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Fill in the form below to apply for required funding

Name

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Last

Email address*

Phone Number*

Address

Collateral-Based Funding Required:*

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Amount Required*

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Term for the loan*

In months

Identity Documents*

CIPC Documents*

Proof of address*

6 Months Bank Statement*

(Upload maximum of 12 files)

Tax Clearance & BEE Certificate*

Purchase orders/Invoices/Contracts that require funding*

Security / Collateral*

Such as insurance policies with cash value, movable or non-movable assets

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