Consultant Details
Gauteng Region/s {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Select Consultant {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Start Application? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Application Details
Estate Agent {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Select Country of permanent Residence {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Admin Details
{ binding firstError.message }
{ binding firstError.message }
Client ID Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Client Passport Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Client Details
Existing Client
DB Lookup Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Day {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Month {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Years {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Email Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Cell Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Phone(Home) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Phone(Work) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Fax {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Physical Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Postal Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
In who's name is the property registered? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
New Client
Client Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Day {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Month {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Year {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Cell Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Phone (Home) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Physical Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Postal Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
In who's name is the property registered? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Trust/CC
CC/Trust/CO Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{{ $dataItem.get_label() }}
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }
Number of Members / shareholders etc. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Entity Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Nationality {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Home Language {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
City of Birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Number of Dependants {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
People in house? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Non-Citizen
If a non-Citizen: Passport Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Country passport was issued {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Date of Issue {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Date of Expiry {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Are you a Permanent Resident? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Residence Permit Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Country of permanent residence {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Tax obligation outside South Africa {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Banking Details
Select Institution {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Account Holder {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Account number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Branch {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Branch Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Is this the Home Loan Debit Account? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Debit Details - Other Account
Select Institution {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Account Holder {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Branch {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Branch Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Employment Details
Occupation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Name of Employer {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Address of Employer {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Employer Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Date Joined {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Tax Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Previous Employer {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Period at Previous Employer {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Name and Surname of the public official in a position of authority that you are related or associated to? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Spouse Details
Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
ID Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Date of Birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Phone (H) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Phone (W) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Mobile Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Fax {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Is your physical and postal address the same? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Residential Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Postal Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Dependants (excl spouse) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Number of people in house {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Home Language {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Nationality {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
City of birth {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Non-Citizen
If a non-Citizen: Passport Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Country passport was issued {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Date of Issue {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Date of Expiry {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Are you a Permanent Resident? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Residence Permit Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Country of permanent residence {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Tax obligation outside South Africa {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Spouse Banking Details
Institution {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Account Holder {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Account number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Branch {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Branch Code {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Employment Details of Spouse
Occupation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Name of Employer {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Address of Employer {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Employer Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Date Joined {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Tax Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Previous Employer {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Period at Previous Employer {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Name and Surname of the public official in a position of authority that you are related or associated to? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Loan Details
Is this the 1st time you're purchasing a property? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Purchase Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Loan Repayment Period {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Initiation fee to be included in Bond amount? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Installment Type? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Upload Offer to Purchase (OTP) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
If a Building Loan complete the following:
Contract Price {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Land Price {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Main Applicant
Income - Main Applicant
Gross Basic Salary Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Gross Housing Subsidy Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Average Commission(6 months) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Average Overtime(6 months) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Income after Deductions(Nett) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Other Income - Dividend Income(Investments) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Other Income - Rental Income(Agreement to be attached) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Other Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Fringe Benefits - Car Allowance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Fringe Benefits - Other {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Total {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Expenses - Main Applicant
Life Assurance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Medical Aid(as per payslip) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
PAYE(as per payslip) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Pension(as per payslip) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
UIF(as per payslip) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Levies {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Rates and Taxes {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Water and Lights {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Cell Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Education {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Groceries {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
M-net/Telephone etc {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Security {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Short Term Insurance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Credit Card Minimum Payments {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Retail Minimum Payments ( Any clothing account; Jewellery Account; Highveld Corp; RCS etc…) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Personal Loan Instalments {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Motor Finance Instalments {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Petrol & Maintenance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Total {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Assets of Main Applicant
Fixed Property {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Property description {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Purchase Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Purchase Value {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Present Value {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Vehicle/s {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Make of Vehicle {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Purchase Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Purchase Value {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Present Value {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Furniture / Jewellery / Household Contents {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Purchase Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Purchase Value {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Present Value {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Total {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Liabilities of Main Applicant
Mortgage Bond/s {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Property Description {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Name of Bondholder {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Bond Account No. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Monthly Instalment {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Outstanding Balance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Vehicle Finance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Make of Vehicle {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Name of Financier {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Date Repayable {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Monthly Instalment {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Outstanding Balance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Total {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Spouse / Joint Applicant
