- Fast Bucks

Loan Amount Requested: *

New clients can only apply for a maximum of R1000.

Title *

Full Name/s *Please enter your full name and middle names (if any) as per your ID

Surname *

ID Number *0 / 13

Marital Status *

Cellphone Number *0 / 10

Alternative Cellphone Number:0 / 10

Email Address: *0 / 50

Street Address *

City *

Suburb *

Postal Code *0 / 4

Home Language *

Next of Kin 1

Full Names & Surname: *

Cellphone Number: *0 / 10

Relation *

Relationship Other:

Next of Kin 2

Full Names & Surname: *

Cellphone Number: *0 / 10

Relation *

Relationship Other:

Workplace

Employer *

Position *

Approximate Start Date *

Please select the approximate month you began at your current employer

How often do you get paid? *

Pay Date: *

Paydate Other:

Banking Details

Bank *We can only assist clients with bank accounts listed above.

Account Type *

Expenses

Please enter your average expenses per month. If an expense is not applicable, please leave it empty.

Rent or Accommodation

Cellphone or Internet

Groceries

Transportation

Utilities (Water, Electricity, Rates & Taxes, etc.)

Other (Excluding loan repayments)

Consent

UIA Beneficiary Plan (Optional)YesNoWould you be interested in enrolling in the Beneficiary Plan for a minimal fee of 2% of your loan repayment? This plan ensures that, in the unfortunate event of your passing, your nominated beneficiary will receive a cash payment equivalent to the outstanding value of your loan. The Beneficiary Plan is offered and administered by Universal Insurance Administrators and Underwritten by KGA Life. For more details, click here – https://www.cashloansonline.co.za/uia. KGA Life Limited is a licensed Insured and Authorised Financial Service Provider, FSP No. 15980.

Beneficiary Name & SurnameThis is the person that will receive the funds in the unfortunate event of your death.

Beneficiary Cell Number

Beneficiary ID Number0 / 13

Document Upload

ID Type *

ID Copy Front

No file chosen

Please upload a scanned copy or clear photo of the front of you ID Card

ID Copy Back

No file chosen

Please upload a scanned copy or clear photo of the back of you ID Card

ID Book Copy

No file chosen

Please upload a scanned copy or clear photo of your ID Book

Selfie Holding ID *

No file chosen

Please provide with a selfie of you holding your ID

Latest Payslip *

Please provide an uploaded copy of your latest payslip. It cannot be older than 1 month. You can upload multiple files here

3 Months Bank Statements *

No file chosen

Please provide us with 3 months latest bank statements. You can upload multiple files here

Do you have any paid up letters to upload ? *

Paid up Letters

You can upload multiple files here

New Client Application