Finance Lab
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Loan Cell Phone
Preferred Loan Amount ---Select One---R 500R 1,000R 1,500R 2,000R 2,500R 3,000R 3,500R 4,000R 4,500R 5,000R 5,500R 6,000R 6,500R 7,000R 7,500R 8,000R 8,500R 9,000R 9,500R 10,000
Cell Phone Package ---Select One---Blackberry Curve 8520–R459/monthLG C100-R279/monthLG C360-R385/monthNokia C2-02&C1-01-R459/monthSamsung Galaxy (55360)–R459/monthNokia X2-01–R385/monthBlackberry&Nokia1280-R449/monthSamsung Galaxy 55360&53350-R339/monthSamsung 3300i&3300i-R279/monthSamsung Chat 220-R199/month
ID Number (Required)
Surname (Required)
First Names (Required)
E-mail Address (Required)
Best Time to Phone (Required)
Cell Phone Number (Required)
Work Phone Number (Required)
Home Phone Number (Required)
Prefered Language (Required)
Physical Address (Required)
Postal Code (Required)
Are You The Tenant / Owner? (Required)
Where Do You Bank? (Required)
What Type of Account? Cheque/Savings/Transmission (Required)
Monthly Nett Income After Deductions (Required)
Employment Details
Employment Status Permanent/Contractor/Temporary (Required)
Type of Industry You Are Employed In (Required)
Period Employed (Required)
How frequently do you get paid your salary? (Required)
What Day Of The Month Do You Get paid? This Must Be The Day Your Salary Reflects On Your Bank Statement (Required)
How do you get Paid? Mass Cheque/Individual Cheque/Payroll Admin-ACB, Cash/Internet Transfer (Required)
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