Application Form

Please note that we do not charge any fees for our services.

For Personal Loans, Blacklisted Loans, Pay Day loans, Consolidation Loans, Debt Counseling, Sequestration, Debt Mediation complete the form below, make sure all info is correct please.

Other Services: To Apply for a Cell Phone Contract Click Here, To Apply for a Home Loan Click Here, To Apply for Your Free Credit Report Click Here.

Applying For?

Loan Amount

Email Address

ID Number

First Name

Last Name

Work Number

CellPhone Number

Company Name

Start Date

Bank Name

How Old Is Your Account?

Gross Salary

Nett Salary

I'm interested in a quote for Life Insurance

R 500 000 cover from R 130 pm. Get cover for you, your family and extended family all under one policy up to R 5 million.

I'm interested in a quote for Funeral Cover

Funeral cover that doubles after 2 years at no extra cost. Cover up to 21 Family members.

Are Your Currently Under?

Remember when applying for loans online that there a many companies out there charging fees for applying. Read the term and conditions properly and don’t just give your banking details or other personal info out to any one.

Application Form

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