Finance Application Form
 
 
  Goods description & Price
 
   
  Personal Details:
     
  Title:
  Full Names
  Surname
  ID No
  Sex
  Home Address
  Period
  Tel (Home)
  Cell
  Fax
  Email
  Postal Address
  Previous Address
  Period
  Spouse Names
  Spouce ID
  Next of kin
  Relationship
  Address
  Tel
     
  Marital Status
     
  Married
  Single
  COP
  ANC
  Widowed
     
  Bond Details
     
  Bond Holder
  Amount Outstanding
  Property Value
  Installment
  Purchase Price
  Date Purchased
  Renting
     
  Employer Details
     
  Employer
  Occupation
  Employer Address
  Tel
  No of Years
  Salary Date
  Previous Employer
  No of Years
  Spouse Employer
  No of Years
  Tel
  Occupation
     
  Salary details (Basic Monthly)
     
  Own
  Spouse
  Other
     
  Bank Details
     
  Bank
  Branch & Code
  Account Holder
  Account No
  Account Type
     
  Trade Reference
     
  Name
  Branch
  Acc No
  Installments
  Paid Up/ Current/ To be Settled
 
  Name
  Branch
  Acc No
  Installments
  Paid Up/ Current/ To be Settled
     
  Ethnic Group & Language Preference
     
  African
  Coloured
  Indian
  White
  English (Primary)
  Afrikaans (For an explanatory version)
  Zulu (For an explanatory version)
  Sotho (For an explanatory version)
     
  Household Income Details
     
  Gross Remuneration
  Car allowance included in gross
  Other Income
  Monthly Commission
  Net Take Home Pay
  Spource of Income
  Total Monthly Household Income
     
  Household Expenses Per Month
     
  Bond Payment / Rent
  Vehicle Instalments
  Credit Card Repayments
  Clothing Accounts
  Insurance Payments
  Transport Costs
  Education Costs
  Household Expenses
  Rates, Water & Electricty
  Personal Loan Repayments
  Furniture Accounts
  Overdraft Repayments
  Telephone Payments
  Food & Entertainment
  Maintenance
  Other
     
  Household Surplus / Disposable Income