PERSONAL LOAN APPLICATION FORM
ID NUMBER
TITLE
Surname
First name
Marital status
No. of dependants
Home tel
Work tel
Cell
Home address
Suburb
Postal Code
What is your basic salary
What is your net salary
Loan Amount requested
Expenses
Monthly Payments
Clothing
Furniture
Personal loans
Bonds
Car
Are you permanently employed
Name of company
Date first started
Company address
Suburb
Postal
Position
Company contact person
Next of Kin
Relationship
Address
Postal Code
Telephone
Bank Name
Branch
Branch code
Account no.
Vibe Financial Consultants CC. Tel 011 039 1145 / 011 039 1147 / 011 039 3048 Fax 011 492 0071
Chief albert Lethuli House, Cnr Sauer and President street, Ground floor, Johannesburg. Registration no. CK 2006/163986/23