Personal Loan Application Please Note: To complete the form you will need scanned copies of Your ID Latest Pay Slip Latest 2 Months of Bank Statements Please tell us where you heard about MBC Finance: —Please choose an option—Isipingo BranchHoedspruit BranchProspecton BranchGoogle SearchGumtree/Newspapaer/JunkmailFacebookTwitterEmail/NewsletterOther WebsiteSMSElsewhere Your Details Title (required) MsMrsMr Your Name & Surname (required) E-mail (required) ID Number (required) Cell Number Work Number Phone Number Address Type (required) —Please choose an option—ResidentialPostal OwnerTenant Address (required) Employment Details Company Name (required) Branch Department Position Date Employed Type of employment PermanentContract Line of Work Payday Type Pay Date HR Contact Person HR Contact Number Fax Employer e-mail Bank Details Bank Name Branch code (required) Branch Name (required) Account Number Account Type (required) —Please choose an option—ChequeSavingsTransmission Account Holder Contact Reference Title (required) MsMrsMr Name (required) E-mail (required) Relation (required) Cell Number Work Number Phone Number Address Type (required) —Please choose an option—ResidentialPostal OwnerTenant Address (required) Questionnaire Loan Amount (required) —Please choose an option—R500R600R700R800R900R1000 Loan Term (required) —Please choose an option—1 Month2 Month3 Month Net Salary Occupation Gross Salary How many RD's? How many Garnishees? Ever been under Debt review yesno Are you under Debt review yesno Ever been under sequestration yesno Are you under sequestration yesno Ever been under admin yesno Are you under admin yesno Any Other Income? Expenses Groceries Transport Household Other Upload Files Upload Copy of ID, Latest Payslip, and Latest 2 Month Bank Statement for a fast decision. Upload and Attach File Max 2mb Upload and Attach File Max 2mb Upload and Attach File Max 2mb Would you like to be included in the following: - Telemarketing campaigns conducted by or on behalf of the Credit provider? yesno - Marketing lists which may be sold or distributed by the Credit Provider? yesno - Any mass distribution of e-mail or SMS Messages? yesno Like our Facebook Page to be entered into our monthly lucky draw Security Code (required) I give consent to MBC Finance making enquiries about my credit record with any credit reference agency or with any party as per the information provided by me. Do you need help with your Application, don’t hesitate to contact us!
