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Personal Details
Personal Details
Surname
First Name
Date of Birth
(yyyy/mm/dd)
Relational Status
Single
Married
Divorced
Widowed
Separated
Living Together
Maiden Name
ID/Passport
No of Dependants
(Numerical)
Marriage Contract Type
Anti-Nuptial Contract
Customary Marriage
In Community of Property
Out of Community of Property
Residential Details
Physical Address
Layout
Suburb
Province
Cell Number
Email
Residential Status
Home Owner
Live with Parents
Tenants
Hostel
Boarder
Other
If Other Specify
Town
Code
Tel Number
Period at present address
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Years
Months
Are you under Debt Review?
Yes
No
If Yes, this application cannot be processed, please contact our office on 011 803 9003 for more information
Have you applied for Debt Review?
Yes
No
If Yes, this application cannot be processed, please contact our office on 011 803 9003 for more information
Are you going into Debt Review in the next 3 months?
Yes
No
If Yes, this application cannot be processed, please contact our office on 011 803 9003 for more information
Credit Insurance
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Are you taking Mazwe's Credit Insurance?
Yes
No
Tell me more
If No, you will be required to take your own insurance
Loan Details
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Purpose of the loan
Housing
Home Improvement
Business Enterprise
Debt Consolidation
Education
Emergency
What kind of emergency?
If your loan is for housing purposes ...
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Where is the house being built?
Rural
Urban
Province
Repayment method
Salary deduction
Debit order
Desired loan amount
In Rands
Loan Term
In Months
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Employment Details
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Job Title
Employer
Start Date
Town/City
Province
Employer Industry
Employer Contact No
Work Address
Suburb
Code
Type of Employment
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Employment Status
Permanent
Part Time
Contract *
Name of Supervisor
Payroll Contact
Payroll Tel
* If Contract
Employment end date
Salary Frequency
Weekly
Every 2nd Week
Monthly
Date Salary Received
Bank Details
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Account Holder
Branch
Account Number
Account Type
Current
Savings
Transmission
Bank
Branch Code
Is salary paid into this account?
Yes
No
How long has account been open?
Years
Months
Next of Kin
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Surname
First Name
Mr or Ms
Mr
Ms
Residential Address
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Suburb
Province
E-mail Address
Town/City
Cell
Relationship
Spouse Details
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Surname
Spouse Cell
Is Spouse Employed
Yes
No
First Name
Spouse Tel
Spouse Address
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Suburb
Code
Town/City
Name of Employer
Have you obtained consent from your spouse to enter into this loan agreement if you are married according to the customary law or in community of property?
Yes
No
If No, this application cannot be processed, please contact our office on 011 803 9003 for more information.
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Income details
Payslip
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Gross salary as per payslip
In Rands
Bonuses
In Rands
Other monthly income
In Rands
Maintenance
In Rands
Other
In Rands
Overtime/Commission
In Rands
Other Allowances
In Rands
Rental received
In Rands
Grants
In Rands
Expenses
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Housing loan
In Rands
Food and groceries
In Rands
School fees
In Rands
Telephone
Insurance
In Rands
Savings
In Rands
Existing loan repayments (total)
In Rands
Municipal expenses
In Rands
Rental
In Rands
Travel/Transport/Petrol
In Rands
Cell phone
Maintenance
In Rands
Other expenses
In Rands
Settlement of existing loan
Do you wish to use the proceeds of the loan you are applying for to pay off other loans you already have?
Yes
No
If yes, kindly provide settlement quotes.
Statistical information | Race
African
Coloured
Asian
White
Statistical information | Nationality
SA Citizen
SA Resident
Other
Country of permanent residence
(if Other)
Marketing
Do you want to receive marketing material and messages?
Yes
No
How did you know about Mazwe?
Agent
Brochure
Poster
Newspaper
Friend
Radio
Email
Social Media
Account statements
How often do you wish to receive your account statements?
Monthly
Quarterly
Which method?
Post
Email
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Declaration
I declare that the information stated above is true and correct, and that I am aware Mazwe Credit will use the information to determine whether I qualify for the loan applied for. I am aware that this application is subject to Mazwe Credit's normal credit assessments and may either be approved or declined. I agree to Mazwe Credit making enquiries about my credit record with any Credit Reference Agency and any other party to confirm any or all of the information provided in this application.
I also agree to Mazwe Credit carrying out identity and fraud prevention checks and sharing information relating to this application through South African Fraud Prevention Service or similar organisation. I hereby give my consent for the processing of my personal information by Mazwe. This consent is furnished on condition that my personal information shall be used and processed in accordance with the Protection of Personal Information Act 4 of 2013.
Tick here
By clicking here, I accept the above declaration.
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Signed at
Current Location
on
Current Date
Applicant Name
Upload Documents
Download Area
ID Copy
*
Click or drag a file to this area to upload.
Payslips
*
Click or drag a file to this area to upload.
Settlement Letter
*
Click or drag a file to this area to upload.
Proof of Residence
*
Click or drag a file to this area to upload.
3 Months Bank Statement
*
Click or drag a file to this area to upload.
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