Apply for Mortgage Bonds and Home Loans services in South Africa

2 Minute Home Loan / Bond Application Form

If you don’t feel comfortable submitting the application form online, please let us know and we will either post or fax you an application form.

In order to stop SPAM please type in the 3 digit security code as displayed:

Are you or spouse or any other applicant blacklisted on itc? :	Yes No
Do you have a deposit and bond/transfer costs available? :	Yes No
Have you applied through any other sources or directly to any banks prior to applying to us? :	Yes No
Have you been pre-qualified? :	Yes No

CUSTOMERS DETAILS: Main Applicant/Surety/Company/Trust/CC
Surname: First Names: Initials: Id Number: Date of Birth: Phone (W): Phone (H): Fax: Cell: Email:	Physical Address: Suburb: City/ Town: Province: Postal Code:

ADDITIONAL QUESTIONS FOR MAIN CLIENT
Ethnic Group: No. of Dependents: Frequency of Income: Are you a South African Citizen?: Yes No Nationality: Correspondence Language:	Marital status: How Married (ANC/COP etc):

BANKING DETAILS - MAIN CLIENT
Account Type: Institution: Branch/Code:	Balance: Acc. Holder: Account number:

EMPLOYMENT DETAILS - MAIN CLIENT
Are you self employed: Yes No Occupational Level: Occupation: Name of Employer: Date Joined Employer:	Previous Employer Name: Period with previous employer: Have you ever been declared insolvent?: Yes No Date Rehabilitated:

INCOME AND EXPENDITURE: Main applicant
Monthly Income (before tax) Monthly Expenses Nett Income

Co-applicant / Spouse  (leave blank if not relevant)

CUSTOMERS DETAILS: SECOND APPLICANT
Surname: First Names: Initials: Id Number: Date of Birth: Phone (W): Phone (H): Fax: Cell: Email:	Physical Address: Suburb: City/ Town: Province: Postal Code:

ADDITIONAL QUESTIONS FOR SECOND APPLICANT
Ethnic Group: No. of Dependents: Frequency of Income: Are you a South African Citizen?: Yes No Nationality: Correspondence Language:	Marital status: How Married (ANC/COP etc):

BANKING DETAILS - SECOND APPLICANT
Account Type: Institution: Branch/Code:	Balance: Acc. Holder: Account number:

EMPLOYMENT DETAILS - SECOND APPLICANT
Are you self employed: Yes No Occupational Level: Occupation: Name of Employer: Date Joined Employer:	Previous Employer Name: Period with previous employer: Have you ever been declared insolvent?: Yes No Date Rehabilitated:

INCOME AND EXPENDITURE: SECOND APPLICANT
Monthly Income (before tax) Monthly Expenses Nett Income

PROPERTY DETAILS
Erf no: Portion: Street No & Name: Suburb/Township: City: Province: Postal Code: Area of Land: m2

LOAN DETAILS
Is this the first time you a re purchasing a property? Yes No Include Bond and/ or Transfer costs? Yes No Purchase price of property: Purchase date of property: Amount of Loan Required:	Loan Repayment Period: Bond Amount to be registered: