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LOANS APPLICATION FORM - Impaq

00183 Pre- agreement Statement, Quotation and loan agreement in terms of Section 92 and 93 of the National Credit Act, 34 of 2005. Fundi Capital (Pty) Ltd (formerly Edu- loan (Pty) Ltd) is a registered credit provider (NCRCP 158) Co. Reg. 1996/003961/07 Race (Research Black Asian Gender: Female Marital status: Married COP ANC No. of Dependants:and Reporting Coloured White Male Single Divorced Widowed on Statistics):Surname: Tel (work):Name: Tel (home):Physical Tel (Payroll officer):address:(domicile) Code: Employee No: Email address:Title: ID No:APPLICANT S DETAILSA1 Cell:Employer:Occupation: Years in service: Income Status: Permanent Contract worker TemporaryPostaladdress:Code:If details correspond with the above, just tick the box (if applicant / student is the same person).

Pre-Agreement Statement, Quotation and Loan Agreement in terms of Section 92 and 93 of the National Credit Act, 34 of 2005 Fundi Capital (Pty) Ltd (formerly Edu-Loan (Pty) Ltd) is a registered credit provider (NCRCP 158) Co. Reg. 1996/003961/07

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