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Finglobal - Individual Application For Finance - 29mar2021
Finglobal - Individual Application For Finance - 29mar2021
For Finance
Trading as
Full Names
Identification Number
Passport Number
Nationality
Date of Birth D D / M M / Y Y Y Y
Other:
Other:
Number of Dependants
(including your spouse)
Residential Address
Postal Code
Cellphone Number -
Postal Address
Postal Code
Email Address
Applicant to Initial:
Bidvest Bank Limited (Reg No 2000/006478/06) is an authorised financial services, FSP no 25466, and registered credit provider, NCRCP17. 29/03/2021 1
Employer’s Details
Employer’s Name
Occupation
Employer’s Address
Postal Code
Telephone Number -
Email Address
Length of Service Y Y / M M
Spouse’s Details
Full Names
SA Identification Number/
Passport Number
Employer’s Name
Nationality
Telephone Number -
Full Names
Relationship
Residential Address
Postal Code
Telephone Number -
Cellphone Number -
Vehicle Details
M & M Code
Model Y Y Y Y
Vehicle Description:
Applicant to Initial:
Bidvest Bank Limited (Reg No 2000/006478/06) is an authorised financial services, FSP no 25466, and registered credit provider, NCRCP17. 29/03/2021 2
POPIA Checklist
Do you have any application pending for credit with any other credit provider?
Do you have any open quotations per Section 92 of the National Credit Act?
Finance Details
Discount R
Principal Debt R
Applicant to Initial:
Bidvest Bank Limited (Reg No 2000/006478/06) is an authorised financial services, FSP no 25466, and registered credit provider, NCRCP17. 29/03/2021 3
Dealership Details
Dealership Name
Salesperson’s Name
Telephone/Cellphone
-
Number
Loan Details
Marketing
Would you like to receive information on new products and offerings from Bidvest Bank?
Yes No
If you agree, we will communicate with you via the contact details provided in Section A and the method(s) selected below. If any other number or email address
must be used, please specify below:
Email Address
SMS -
(Provide Cellphone Number)
Bank Name
Branch
Account Number
Branch Code
Other:
Salary (Gross) R
Car Allowance R
Commission R
Investment Income R
Applicant to Initial:
Bidvest Bank Limited (Reg No 2000/006478/06) is an authorised financial services, FSP no 25466, and registered credit provider, NCRCP17. 29/03/2021 4
Income (does not replace current payslip)
Pension R
Disability R
Other: R
Income Total R
Fixed Expenses
Life Insurance R
Home Insurance R
PAYE R
Pension R
Medical Aid R
UIF R
Rent R
Levy R
Other: R
Household Expenses
Utilities R
Fuel R
Household Maintenance R
Vehicle Maintenance R
Transportation R
Creche/School/College/University Fees R
Wages R
Telephone R
Cellphone R
Medical R
Licence Fees R
Entertainment/Mnet/DSTv R
Applicant to Initial:
Bidvest Bank Limited (Reg No 2000/006478/06) is an authorised financial services, FSP no 25466, and registered credit provider, NCRCP17. 29/03/2021 5
Household Expenses
Subscription R
Donations R
Other: R
Mortgage R R R
Vehicle Finance R R R
Personal Loans R R R
Term Loans R R R
Educational Loan R R R
Other: R R R
Revolving Debt
Other Costs:
Yes No
Yes No
Applicant to Initial:
Bidvest Bank Limited (Reg No 2000/006478/06) is an authorised financial services, FSP no 25466, and registered credit provider, NCRCP17. 29/03/2021 6
If the answer to question 2 is Yes, supply the following:
I/We understand that I/we will be liable for a monthly Service Fee.
I/We hereby consent to the Bank making enquiries about my/our credit record and carrying out fraud prevention checks with any credit reference agency to
confirm details on this application.
I/We hereby consent to the Bank requesting the relevant credit information on my/our creditworthiness from any Credit Bureau.
I/We consent to the Bank providing Credit Reference Agencies with regular updates, including how I/we manage my/our account.
I/We consent to the Bank disclosing my personal and financial information to relevant Credit Agencies nationally and internationally.
Signature of Applicant
Date D D / M M / Y Y Y Y
Applicant to Initial:
Bidvest Bank Limited (Reg No 2000/006478/06) is an authorised financial services, FSP no 25466, and registered credit provider, NCRCP17. 29/03/2021 7