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Pension-Backed Lending application

00146799 2018-01 Pension-Backed Lendingapplication Page 1 of 7 Applicant detailsFirst namesPassportHand DeliveryIdentity numberRegistered mailSurnameIdentity typeTitleHome languageNumber of dependantsIdentity/passport numberAddress for lettersDelivery method for all legal notices including notices in terms of Section 129 of the NCAAre you a permanent South African residentAre you a South African citizen Ye sYe sNoNoResidentialPostalEmailThe Standard Bank of South Africa Limited (Reg. No. 1962/000738/06) An authorised fi nancial services and registered credit provider (NCRCP15).Next of kin nameNext of kin contact numberYe sYe sYe sSingleI confi rm that the required consent is s signatureI give consent on a joint (in community of property)I give permission to the bank to perform credit check on me at any credit reference agency to consider this application and to update my information*If you are married in community of property, your spouse must give written consent in terms of the Matrimonial Property Act 88 of 1984 before you enter into this agreement.

00146799 2018-01 Pension-Backed Lending application Page 1 of 7 Applicant details First names Passport Hand Delivery Identity number Registered mail Surname Identity type

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