Solid Desert Cash Loan Express cc

01

Personal Information

Please provide your personal details

First Name *

Please enter your first name

Last Name *

Please enter your last name

ID Number *

Please enter your ID number

Gender *

Please select your gender

Marital Status *

Please select your marital status

Account Number *

Please enter your account number

Residential Address *

Please enter your address

Postal Address *

Please enter your postal address

02

Financial Information

Provide your monthly income and expenses

Monthly Income

Net Salary (After Deductions) *

Please enter your net salary

Commission

Pension

Own Business Income

Total Monthly Income

Living Expenses

Groceries *

Please enter groceries cost

School Fees

Transport Cost *

Please enter transport cost

Total Monthly Expenses

Monthly Contractual Payments

Home Loan Account

Home Rental

Credit Card Payment

Personal Loans

Educational Loan

Insurance

Car Payments

Cell Phone Contract

Other Credit

Total Contractual Payments

03

Employment Information

Details about your current employment

Occupation *

Please enter your occupation

Employee Number *

Please enter your employee number

Company Name *

Please enter your company name

Company Telephone *

Please enter company telephone

Gross Monthly Salary *

Please enter your gross salary

Payment Day *

Please select your payment day

Employer Address *

Please enter employer address

04

Contact & Banking Information

How we can reach you and your banking details

Contact Details

Contact Number *

Please enter your contact number

Email Address *

Please enter a valid email address

Relative/Witness Contact *

Please enter relative/witness contact number

Banking Details

Bank Name *

Please enter your bank name

Branch *

Please enter your bank branch

Account Number *

Please enter your account number

Account Type *

Please select account type

References

Reference 1 Name *

Please enter reference 1 name

Reference 1 Telephone *

Please enter reference 1 telephone

Reference 2 Name *

Please enter reference 2 name

Reference 2 Telephone *

Please enter reference 2 telephone

05

Loan Details

Specify your loan requirements

Loan Type *

Please select a loan type

Loan Amount *

Please enter the loan amount

Interest Rate (%)

Interest Amount (N$)

Total Repayable (N$)

Number of Installments (Max 5) *

Please enter number of installments

Installment Amount (N$)

First Payment Due *

Please select first due date

Last Payment Due *

Please select last due date

Final Repayment Date

Signing Details

Signed At (Place) *

Please enter signing place

Day *

Please enter signing day

Month *

Please select signing month

Year *

Please enter signing year

06

Document Upload

Upload required documents for your application

Payslip *

Upload Payslip PDF, JPG, PNG

Please upload your payslip

ID Copy *

Upload ID Copy PDF, JPG, PNG

Please upload your ID copy

Bank Statements

Statement Format *

Single Merged PDF

Separate Files

Please select bank statement type

07

Digital Signatures

Please sign below to complete your application

Borrower Signature *

Please provide your signature

Witness Signature *

Please provide witness signature

Sign using your mouse or touch screen

08

Review Your Application

Please review all information before submitting

I agree to the terms and conditions and confirm that all information provided is accurate

Please accept the terms and conditions

Loan Application