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