Income - Spouse/Joint Applicant
Gross Basic Salary Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Gross Housing Subsidy Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Average Commission(6 months) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Average Overtime(6 months) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Income after Deductions(Nett) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Other Income - Dividend Income(Investments) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Other Income - Rental Income(Agreement to be attached) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Other Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Fringe Benefits - Car Allowance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Fringe Benefits - Other {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Total {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Expenses - Joint / Spouse Applicant
Life Assurance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Medical Aid(as per payslip) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
PAYE(as per payslip) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Pension(as per payslip) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
UIF(as per payslip) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Levies {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Rates and Taxes {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Water and Lights {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Cell Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Education {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Groceries {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
M-net/Telephone etc {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Security {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Short Term Insurance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Credit Card Minimum Payments {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Retail Minimum Payments ( Any clothing account; Jewellery Account; Highveld Corp; RCS etc…) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Personal Loan Instalments {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Motor Finance Instalments {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Petrol & Maintenance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Total {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Assets of Joint/Spouse Applicant
Fixed Property {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Property description {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Purchase Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Purchase Value {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Present Value {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Vehicle/s {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Make of Vehicle {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Purchase Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Purchase Value {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Present Value {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Furniture / Jewellery / Household Contents {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Purchase Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Purchase Value {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Present Value {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Total {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Liabilities of Joint / Spouse Applicant
Mortgage Bond/s {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Property Description {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Name of Bondholder {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Bond Account No. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Monthly Instalment {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Outstanding Balance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Vehicle Finance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Make of Vehicle {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Name of Financier {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Date Repayable {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Monthly Instalment {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Outstanding Balance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Total {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Total Income {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Total Expenses {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Affordability {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Credit Information Disclosure and Consent
Have you signed surety / guarantee for any other debt? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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If Yes please specify credit type (e.g Home Loan ) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Surety / Guarantee amount {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Bank / Institution name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Have you ever been declared insolvent ? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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If yes, state date of insolvency {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Date Rehabilitated {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Do you have any disputes with the credit bureau ? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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If Yes please provide details {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Are you currently insolvent / under judicial management/ debt review / curatorship ? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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If Yes please provide details {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Will you be relying on any non applicant to continue the bond repayments ? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Consent
The applicant /s is hereby made aware that the Banks / Lender / Financial Institution will need to conduct a credit bureau enquiry on the applicant/s herein to determine the applicant/s creditworthiness Yes No in support of this application. The applicant/s hereby gives consent to the Banks / Lender / Financial Institution to conduct such credit enquiry
Confirm {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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The applicant/s hereby gives consent to the Banks / Lender / Financial Institution to share all information both positive and negative Yes No pertaining to this application with the Mortgage Originator during the application process
Confirm {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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The applicant/s hereby gives consent to the Banks / Lender / Financial Institution making contact with the applicant/s for marketing purposes
Confirm {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Should this application be successful, the applicant/s understand that certain types of insurance covering both the dwelling ( compulsory ) and the mortgage bond will be required. The applicant/s hereby gives consent to the necessary information being forwarded to an independent insurance company so that they may provide the applicant/s with the comparative quotes for Mortgage Protection Cover and / or Building Protection insurance
Confirm {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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FNB Tax Declaration: “I/We hold no other citizenships and residency for local and international tax purposes, other than those disclosed in this application form and will inform the lender in writing of any change of this status within 30 days of the change of status”
Confirm {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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I hereby appoint the Originator as my sole agent and on my behalf to submit to all Financials Institutions in line with the requirements as discussed, in order to obtain mortgage loan finance for the property specified on this application form.
I hereby consent to the Originator using, storing and sharing my personal information (as set out in this for) with companies within its group and with registered credit providers as well as its service providers. I further agree to receive information about other products and services that the Originator thinks may be of interest to me. I acknowledge that I have the right to opt-out of such future communications.
Consent to Electronically obtain Account Statements from Financial Institutions:
For the purpose of assessing your credit / finance application, your consent is needed to obtain your bank statement(s) directly from Absa, Nedbank and Standard Bank. The financial institutions involved will exchange no further information than your bank statements and these will be safeguarded and not used for any other purposes. Bank account statements obtained will also be limited to the period necessary to assess the credit / finance application. Your signature below confirms you have provided the required consent for retrieval of some or all of the required bank statements for any reason, the credit provided will contact the Mortgage Originator to source a separate form for the account statements.
The advantages of putting down a deposit when financing a home has been discussed with me.
I / We hold no other citizenship and residencies for local and international tax purposes, other than those disclosed in this application form and will inform the lender in writing of any change of this status within 30 days of the change of status.
I / We warrant that all the information I / We supplied is to the best of my / our knowledge and believe true and correct in all material respects. I / We am / are not aware of any other information which, should it become known to the Financial Institution, would affect the consideration of my / our applicant in any way. I / We agree that the Financial Institution may provide any information pertaining to the Loan applied for to the Originator during the application process. I hereby authorize the Financial Institution to have access to my credit bureau records and to furnish and or to disclose any information arising from any agreement entered into with the Financial Institution to any such credit bureaus.
I / We further irrevocably consent that the Bank can request my / our pay slips for auditing purposes from my / our employer or any third party.
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Warranty by the Originator
The originator warrant that this application and supporting documentation is submitted by the originator on behalf of the applicant/s with the applicant/s knowledge and consent.
The originator warrants that the applicant/s have chosen the mortgage originator’s address for delivery of the quotation to the applicant/s.
The originator further warrants, to the best of its knowledge, that the documentation / information submitted by the applicant/s in support of the application if not fraudulent, incorrect or misleading.
Originator Name GreenDoor Home Loans ID/Reg No. 2005/036603/07
Signature on or behalf of Originator {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Date of Signature - Originator {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Applicant Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Date of Signature - Applicant {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Main Applicant
Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Date of Signature - Applicant {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Joint/ Spouse Applicant
Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Date of Signature - Applicant {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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