Online Credit Application Form
Customer details
First Name
Last Name
ID Type
RSA
Non RSA
ID Number
Date of Birth
Cell No.
Email
Income details
Gross Income
Nett Income
Address details
Street
Suburb
Postal Code
Address details
Employer Name
Industry
Accommodation/ Hospitality
Activities of households as employers of domestic personnel
Air transport
All Government departments
Arts and culture
Automotive - Sales and repair
Betting and gambling
Broadcasting activities
Call Centers
Coal and petroleum products
Construction
Education - Public and Private
Electricty, gas, and air conditioning
Farming
Financial service/Banking
Fishing
Food and beverage service
Forestry
Health/ Medical
Informal trade/ Spaza
IT - Computers and related
Legal and accounting
Logistics/ Road Transport
Manufacturing - other
Marketing
Mining
Mining - Gold and Platinum
Other financial service and insurance activities
Other professional, scientific and technical activities
Pensioner
Pharmaceuticals
Plumbing/ Electrical/Carpentry
Postal and courier activities
Publishing
Real estate
Recruitment
Security
Sport
Telecommunications
Travel agency, tour operator, reservation service and related activities
Veterinary services
Warehousing and support
Water collection & treatment
Wholesale - non Automotive
Occupation
Contract Type
Permanent
Temporary
Contract
Commission
Self-employed
Pensioner
Employee Duration
Months
Application details
Product
ENERGY SOLUTIONS
Term
3
6
12
18
24
36
42
48
60
Loan Amount
Installment
Further Party Details
First Name
Last Name
ID Type
--
RSA
Non RSA
ID Number
Gross Income
Nett Income
