Application for Solar Finance Individual

Personal Details

Client Subtype *

Title *

Surname *

Identity No / Passport No *

Full Names *

Initials

Place of Birth *

Nationality *

Gender *

Ethnic Group *

Language Preference *

Marital Status *

If Married, How?

Date Married

Address and Contact Information

Home Address *

Postcode *

Period at Address *

Postal Address *

Postal Postcode *

Residential Status *

Country of Residence *

Geographic Location

Tel (h)

Tel (w)

Cell *

Email *

Tax obligations outside SA? *

US citizen/person/national? *

Registered VAT vendor? *

If 'Yes', VAT reg no

For what purpose will the goods be used? *

Spouse and Next of Kin Information

Spouse Name

Spouse Identity No

Next of Kin *

Relationship *

Tel *

Address *

Employer Details

Current Employer *

Industry Type *

Salary Date *

No of Years with Employer *

Occupation *

Source of Income *

Banking Details

Bank Name *

Name of Accountholder *

Branch Name *

Branch Code *

Account No *

Type of Account *

Communication and Marketing

Inform me of new products/offers

Present exclusive offers from other organisations

Monthly Income and Expenses

Applicant Income

Basic Salary R

Car Allowance R

Commission R

Overtime R

Other R

Source of other income

Total Salary R

Net Salary R

Household Expenses

Bond Payment R

Rates, water & electricity R

Vehicle instalments R

Personal-loan repayments R

Credit card payments R

Furniture accounts R

Clothing accounts R

Overdraft payments R

Policy/Insurance premiums R

Telephone payments R

Transport costs R

Food and entertainment R

Education costs R

Maintenance R

Property rent R

Other R

Total Monthly Income R

Total Monthly Household Expenses R

Total Monthly Disposable Income R

Consent

Consent to enquiries with credit agencies & sharing payment behaviour? *

Consent to request payslips from employer? *

Consent to get electronic bank statements for asset finance? *

Electronic Bank Statement Details

Bank Name *

Branch Name *

Name of Accountholder *

Branch Code *

Account No *

Account Type *

Final Declaration

I declare I have never been declared mentally unfit; am not subject to an administration order; do not have current applications pending for debt restructuring; have not applied for restructuring; am not under sequestration; and do not have any open credit applications as per NCA.

I hereby declare that all of the above information is true and correct.

Applicant's Signature (Type Full Name) *

Place *

Date