B. Employer Details:

C. Spouse Details:

D. Current Employment Details of Spouse:

Employment Period

E. Property Details

If Yes, Details of Property

Address

Town\Suburb

Postal Code

If No, Price Range

From     R

To         R

Preferred Area 1

Preferred Area 2

F. Income and Expenditure:

Food

Clothing Accounts (I.E. Edgards, Foschini, etc.)

Furniture Accounts (I.E. Ellerines, Bradlows, etc.)

Transport

Electricity, Water and Rates

School, Education, Crèche

Other (Specify Below)

Rent

Total

Expenditure Detail

G. Employer Collateral Security / Subsidy Available:

Cash Deposit Available (If Yes,  Specify Amount / Percentage)

Monthly Housing Subsidy (If Yes, Specify Amount / Percentage)

Employer Collateral Available (If Yes, Specify Amount / Percentage)

R

R

R

Telephone

Employment Type

Employment Status

Employment Type

Property Identified

Complete the form below in full.

A Greenstart Consultant will call you on receipt thereof.

Surname

Full Names

ID Number

Address

A. Applicant’s Details:

Contact Numbers

Home No

Work No

Cell No

Retirement Age

SA Citizen or Permanent Resident

First Time Home Owner

Current Employer

Physical Address

Telephone Number

HR Contact Person

Employment Period

Name of Previous Employer

Years at Previous Employer

Married

Full Names

ID Number

Contact Numbers

Home No

Work No

Cell No

Current Employer

Physical Address

Contact Person

Contact Number

Price

Other Accounts (Cash Loans, etc.)

H. Customer Feedback

We value your enquiry, please indicate how you became aware of our existence*

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If ‘OTHER’ was selected please elaborate*

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