ALL fields marked with * ARE required fields. 1. Loan Application Loan Type* - please select one - Personal Loan Short-term Loan Payday Loan Car Finance Pawn my Car Debt Consolidation Home Loan Business Loan Student Loan Pension Bridging Loan RAF Bridging Loan Loan amount* Vehicle Year* - please select - 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 Vehicle Make* Vehicle Model* Vehicle Milage in km's (must be less than 200,000) * Is your vehicle paid off?* - please select one - No Yes VIN Number Business name* Company Reg No.* Business in operation for 9 months (minimum)* - please select one - No Yes Business turn over R100,000 p/m or R1,2m p/a* - please select one - No Yes To qualify for this loan, you must be recently* - please select one - Resigned Retrenched Divorced Dismissed Retired Specific Date of Event* Become a happier, stress-free, debt-free you in just a few steps Step 1) Complete an online debt assessment, this will only take a few minutes and is completely free. This is a quick breakdown of your financial situation and some basic personal details that you will need to provide. Step 2) An assessment will be done by a debt counsellor; they will then pull up a debt review plan. Important Note: Get assistance from a debt counsellor your monthly expenses and debt have to exceed your monthly income. Step 3) If you are happy with their plan and accept, you will then be placed under debt review and enjoy legal protection, so your creditors can’t take legal action against you. They will inform the credit bureaus and all your credit providers that you are under debt review and negotiate much better rates for you. Step 4) Once finalized, an attorney will apply at the court to make your restructured payment plan a court order. Step 5) Experience instant relief as you will only have to repay a single, reduced payment that you can easily afford, leaving you with extra cash at the end of each month. 2. Personal Details First name* Last name* ID number* Your date of birth* Best number to contact you on* Your e-mail address* City / Area* 3. Employment Are you currently in full-time employment?* - please select one - Working full time Working part time Self-Employed Retired Student Not currently employed What is your monthly income?* If employed, your work contact number 4. Credit Status Do you have bad credit?* - please select one - No Yes Are you under Debt Review?* - please select one - No Yes Submit By submitting this form you opt-in to; Credit Check consent receive marketing materials. We encourage you to read the Terms & Conditions, Privacy Policy as well as Affiliate Disclaimer before submitting this form.