Home Loan Application Make it happen Complete one application and get quotes from all leading financial institutions. 1Section A - Personal Details2Section B - Contact Details3Section C - Employment Details4Section D - Credit History5Section E - Loan & Debit Order Details6Section F - Monthly Income, Deductions & Expenses7Section G - Primary Transactional Bank Account Details And Contractual Expenses8Section H - Assets & Liabilities9Section I - Declarations & Consents Application NumberMain Applicant* First Last Main Applicant ID / Passport Number* Name* First Last Title*SelectMrMrsMsDrProfAdvGender*SelectMaleFemaleDate of birth* Day Month Year ID Type*SelectSouth African IDSouth African Smart ID CardPassportID / Passport Number* SA Citizen?*SelectYesNoNationality* If passport, Country of Issue* Refugee ID Card Number* Document Expiry Date Day Month Year Country of Birth* City of Birth* Permanent Resident?*SelectYesNoTemporary Resident?*SelectYesNoPermit TypeSelectPermanentStudyWorkOtherPermit Number Permit Expiry Date* Day Month Year Marital Status*SelectSingleMarried COPMarried ANCDivorcedOtherIf married ANC, register in both names?*SelectYesNoNumber of Dependants* Ethnic Group*We are required to request this in terms of the Home Loan and Mortgages Disclosure Act, 2000. Asian Black Coloured White SA Income Tax Number If Tax Number unavailableSelectNo tax number availableNo tax number issuedDo you file tax return outside of SA?SelectYesNoCountry Tax Return Filed* Tax Number* Current Residential Status*SelectOwnerTenantOtherAre you a first time home buyer?*SelectYesNoWill this property be your main residence?*SelectYesNoHighest level of education*Matric1 Year Diploma2 Year Diploma3 Year DiplomaDegreeHonours DegreeDoctorateDo you currently smoke, or have you smoked in the last 12 months any form of tobacco or e-cigarettes?*SelectYesNoAre you a public official in a position of authority?*SelectYesNoAre you related to or associated with a public official in a position of authority?*SelectYesNoWhat is the nature of the relationship or association?* Name and surname of public official in a position of authority that you are related or associated with* Contact DetailsHome Telephone Number Cellphone Number* Work Telephone Number Fax Number Email Address Home Language* Language for correspondence*EngllishAfrikaansResidential Address* Street Suburb City Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Postal Address same as Residential Address?* Yes No Postal Address* Street / PO Box Suburb City Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Legal notice delivery method* Hand Delivered Registered Mail Future Correspondence Address (only complete if different to postal address) Street / PO Box Suburb City Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Employment DetailsOccupation Status* Full-time Employed Part-time Employed Self-employed Temporary Employed Home Executive Unemployed Pensioner Occupation Level* Senior Management Management Supervisor Skilled Worker Semi-skilled Unskilled Junior Position Name of occupation* Employer Name* Company Registration Number Employer Contact Number* Employee Number* Employment Period*Employment Period YearsEmployment Period MonthsEmployer Address* Street Suburb City Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Percentage of income derived from own business (if any) Are you a shareholder of your employer's business?* Yes No Percentage shareholding* Do you work in South Africa?* Yes No Does this purchase coincide with a job change?* Yes No Were you previously employed?* Yes No Previous Employment (two most recent)Previous employer* Duration*Employment Duration YearsEmployment Duration MonthsPrevious employer* Duration*Employment Duration YearsEmployment Duration Months Credit HistoryAre you currently under Administration?* Yes No Were you ever under Administration?* Yes No Has a judgement ever been taken against you?* Yes No Are you currently under debt review?* Yes No Debt Counsellor Name* Debt Counsellor Phone Number* Are you currently under any debt-re-arrangement?* Yes No Have you ever been declared insolvent?* Yes No Date of insolvency* Day Month Year If rehabilitated, date* Day Month Year Are you aware of any adverse credit listings?* Yes No If yes, specify*Are you currently in a credit bureau dispute?* Yes No Existing SuretyshipsIf bound by multiple surety agreements then combine the valuesAre you bound by any surety agreements?* Yes No Specify Amount* Are you currently paying this account?* Yes No Monthly Instalment* Details of suretyship* Will you be settling this account/debt?