One Deal Application

One Deal: Online Application

Personal Information

Client

ID number*

First Name(s)*

Surname*

Cell*

Email*

Martial Status*

Spouse

ID number

First Name(s)

Surname

Cell

Marital Status

Reason for over indebtness*

Financial Information

Client

TOT NET Income*

Income Type*

Rent*

Rates & Taxes*

Water & Electricity*

Education & Aftercare*

Transport & Fuel*

Cell & Internet*

Groceries*

Cleaning/Nanny/Gardner*

Insurances*

Bank Charges*

Medical*

Clothing*

Security*

Private Loan/Finance*

Other Expenses*

Total

Spouse

TOT NET Income

Income Type

Rent

Rates & Taxes

Water & Electricity

Education & Aftercare

Transport & Fuel

Cell & Internet

Groceries

Cleaning/Nanny/Gardner

Insurances

Bank Charges

Medical

Clothing

Security

Private Loan/Finance

Other Expenses

Total

List your credit providers*

Do you have an overdraft?*

Preferred medium of communication*

One Deal: Online Application

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