APPLYING ONLINE

Please complete and submit the following application form:

Are you under Debt Review, Administration or Sequestration?	YES NO Sorry, we are unable to grant loans to anyone who is under debt review. Are you sure that you are being reviewed? Yes No
Purpose of loan	EDUCATION FUNERAL FURNITURE HOUSING INCOME LOSS LOSS - THEFT OR FIRE MEDICAL OTHER SERVICE SMALL BUSINESS
Client Details:
First Name:
Surname:
ID Number:
Cellphone Number:
Employer Details:
Employer:
Employee Number:
Date Employed:
Netto Salary:
Work Telephone Number:
Work Email*:
Work Address:

* Unfortunately gmail.com, etc not accepted due to fraud prevention!


I have read the declaration and accept

APPLYING BY FAX

1. Download a copy of the application form here.



2. Make sure you have the following supporting documents ready:
   

Copy of your ID Latest payslip 3 months' bank statements




3. Print and complete the application form.



4. Fax or Email the application form back to us together with the above-mentioned supporting documents to:

021 595 3044

cash@cashcentre.co.za