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Single Application | Joint Application | Co-Applicant / Surety
BOND APPLICATION FORM
Ref No: 
(* = Mandatory Field)
* Bond to be registered in name of:
PERSONAL DETAIL
* Applicant Type:
* Surname:
* Full Names:
* Title:
* Gender
* Date of Birth: Day Month Year
* Type of IDs:
* ID Number:
* Date of Issue: (Passports Only)

* Date of Expiry: (Passports Only)
* Country of Issue: (Passports Only)
* SA Citizen:
* Permanent Resident: Residence Certificate Number:
* Issue Date of Residence Permit: Day Month Year
* Nationality:
* Income Tax Number:
* Home Language:
* Correspondence Language:
* Ethnic Group:
* Marital Status:
* Marital Contract:
* Is Spouse a Participant in Bond:
* Full Names of Spouse:
* Number of Dependants:
   
* Have you ever been declared insolvent:
* Date of Insolvency:
 
   
* Have you been rehabilitated: * Date of Rehabilitation:
* Highest Qualification:
CONTACT AND ADDRESS DETAILS
* Home Telephone Number:(Code)
* Work Telephone Number: (Code) Ext Number:
* Fax Number: (Code)
* Cellular Telephone Number:
* Email Address:
* Physical Address:
  Suburb
  City
  Province
  Code
* Is your Postal Address the Same as Physical?

* Postal Address:

(If not the same as physical)
  Suburb
  City
  Province
  Code
* Resident Status:
* Occupation at Current Address Since: Month Year
EMPLOYMENT DETAILS
* Occupational Status:
* Occupation
* Occupational Level:
* Employment Sector:
Self Employed Since (if self employed): Month Year
Nature of Business (if self employed):
* Employer:
* How long has Employer been Operating:
* Employer Telephone Number: (Code)
* Employer Fax Number: (Code)
* Employer Address
  Suburb
  City
  Province
  Code
* Staff Reference Number:
* Date Joined Current Employer: Day Month Year
* Remuneration Frequency:
* Previous Employer (if employed less than 3 years):
Previous Employer Telephone Number: (Code)
Previous Employer Fax Number (Code)
*Privious Employer Address
  Suburb
  City
  Provine
  Code
Previous Staff Reference Number:
Period at Previous employers (years):
Previous Remuneration Frequency:
INCOME AND EXPENDITURE STATEMENT
Gross Salary -   Salary Deductions  
Note Either Cost to Company or Salary Breakdown  
Cost to Company
 UIF
Basic Salary
 Income Tax
Housing Allowance Pension
Car Allowance Medical Aid
Cell Phone
Staff Loan
Enyertainment Garnishee Order
Commission Other & Specify
Overtime    
Reimbursements Sub Total
Others (Specify)    
    Monthly Expenses  
Sub Total Bond(s)/Rental(s) - Existing
    Bond (Existing-to be settled)
Other Income   Bond - New
Rental Income Levy
Investments Rates & Taxes
Matured Policy Water & Electricity
Donations Maintenance on Property
Monthly Income from Retirement Annuity Vehicle Instalments
Monthly Income from Pension Credit Card Payments
Monthly Income from Inheritance Petrol & Maintenace on Vehicle
Other & Specify Insurance / Assurance
    Groceries
Sub Total Clothing
Total Income Store Cards
 
THIS IS TOTAL GROSS
SALARY + TOTAL
OTHER INCOME
 Domestic Help
    Garden Services
    Education
    Entertainment
    Telephone
    Other & Specif
       
    Sub Total
    Total Expenses
     
TOTAL SALARY
DEDUCTIONS + TOTAL
MONTHLY EXPENSES
       
Total Income  
Less Total Expenses  
Surplus / Shortage for the Month  
BALANCE SHEET
       
ASSETS      
Fixed Property      
Erf No. Suburb Date of Purchase Purchase Amount Present Value *
         
Vehicles
Model
Year
Date of Purchase
Purchase Amount
Present Value *
Furniture & Fittings: Present Value R *
Life Assurance      
Institution Number Issued Matures Amount Value * Ceded Ceded To
Investments  
Company Present Value *
   
Cheque Accounts (CR Bal)  
Institution * Branch * Balance * Acc Holder * Acc No *
         
