462 Chris Hani Street Simunye Ext 05 Westonaria 1780 Johannesburg
Info@selcashloans.co.za
+27105160877
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Long Loan Application Form
Fill the Application Form Below to Get Started
Personal Details
NAMES
*
NAMES
First
First
Last
Last
ID NUMBER
*
13-Digits
Gender
*
-Select-
Male
Female
LOAN AMOUNT
*
Our Loan Amount Starts From R10,000
LOAN YEARS
*
- Select -
1 Year
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
11 Years
12 Years
13 Years
14 Years
15+ Years
EMAIL
PHONE / MOBILE
*
NET MONTHLY INCOME
*
SALARY DATE
*
- Select -
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
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PHYSICAL ADDRESS
*
PROVINCE
*
- Select -
Eastern Cape
Free State
Gauteng
KwaZulu-Natal
Limpopo
Mpumalanga
Northern Cape
North West
Western Cape
CITY / TOWN
*
Loan Details
TYPE OF LOAN
*
- Select -
Personal Loan
Business Loan
Home Loan
Car Finance
Education Loan
Debt Consolidation
Agriculture Finance
Wedding Loan
FINANCIAL STATUS
*
- Select -
Debt Free
Blacklisted
Under Debt Review
Poor Credit Score
REPAYMENT METHOD
*
- Select -
Debit Order
Cash
Company
Upload Supporting Documents in the Fields Below
ID COPY
*
Drop or click to upload
Choose File
Maximum file size: 15MB
3 MONTHS BANK STATEMENTS / PAYSLIP
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Choose File
Maximum file size: 25MB
SUPPORT DOCUMENTS (OPTIONAL)
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Choose File
Maximum file size: 25MB
Other Details
ADDITIONAL INFORMATION (OPTIONAL)
Please note that SEL Cash Loan Group is a Credit Service Provider.
You confirm that
1.1
All information you give us is true and correct.
1.2
You will ensure that you have read and understood the Pre-Agreement Statement and General Terms and Conditions that follow before accepting any loan amount that you may be offered.
*
I understand and accept the conditions of this loan application
If you are human, leave this field blank.
Submit Application
Info@selcashloans.co.za
+27105160877
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