ONLINE APPLICATION

Loan Application

Complete the application below to apply with Sedibeng Loans.

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Secure ApplicationYour information is submitted securely.

01 Personal

02 Employment

03 Affordability

04 Banking

05 Payout

06 Documents

07 Consents

08 Signature

YOUR SELECTED LOAN R500.00 Short-Term Loan

Loan AmountR500.00

Interest @ 5.00%R25.00

Service FeeR60.00

Initiation FeeR75.00

Total Cost of CreditR160.00

TOTAL REPAYMENTR660.00

NEED HELP?☎ 063 363 4153✉ info@sedibengloans.co.za

REGISTERED CREDIT PROVIDERBoost Africa (Pty) Ltd T/A Sedibeng loansNCRCP20750

Website

01PERSONAL DETAILSTell us about yourself.

First Name *

Middle Name

Surname *

South African ID Number *

Gender

Cell Number *

Alternative Number

Email Address *

Residential Address *

Suburb

City / Town *

Postal Code

Residential Status

Area Type *

02EMPLOYMENT DETAILSTell us about your employment.

Employer Name *

Occupation / Position *

Employment Type *

Employee / Persal Number

Employer Telephone

Employment Start Date

03AFFORDABILITYProvide your monthly income and expenses.

MONTHLY INCOME

Basic Salary

Other Income

Net Salary *

MONTHLY EXPENSES

Rent / Bond

Food

Transport

Utilities

Insurance

Credit Repayments

Maintenance

Other Expenses

04BANKING DETAILSWhere your salary is paid.

Bank Name *

Account Holder

Account Number *

Account Type

Branch Code

Salary Day

Next Salary Date

05LOAN PAYOUT OR LOAN PAYMENTChoose how you would like your approved loan paid.

Choose your payout option

Our loans are paid using normal bank payment processing at no additional payout fee. If you require your approved loan to be paid using an immediate transfer, an Immediate Payment Fee equal to 5% of your loan amount will be added to your repayment.

Normal PaymentStandard bank payment processing. No additional payout fee. R0.00 Immediate PaymentRequest an immediate bank transfer once the loan is approved. + R25.00

06SUPPORTING DOCUMENTSUpload documents that can help us assess your application.

ID DocumentPDF, JPG or PNG. Maximum 10 MB.

Salary Advice / PayslipPDF, JPG or PNG. Maximum 10 MB.

Bank StatementPDF, JPG or PNG. Maximum 10 MB.

07DECLARATIONS & CONSENTSPlease read and accept the required declarations.

I consent to the necessary credit and affordability checks for this application. I acknowledge the applicable credit terms, fees and disclosures presented for this application. I consent to the processing of my personal information for the purpose of assessing and administering this application. I confirm that I have reviewed the loan amount and total repayment shown in the loan summary, including any Immediate Payment Fee where I selected Immediate Payment.

08SIGNATURESign below to submit your application.

Use your mouse or finger to sign above.