* Yes No New Instalment (only capture if instalment / payment will be reduced)* Surety in favour of* Loan DetailsErf Number / Section Number* Street / Complex* Suburb / City* Loan amount to be registered*New Loan / Further Loan Amount Required*Debit Order DetailsHome Loan Installment Debit Order DetailsBank Name*SelectABSAFNBStandard BankNedbankCapitecInvestecRMBDiscoveryBank Account No.* Preferred debit order date* Monthly IncomePrimary ApplicantGross SalaryAverage CommissionInvestment IncomeRental IncomeCar AllowanceTravel AllowanceEntertainment AllowanceIncome from suretiesHousing subsidyMaintenance / alimonyAverage overtime (past 6 months)Other IncomeOther Income DescriptionAmount Total Income (excluding Other Income Sources)*Office use onlyMonthly DeductionsPrimary ApplicantTax (PAYE / SITE)PensionUIFMedical AidOther DeductionsOther Deduction DescriptionAmount Total Deductions (excluding Other Deductions)*Office use onlyMonthly ExpensesPrimary ApplicantRental (only if ongoing)Maintenance / AlimonyRates and taxes / LeviesWater and electricityAssuranceLife, retirement annuities, insurance, funeral policiesGroceriesTransport, petrol and car maintenanceEducationMedical (excluding medical aid salary deductions)Cellphone / internet (if not on contract)M-Net, DSTV, TVSecurityOther ExpensesOther Expense DescriptionAmount Total Expenses (excluding Other Expenses)*Office use onlyNet surplus income / deficit (excluding Other Income, Other Deduction, Other Expenses)*Office use only Primary Transactional Bank Account DetailsPrimary ApplicantFinancial Institution*SelectABSAFNBStandard BankNedbankCapitecInvestecRMBDiscoveryBranch* Account Type*SelectChequeSavingsAccount holder name* Is this account in the name of a Legal Entity?* Yes No Business Bank account?* Yes No Account number* Balance Debit (-) Credit (+)*For FNB, RMB and Standard Bank Primary Banked Customers: Your Bank has requested the opportunity to consider your home loan application first for a period of time. I consent to this arrangement:* Yes No Contractual ExpensesPrimary ApplicantHome LoansFinancial InstitutionBranchAccount Holder NameOutstanding BalanceMinimum Monthly InstalmentAre you selling the existing property (yes/no)New instalment (if reduced) Other Bank / Finance Account Detailse.g. credit cards, vehicle finance, personal loansBank / Financial InstitutionAccount TypeCurrent BalanceMonthly PaymentWill this account be settled? (yes/no)Is this a business account? (yes/no)Is this a legal entity account? (yes/no) Retail AccountsName of Retail StoreCurrent BalanceMonthly PaymentWill this account be settled? (yes/no) Assets / LiabilitiesPrimary ApplicantFixed PropertyMarket ValueLiabilitiesVehiclesMarket ValueLiabilitiesInvestementsMarket ValueLiabilitiesFurniture & FittingsMarket ValueLiabilitiesOther Assets / LiabilitiesDescriptionMarket ValueLiabilities Total Asset ValueTotal LiabilitiesNet Asset Value* Declarations & ConsentsConsent*a) I consent to EVO making application for home loan finance on my/our behalf. b) I acknowledge that personal, financial and other information is furnished to EVO for the purposes of making application for home loan finance and are aware that I/we are required to furnish all such information truthfully and fully. c) I consent to EVO receiving all communication from the bank/s (including the quotation) pertaining to my/our home loan application. I/We consent to EVO issuing the estate agent with a copy of the quotation. d) I consent to EVO & third parties, including banks, making enquiries to credit bureaux when assessing my/our home loan application for finance. e) I hold no other citizenships and residence for local and international tax purposes, other than those disclosed in this application form and will inform the lender in writing of any change of this status within 30 days of the change of status. f) I consent to Standard Bank, ABSA and Nedbank electronically retrieving my/our bank statements. g) I hereby appoint ?????? (“our Representative at EVO”) to be my/our lawful representative and agent in my/ our name, place and stead and to obtain a copy of my/our personal credit reports (“PCR”) from Experian South Africa (Pty) Ltd. The PCR is to be used solely for the purpose of providing me/us with advice or assistance with managing my/our credit, by having reference to the content of my/our PCR. I/We consent to Experian releasing a copy of my/our PCR to my/our Representative and to my/ our Representative having sight of the content of my/our PCR for the above purpose. I agree to the above declarations and consents*I irrevocably consent that Nedbank may request my salary advices from my employer(s) or any third party.* Yes No Signature*Primary ApplicantNameThis field is for validation purposes and should be left unchanged.
