APPLICATION FORM

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1 Step 1
ID Number
First Name
Surname
Cell Number
Home Phone No
Work Phone No
Home AddressLine 1
SuburbLine 2
Town/CityLine 3
Postal CodeLine 4
Company Name
Employment Date
Gross Salary
Net Salary
Monthly Expenses
Required Loan Amount (R)
Purpose
Account Number
I AUTHORISE THE BELOW DEBIT ORDER MANDATE AND ACCEPT THE TERMS & CONDITIONS:
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Terms and Conditions

Name and SurnameElectronic Signature
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In case of cancellation as a result of breach on the part of the applicant/client, the remaining balance shall become immediately due and owing to Loans For SA. In the event Loans For SA should hand the applicant/client over for collection of any amounts owing to Loans For SA , Loans For SA shall impose an administration cost of 25% (Twenty Five Percent) added to the outstanding amount owing by the applicant/client to Loans For SA. .All legal fees associated with the collection of monies owing to Loans For SA in terms of these policies, being it for breach or otherwise shall be paid by, or be liable by the applicant/client on an attorney and client scale.

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