Years at company
Telephone
Address
City
Postal Code
Banking Details
Bank Name
Account Number
Account Type
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Savings
Current
Trade In
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Yes
No
Settlement (Trade in)
Finance House
Cash Deposit
Income
Gross Salary
Net Salary
Expenses
Bond Payment/Rent
Vehicle Instalments (Excl. to be settled)
Clothing Accounts
Policy/Insurance Repayment
Transport Costs
Education Costs
Household Expenses
Rates, Water & Electricity
Personal Loans
Furniture Accounts
Overdraft Repayment
Cellphone Payments
Food & Entertainment
Maintenance