Client Credit Application

Full Name

Surname

ID Number

Date of Birth

Marital Status

Number of Dependants

Cellphone Number

Alternative Number

Email Address

Residential Address

Employer Name

Occupation

Employment Type

Monthly Income

Salary Pay Date

Contact Details

Loan Amount Requested

Purpose of Loan

Repayment Period

Preferred Instalment

Bank Name

Account Holder

Account Number

Branch Code

Copy of ID

Latest Payslip

Three Months Bank Statements

Proof of Address

Applicant Signature (signed file)

Application Date

Witness Name

Witness Signature (signed file)

Account Type

Credit Application Declaration

I confirm that all information provided is true and correct. I consent to Ga Le Boe Fela Financial Service Centre conducting affordability assessments, credit checks and income verification for purposes of assessing this application. I acknowledge that failure to repay an approved loan according to the agreed terms may result in legal proceedings. I understand that, subject to applicable law and any required court order, the Creditor may attach and execute against movable and/or immovable property to recover outstanding debt, interest, legal fees and associated costs. I consent to the jurisdiction of the Magistrate’s Court for proceedings arising from this agreement.