Personal Information
idnumber
name
surname
cellphone
email
Salary Information
monthly gross income
monthly nett income
Please Select
ABSA
African Bank
Capitec
First National Bank
Nedbank
Standard Bank
Other
bank
Employment Information
employer
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Permanent
Self-Employed
Contract
Commission
Other
employment type
employment date
The date format is yyyy-mm-dd.
Consent and Declaration
I would like to receive marketing material from Pick a Loan and their associated partners.
I declare that the information provided is both true and correct and that I have read and understood the
Terms and Conditions
. Furthermore I give consent to Pick a Loan and their associated partners to use my personal information for credit bureau enquiries and affordability checks.
Complete