APPLICATION FOR INSTALLMENT
    1. INSTALLMENTLEASE
APPLICATION FOR INSTALLMENT
    1. PERSONAL DETAILS

    1. ANCCOPSINGLEWIDOWED
APPLICATION FOR INSTALLMENT
    1. BOND DETAILS

    1. OWN NAMESPOUSE
    1. EMPLOYER DETAILS

    1. ETHNIC GROUP

    1. LANGUAGE PREFERENCE

APPLICATION FOR INSTALLMENT
    1. PERSONAL APPLICATION FORM

    1. SALARY DETAILS
    2. OWN
    3. SPOUSE
    1. BASIC MONTHLY (EXCL CAR ALLOWANCE)
    1. CAR ALLOWANCE
    1. TOTAL SALARY (BASIC & CAR ALLOWANCE
    1. MONTHLY COMMISSION
    1. NET TAKE HOME PAY
    1. INCOME OTHER THAN SALARY/WAVES**
    1. TOTAL MONTHLY HOUSEHOLD INCOME (NET SALARY & OTHER)
    1. HOUSEHOLD EXPENSES PER MONTH

    1. BOND PAYMENT
    2. RATES, WATER, AND ELECTRICITY
    1. VEHICLE INSTALLMENTS (EXCLUDING THOSE TO BE SETTLED)
    2. PERSONAL LOAN REPAYMENTS
    1. CREDIT CARD REPAYMENTS
    2. FURNITURE ACCOUNTS
    1. CLOTHING ACCOUNTS
    2. OVERDRAFT REPAYMENTS
    1. POLICY / INSURANCE REPAYMENTS
    2. TELEPHONE PAYMENT
    1. TRANSPORT COSTS
    2. FOOD AND ENTERTAINMET
    1. EDUCATION COSTS
    2. MAINTENANCE
    1. HOUSEHOLD EXPENSES
    2. OTHER
    1. TOTAL HOUSEHOLD EXPENSES
    1. HOUSEHOLD SURPLUS/DISPOSABLE INCOME
    1. SURETYGUARANTORCO-DEBTOR

    Specify Details

    1. IF YOU HAVE SIGNED SURETY OR CO-DEBTOR PLEASE INDICATE THE FULL AMOUNT OUTSTANDING
    1. ALLEMAILPOSTTELEPHONESMS
APPLICATION FOR INSTALLMENT
    1. I confirm that:
    1. A. I am not a minor.
    1. B . I have never been declared mentally unfit by a court.
    1. C. I am not subject to an administration order.
    1. D. I do not have any current application pending for debt restructuring or alleviation.
    1. E. I do not have any current debt re-arrangement in existence.
    1. F. I have not previously applied for a debt re-arrangement.
    1. G. I am not under sequestration.
    1. H. I do not have applications pending for credit, nor open quotations as envisaged in section 92 of the National Credit Act.
    1. I. I hereby grant the Credit Provider the right to communicate with me through any electronic/written media of verbally in order to make available to me, their product offering.
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    1. I hereby give consent to the Credit Provider to make enquiries about my credit record with any credit agency and to obtain whatever information on me they might require to
      process the application. I also give consent to the Credit Provider to share my payment behaviour with any credit agency.
    1. I hereby give consent to the Credit Provider to make enquiries about my credit record with any credit agency and to obtain whatever information on me they might require to
      process the credit application and / or application for insurance
    1. I hereby declare that all of the above information is true and correct