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LETSATSI FINANCE AND LOAN

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Please enter your details in the Application Form below:

Please remember to bring the following items when visiting the branch:

  1. 2 months bank statement (latest originals)
  2. 3 months bank statement (latest originals)
  3. ID book
PERSONAL DETAILS
Title Tick / Select Mr Mrs Ms
Surname
Name
ID Number
Date of birth (yyyy/mm/dd)
Telephone No (H) eg. +27 11 xxx xxxx
Cell No. eg. +27 11 xxx xxxx
Email Address
Marital Status





Dependants-ages
EMPLOYMENT DETAILS
Company Name:
Street No & Name:
Building Name:
Floor Number:
Room Number:
Suburb:
Town / City:
Province:
Code:
Telephone No:
Ext:
Fax No:
Staff No:
Occupation:
Department:
Supervisor Name:
How long have you been employed?
How long has the company been registered?
How many employees in your Company?
Current monthly salary
   
ARE YOU UNDER ADMINISTRATION? Yes/No Yes No
   
HAS AN APPLICATION FOR YOU TO GO UNDER ADMINISTRATION BEEN COMPLETED? Yes/No Yes No
   
DO YOU HAVE INTENTIONS OF GOING UNDER ADMINISTRATION? Yes/No Yes No
   
LOAN AMOUNT REQUESTED
   
TERMS
   
REASON FOR LOAN