Url Application Form Title Name Surname Preferred Contact Cell Work Email Alternative Cell Number Work Number Alternative Number Email Address Alternative Email ID Number Date of Issue Passport Number Country of Issue Nett Income Domicile City Suburb Street Name Street Number Complex Name Complex Number Postal Code Required Documents ID Document Payslip 1 Payslip 2 Payslip 3 Proof of Residence Terms & Conditions Please note: This is for finance approval in 5 minutes, you can sms to the above number and an sms will be send directly to you, you will need your new Id card or your Green bar Coded Id, latest 3 month bank statements / Payslips and proof of Residence ready at all times and one of our consultants will assist you with the procedure. I hereby certify that the information submitted by me the Consumer and recorded in this request for credit is true and correct in every detail and that I have fully and truthfully answered all the questions in this assessment form Should it be found that I did not fully and truthfully answer any question such conduct would be an absolute defence in favour of the Credit Provider, against a claim of Reckless Granting I hereby irrevocably authorise and consent to the Credit Provide remaking reasonable enquiries to confirm any details furnished by me in the request for credit and to access the file of any Credit Bureaux. National Credit Regulator, National Loans Register or any other Registered Data Base to obtain my credit record. and any other information which might be relevant in this assessment, and at any time during the existence of the Credit Agreement should this request for credit be successful and resulting in a Credit Agreement. I further consent to. authorise and agree that should this request be successful resulting in a Credit Agreement that the details of the manner in which this account is conducted and repaid will be provided to any Registered Credit Bureaux, National Credit Regulator. National Loans Register or any other Registered Data Base and that any overdue instalments will be reflected on my Credit Record. I acknowledge that the information herein contained was procured in accordance with the Law, is adequate, relevant and not excessive and that I gave consent to the processing of my personal information. I further acknowledge that the information was directly collected from myself freely and without any duress. or if collected from a third party, that I have consented thereto. I acknowledge that any confidential information given to the Credit Provider was given with the intend of enabling the Credit Provider to access the information only for the purposes for which it was intended I acknowledge that whilst applying for credit and completing the request form, that I was requested to produce my identity document and or drivers license if applicable for identification purposes only and that I voluntarily consented to the making of copies thereof. https://design2sell.co.za/new/terms-conditions/ *