ABSA
OTHER
YES / NO :
Initials: Physical Address:
Phone work: Residing at current address since:
Phone home: Fax:
Cell: Email:
Nationality:
Country Passport was issued:
Date Passport Issued: Expiry: Estate Agency/Source CTCHC
ADDITIONAL QUESTIONS FOR MAIN CLIENT
Maritul Status: Postal address: Suburb: City/Town: Province: Suburb: Ordinary Consultant Name: Surname: First Names:
CUSTOMER DETAILS:
Main Applicant / Surety / Company / Trust / CC
Send correspondence to an overseas address?
ID No:
If a non-SA Citizen,Passport no:
Are you a South African citizen? YES / No In whose name is the property to be registered?
If the property is to be registered in the name of a CC/Trust/Company,provide number: Province: Postal code: City/Town: Postal code: Suretyship CC/Trust/CO Foreign National Type of Loan: Application Type:
STD
Date of birth:
Bank of Submission: FNB NED OTHER
Individual Joint(Spouse/Other) Multiple Building Loan Further Loan Switch Sectional Title Other
Country of permanent residence: Ethnic group: C OtherC W B OTHER Permanent residence no:
0/ 1/ 2/ 3/ 4/ 5/
M W BW
X
Occupation: Previous Employer Name:
Period with previous Employer: Date joined Employer:
Work: Date rehabilitated:
Address: Post Grade 12 qualifications:
Degree / Diploma / Other
Purchase price of property: Amount of loan required: Bond amount to be registered:
Is this the first time you are purchasing a property? YES / NO Include Bond and / or Transfer costs? YES / NO
Purchase date of Property:
Loan repayment period: 20 / 25 / 30 years Have you ever been declared insolvent: YES / NO Name of Employer:
In the second column marked X, indicate the default account that the bank will use to transact with you.
EMPLOYMENT DETAILS - MAIN CLIENT
Employer No : Are you self employed: YES / No
Mortgage Loans ISA Cheque Personal Loan Fixed Deposit Trans / Savings Credit Card Other Investments Account Number No. Of dependants: Frequency of Income:
Are you a permanent resident? YES / NO
Bank Correspondence language: English / Afrikaans
Account Type Institution Branch /Code Balance Acc. Holder
Married ANC or COP/Single/Divorced
Contract price: Land price:
Complex name: Suburb:
City: Province: Township:
Area of land: m2m2 City:
Seller Name: Province:
Seller Tel: Managing Agent details:
Tel: Investment
YES / NO Is the Applicant under administration review?
Is the Applicant under debt review?
Do you wish to be included in mass contact by sms or email?
May the bank share your information within the group for non-marketing purposes? May the bank conduct a Credit Bureau enquiry on the Applicant?
May subsidiaries of the bank contact you?
May the bank contact you for marketing purposes?
YES / NO YES / NO YES / NO YES / NO YES / NO YES / NO Intended purpose of dwelling: Main Residence /
MARKETING DETAILS
Postal Code:Suburb: Township:
Street no: Street name:
PROPERTY DETAILS
Erf no: Portion:
IF SECTIONAL TITLE:
ST Plan Unit no: Door no: PROPERTY DETAILS:
Contractor contract no: Contractor name:
Bond Attorney & Tel: Transfer Attorney & Tel:
SIGNED as correct by Applicants:
GROSS INCOME LESS: Pension Medical Aid PAYE Other 3 Other 4 Other 5 Car / Travel Allowance Average Commission Average Overtime(6months) Rental Income (see attached proof) Rental Income (see attached proof) Rental Income (see attached proof) Other (Specify) Other 1 Other 2TV License / DSTV Clothing Expense (cash) Clothing Account 1 Clothing Account 2 Basic Salary
Home Subsidy
School and University fees Groceries Debt/Credit Card Payment Personal Loan 1 Personal Loan 2 Personal Loan 3 Life Insurance Life Insurance Life Insurance Life Insurance Telephone ( Telkom) Cellular Telephone Home Loan / Rent Rates & Taxes or Levy Water & Lights Vehicle Installment Petrol / Travel Costs Insurance (Short Term)
INCOME AND EXPENSES
Monthly Income Main Applicant Monthly Expenses
Co-Applicant /Spouse / Surety Main Applicant Co-Applicant / Spouse / Surety
Other 5 Other 6 Other 7 Other 8
SIGNED as correct by Applicants:
NET HOUSEHOLD/TOT AL INCOME Bond Repayment/Cance llation of rent which is included under monthly expenses NET INCOME Other 6 Other 7 Other 8 Total Expenses Clothing Account 3 Gymnasium fee Other Expenses (Specify) Other 1 Other 2 Other 4 SITE UIF Other ( Specify) Other 1 Other 2 Other 3 Other 4 Other 3
Monthly Income Main Applicant
Co-Applicant /Spouse /
Surety Monthly Expenses
Main Applicant
Co-Applicant / Spouse / Surety
R R R R R R R Co Applicant Assets & Liabilities
DESCRIPTION R R R R R R R
SIGNED as correct by Applicants:
Total Hire-Purchase Facility Overdraft Facility Budget Facility Other (Specify) Other (Specify) R R R R R DESCRIPTION AMOUNT R DESCRIPTION AMOUNT Home Loan R R R R R R DESCRIPTION Other ( Specify) Total Cheque Account Investments Other (Specify) Other (Specify) Total Home Loan Hire-Purchase Facility Overdraft Facility Budget Facility Other (Specify) Other (Specify) Total Fixed Property Vehicle
ASSETS AMOUNT LIABILITIES
Fixed Property Vehicle Cheque Account Investments Other (Specify) R R
Assets & Liabilities
; ; ;
YES / NO :
Initials: Physical Address:
Phone work: Residing at current address since:
Phone home: Fax: Cell: Email: Province: Postal code: X
Occupation: Previous Employer Name:
Period with previous Employer: Date joined Employer:
Work: Date rehabilitated:
Address:
Other
Name of Employer:
Have you ever been declared insolvent: YES / NO In the second column marked X, indicate the default account that the bank will use to transact with you.
EMPLOYMENT DETAILS FOR SECOND APPLICANT
Are you self employed: YES / No Employer No :
ISA Mortgage Loans Investments Other Credit Card Trans / Savings Fixed Deposit Personal Loan Cheque
Account Type Institution Branch /Code Balance Acc. Holder Account Number
BANKING DETAILS FOR SECOND APPLICANT
City/Town: Province: Postal code: Postal address: Suburb: Postal code: Date of birth: ID No: Suburb: City/Town: Province:SECOND APPLICANT - Spouse / Co - applicant / Other
Surname: Send correspondence to an overseas address?
First Names:
