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Applicant Information (Section 1/5)
Full Names*
Surname*
Email Address*
Phone Number
Date of Birth
ID Number
Residential Address
Employment and Income Information (Section 2/5)
Employment Status*
Employer Name
Job Title
Monthly Gross Income
Total Income before deductions
Monthly Nett Income
Total Income after deductions. (Take home pay)
Other Income
Income from other sources
Length of employment at current employer.
Expenses and Debt Information (Section 3/5)
Monthly Living Expenses
Excluding rental, bond or loan payments
Monthly Rental/Bond Payments
Rental payments or current bond.
Total Amount for all Debts Outstanding
All Loans and Credit Card Balances
Loan Information (Section 4/5)
Desired Loan Amount
Desired Loan Term*
Years
Desired Rate
Leave blank if not sure
Privacy and Consent (Section 5/5)

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Email: *
Phone: *
Property to view:
When will be a suitable date/time to view the property: