APPLY FOR LOAN...

Pre-apply for a loan...


Fields marked with * is required.
Personal Details
SA ID/Passport No : *only numbers, no spaces 7607125203080
Date of Birth : only date (dd/mm/yyyy), like 01/07/1970 - If Passport No, please provide Date of Birth
Title:
Surname : *only characters, no spaces like abcde
First Name: *only characters, no spaces like abcde
Physical Address : *
Employer : *
Employer Address :
Work Tel : *only numbers, no spaces like 0114122470
Fax No :
Home Tel :
Cell No :
Email : email address like user@domain.co.za
Financial Information
Salary Frequency :
Nett Salary : R *only numbers, no spaces like 5000
Salary Date : *
Loan Information
Loan amount : R *only numbers, no spaces like 2000
Terms :
Reason :

a) Are you currently a client of any other Micro Lender? Yes No
b) Have you ever been Insolvent, Blacklisted or under Administration or in the process therof? Yes No

Terms and Conditions...

a) I hereby authorise Elite Group PTY (ltd) to obtain from, or disclose to any Credit Bureau, or bank the information that may be relevant to the money lending transaction.

b) I give permission that contact be made with me to promote new products that may interest me.

c) I declare that all information in terms of the pre-application is correct, and that no information was withheld which could be important to evaluate this pre-application.

Yes, I have read and accept the terms and conditions.

Terms and Conditions of Loan Agreement