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Last Name*
ID Number if SA Resident
Passport number if non - SA Resident
Physical address
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Telephone*
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Do you own the property you live in? Yes  No
Do you have a home loan and with which institution?
If yes, what is the current outstanding balance? R
Address of property
Erf number
Purchase amount in SA Rand* R
Loan/Bond amount required* R
Name of employer
Period employed(months/years)
Position held
Net monthly income in Rand* R
Net monthly expenditure in Rand R
If you are not permanently employed state details of contract
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