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Application Form.

The information below will allow us to do a preliminary check to see if you qualify for a loan.

I understand and accept the following conditions:

  1. You confirm that

    1. You are not currently over-indebted

    2. You are not under administration, sequestration or debt review and have not been declared mentally unfit by an order of court

    3. All information you give us is true and correct

  2. English

    You confirm that you are able to read and fully understand English. If you cannot read English or do not fully understand English, you should not continue with this online application and should call us to apply in one of the other languages we support namely Afrikaans, Xhosa, Zulu or Sesotho.

  3. Afrikaans

    U bevestig dat u Engels kan lees en Engels ten volle verstaan. Indien u nie Engels kan lees nie, óf Engels nie ten volle verstaan nie, moet u asseblief nie met hierdie aanlyn aansoek om ‘n persoonlike lening voortgaan nie. Skakel ons eerder: ons kan u telefonies in Afrikaans, Xhosa, Zulu of Sotho help om u aansoek te voltooi.

  4. Zulu

    Uyaqinisekisa ukuthi uyakwazi ukufunda isiNgisi futhi usiqonda ngokuphelele. Uma ungakwazi ukufunda isiNgisi noma ungasiqondi ngokuphelele isiNgisi, akumele uqhubeke nokufaka isicelo nge-inthanethi kodwa esikhundleni salokho kumele usifonele ukuze ufake isicelo sakho ngolunye lwezilimi esizisebenzisayo, isiBhunu, isiXhosa, isiZulu kanye neSesotho.

  5. Sesotho

    netefatsa hore o kgona ho bala mme o utlwisisa Senyesemane ka botlalo. Haeba o sa kgone ho bala Senyesemane kapa o sa utlwisise Senyesemane ka botlalo, o tlameha ho se tswele pele ka kopo ena ya mokitlane wa motho ya inthaneteng mme o re letsetse ho etsa kopo ka e nngwe ya tse ding tsa dipuo tseo re di sebedisang, e leng Afrikanse, Sexhosa, Sezulu kapa Sesotho.

  6. Xhosa

    Uqinisekisa ukuba uyakwazi ukusithetha isiNgesi kwaye usiqonda ngokupheleleyo. Ukuba awukwazi ukusifunda isiNgesi okanye awusiqondi ngokupheleleyo, akufuneki uqhubeke - sifumaneka kwikhompyutha kwaye kufuneka ufake isicelo ngezinye iilwimi esizixhasayo ezizezi, isiBhulu, isiXhosa, isiZulu okanye isiSuthu.

I understand the use of information conditions:

You provide voluntary, specific and informed consent to the use and disclosure of your personal information, and give MediFin and their affiliates permission verify any information we need in connection with this agreement. We share your data with third parties involved in the process of providing the services you request, credit bureaus, customer service providers, lenders and collection agencies. We have trusted relationships with these carefully selected third parties. All service providers are bound by contract to maintain the confidentiality and security of your personal information and are restricted in their use thereof as per our Privacy Policy.

I consent to be contacted for service feedback and/or information about other products and services.
YesNo


I agree to receive correspondence via e-mail and not by post.
YesNo


To obtain Credit Life Insurance (s44 of the Long-term Insurance Act).
YesNo


Consent for the upfront initiation fee to be financed with principal debt.
YesNo


By submitting this online application, you agree to the terms and conditions presented on this site.