Medium Term Loan
Loan amount required
Estimated loan period in months
Purpose of loan
Erf number & suburb as security for loan
Value of Property
Outstanding Bond
At which bank
Registered Owner
How do you plan on settling the loan amount
Legal entity applying for loan
Name of entity
*
Registration number
*
Directors / Partners / Trustees:
Names & ID Numbers of Directors / Partners / Trustees:
Personal details of client
Full Name & Surname
First Name
Last Name
ID number
Work Number
Cell Number
Email Address
*
example@example.com
Physical Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Authorisation for credit check:
Please tick the box below to confirm that the details entered above are true and correct, and that you authorise to verify your information with Genrand Finance / Their Associates / The Financier may perform a credit check on the applicantand share any relevant information with a credit bureau.
Please confirm
*
Authorisation for credit check:
E-Signature
Document Checklist
Please email the following documents to bridge@genrand.co.za or upload documents below
Documents Needed for pre-approval
Latest Financial Statements
Latest 6 months Business Bank Statements
Please upload documents here
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