Saving Accounts (CR Bal)      
Institution * Branch * Balance * Acc Holder * Acc No *
Inheritance: Present Value R *
Total Assets: R
BALANCE SHEET
LIABILITIES      
Bonds    
Erf No. Suburb Institution * Account No * Account Owing *
Owing Under Loans with Financial Institutions  
Institution * Amount Owing *
Retail Accounts / Store Cards    
Institution * Amount Owing * Credit Limit
Cheque Accounts (Overdraft)      
Institution * Branch * Balance * Acc Holder * Acc No *
Credit Cards      
Institution * Amount Owing * Credit Limit Acc Holder Acc No
Owing Under Vehicle Finance      
Model Institution Date of Purchase Present Value Outstanding Balance
Total Liabilities:    
Total Assets:    
Less Total Liabilities:    
Nett asset Worth:    
LOAN DETAILS
* Type of Loan:
* Purpose of Loan:
* First Purchase: * Are costs to be included?
* Type of Interest Rate:
* Actual Interest Rate: %
* Purchase Price:
* Purchase Date Day Month Year
* Offer to Purchase Expires: Day Month Year
* Deposit Amount: * Source of Deposit:
* Loan Amount * Bond Registration Amount:
* Term of Loan (years):
* Developer: New Development:
* Contractor (if a building loan):
* Contract Price:
* Expected Date of Completion: Day Month Year
* Has the Land Been Paid For ?   Property to be Occupied by:  
DETAILS FOR PAYMENT
* Method of Payment:  
* Bank: Branch Name or Branch Code:
* Account Type:  
* Account Number: * Account Holder:
SELLER'S DETAILS
* Initials & Surname / Legal Person's Name:  
* Type of ID: * ID Number:
* Legal Person’s Registration Number:
* Contact Numbers: (Code)  
 *                          (Code)  
* Existing Bondholder Institution:
* Existing Bondholder Branch:  
* Existing Bond Account Number:
ADDITIONAL SECURITY
Are you offering additional security?    
Will Employer Provide a Guarantee?    
Type of Security:    
Amount of security:  
PROPERTY DETAILS
* Type of Property:    
* Dwelling Purpose:      
Portion Number:  Erf Number:
* Street Number * Street Name:
* Suburb: City / Town: 
  Province:  Postal Code:
* Complex Name:  Unit Number: 
Section No (door): Exclusive Use Number/s:
Garage Bay Number/s: Parking Bay Number/s:
* Name of Managing Agent:
* Contact Numbers: (Code)   
                             (Code)   
Size of Land m2 Size of Building m2
* Freehold or Leasehold:
* Contact for Property Evaluation:
* Name:
* Contact Numbers: (Code)   
                             (Code)   
DECLARATION

I/We declare that the foregoing answers and statements are true and correct and I/we understand that any material mis-statement reserves to The Financial Institution the right to cancel any loan made to me/us and take any action it deems necessary.

I/We understand further that if upon examination of the Title Deeds Certificate of Right of Leasehold, Certificate of Deed of Grant, of the property the conditions thereof or any endorsements thereon of servitudes or otherwise are deemed to be unfavourable, the Financial Institution reserves the right to cancel any grant made. Furthermore, if this application is for a building loan, I/we undertake to erect the building in accordance with the plans submitted herewith. I/We declare that I/we have not paid nor am/are I/we committed to pay a raising fee to the agent or to any other party as a condition for obtaining the approval of this loan.

The Applicant/s will provide the Financial Institution with whatever additional personal or other information which may be reasonably required to consider this application. While The Financial Institution will ensure that any personal information so obtained remains confidential the applicant/s hereby consents to:

• The Financial Institution having access to personal and commercial information which may be obtained from any third parties including, without limitation, information from credit reference agencies. The Financial Institution may also provide such information to other Financial Institutions;

• The Financial Institution making available, to credit reference agencies, any information regarding the management of my/our account/s, including any failure to meet the agreed terms and conditions. Credit reference agencies may in turn make such information available to other credit grantors;

• The Financial Institution carrying out identity and fraud prevention checks and sharing information relating to this application through the South African Fraud Prevention Service.
FOR OFFICE USE ONLY
Internal Reference Number: 
* Bank of Choice:               
* Consultant:   
   Administrator:
  Agency/Broker:
  Application received Date: Day Month Year
  RTI  %
  LTV  %
  Transfer Attomeys Name:    
  Contact Numer:                  
  Registering Attomeys Name:
  Contact Number:                
* Bond to be Registered in Name of: 
* If above is a legal Person, the Following Details are Required: 
* Registration Number           
* Vat Registration Number     
* Business Type                  
* Business Tel No                
* Business Fax No               
* Business Physical / Trading Address
* Business Postal Address   
* Business Financial Year End