Dual Application Form
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Are you a Home Owner?
*
Yes
No
Do You Have Any Outstanding Debt on Your Home?
*
Yes
No
Outstanding Debt on home
Main Applicant – Are you a Government employee?
*
Yes
No
Main Salary Government
Co-Applicant – Are you a Government employee?
*
Yes
No
Main Applicant – Are you under debt review or debt counselling?
*
Debt Review
Debt Counselling
No
Co-Applicant – Are you under debt review or debt counselling?
*
Debt Review
Debt Counselling
No
Marital Status
*
Married COP
Married ANC
Main Applicant – Title
*
Mr
Mrs
Ms
Dr
Prof
Co-Applicant – Title
*
Mrs
Mr
Ms
Dr
Prof
Main Applicant – Initials
*
Co-Applicant – Initials
*
Main Applicant – Full Name and Surname
*
Main Applicant – ID Number
*
Co-Applicant – Full Name and Surname
*
Co-Applicant – ID Number
*
Address
*
Please state Suburb, City and Postal Code
Main Applicant – Email
*
Co-Applicant – Email
*
Main Applicant – Telephone Number
*
Co-Applicant – Telephone Number
*
Main Applicant – Employer
*
Main Applicant – Monthly Salary Amount
*
Co-Applicant – Employer
*
Co-Applicant – Monthly Salary Amount
*
T&C`s
*
I Accept
*
In order for PERSOFIN SERVICES to process your loan application, we need to conduct a credit check. The purpose of the credit check is to assess your credit and payments profile, and the information will be used solely for this purpose. The information contained in your credit report will be kept confidential.
We, the undersigned, give consent that PERSOFIN SERVICES may conduct credit inquiries in respect of my/our credit profile as may be necessary with a credit bureau of its choice.
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