TAKE 12

Interest Rate 20% per annum (flat)
Term – up to maximum 12 months
Daily, Weekly, Fortnightly or Monthly installments

Complete the form below and our COURTS CREDIT TEAM will contact you within 2-3 working days on your Credit application.

* Mandatory

Apply Now.

CUSTOMER DETAILS

Customer Type*

Check the appropriate option*

Sole

Joint with Spouse

Joint with Other/Several

Business (Sole Trader/Partnership/Private)

Requested Limit*

Term*

Date of Birth*

Gender*

Age

Title*

First Name*

Middle Name*

Last Name*

Email address*

Mobile No*

FNPF No*

Customer TIN*

Drivers License or Voter ID*

PERSONAL DETAILS

Father’s Name

First

Last

Father's Original Village Name

Mother’s Name

First

Last

Mother's Original Village Name

Marital Status*

No of Children

No of Dependents

Ethnic Group*

Nationality*

Business Name

Business Reg No

Vehicle Type

Vehicle Registration No

Bankers Name*

Bank Account No*

RESIDENTIAL STATUS

Home Address Line 1*

Home Address Line 2*

City/Town*

Landline*

Mobile*

Current Address Since*

Property Type*

Previous Address Since*

End Date

Reason

Delivery Address*

P.O.Box

Other

EMPLOYMENT DETAILS

Employer

Status*

Employer Industry

Occupation

No of Years/Months

Pay Frequency

Pay Amount

Annual Gross

Annual Net After Tax

Current Employment Start Date

Previous Employment Start Date

End Date

Reason

FINANCIAL STATUS

Monthly Net Income After Tax*

Additional Income*

Source of Additional Income*

Total Income*

Utility Bills*

Utility Bill Breakdown*

Living Expenses*

Living Expenses Breakdown*

Bank/Creditor Loans*

Bank/Creditor Loans Breakdown*

Please download and complete the Statement of Financial Position Form (Click Here) to reduce processing time.

EMPLOYER DETAILS

Address 1

Address 2

Address 3

Telephone No

Mobile No

City/Town

Country

Department

Staff/Employment No

REFEREE 1

Name*

First

Last

Years Known*

Relationship*

Home Address*

Telephone No*

Work Address*

Telephone No*

Mobile No*

Occupation*

Email*

REFEREE 2

Name*

First

Last

Years Known*

Relationship*

Home Address*

Telephone No*

Work Address*

Telephone No*

Mobile No*

Occupation*

Email*

REFEREE 3

Name*

First

Last

Years Known*

Relationship*

Home Address*

Telephone No*

Work Address*

Telephone No*

Mobile No*

Occupation*

Email*

DOCUMENT CONFIRMATION

(Please refer to our Credit Requirements attached)

Income Proof

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If an Employee:

1. Recent (permanent) employment letter of confirmation or contract
2. Latest Payslip reflecting normal pay & deductions etc
3. Latest Bank statements – minimum 3-4 months
4. Evidence of additional or subsistence income if any

Other Proof

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*Any additional verification or supporting document that can assist with your Credit application.

ID & Address Proof:

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Recent Voter ID card or valid Drivers License (DL) or Learners Permit (LP) or Valid Passport
Joint FNPF/FCRA (TIN) card
Original copy of Birth Certificate if a Voter ID, DL or LP in 1. above not available together with a recent Utility Bill reflecting Residential address with Property owner or Landlord support letter if a dependent, boarding or renting etc.

Statement of Financial Position Form

Browse...

*Please upload the filled Statement of Financial Position Form.

Please note maximum File upload size is 10MB.

Date

Check the appropriate option*

Sole

Joint with Spouse

Joint with Other/Several

Business (Sole Trader/Partnership/Private)

Requested Limit*

Term*

DOB*

Gender*

Age

Title

First Name

Middle Name

Last Name

Date*

Email address*

Mobile No*

FNPF No*

Customer TIN*

Drivers License or Voter ID*

PERSONAL DETAILS

Father’s Name

First

Last

Father Original Village Name

Mother’s Name

First

Last

Mother Original Village Name

Marital Status*

No of Children

No of Dependents

Ethnic Group*

Nationality*

Business Name

Business Reg No

Vehicle Type

Vehicle Registration No

Bankers Name*

Bank Account No*

RESIDENTIAL STATUS

Home Address Line 1*

Home Address Line 2*

City/Town*

Landline*

Mobile*

Current Address Since*

Property Type*

Previous Address Since*

End Date

Reason

Delivery Address

P.O.Box

Other

EMPLOYMENT DETAILS

Employer

Status

Employer Industry

Occupation

No of Years/Months

Pay Frequency

Pay Amount

Annual Gross

Annual Net After Tax

Current Employment Start Date

Previous Employment Start Date

End Date

Reason

FINANCIAL STATUS

Monthly Net Income After Tax*

Additional Income*

Source of Additional Income*

Total Income*

Utility Bills*

Utility Bill Breakdown*

Living Expenses*

Living Expenses Breakdown*

Bank/Creditor Loans*

Bank/Creditor Loans Breakdown*

EMPLOYER DETAILS

Address 1

Address 2

Address 3

Landline

Telephone No

City/Town

Country

Department

Staff/Employment No

Date

Check the appropriate option*

Sole

Joint with Spouse

Joint with Other/Several

Business (Sole Trader/Partnership/Private)

Requested Limit*

Term*

Date of Birth*

Gender*

Age

Title*

First Name*

Middle Name*

Last Name*

Email address*

Mobile No*

FNPF No*

Customer TIN*

Drivers License or Voter ID*

PERSONAL DETAILS

Father’s Name

First

Last

Father Original Village Name

Mother’s Name

First

Last

Mother Original Village Name

Marital Status*

No of Children

No of Dependents

Ethnic Group*

Nationality*

Business Name

Business Reg No

Vehicle Type

Vehicle Registration No

Bankers Name*

Bank Account No*

RESIDENTIAL STATUS

Home Address Line 1*

Home Address Line 2*

City/Town*

Landline*

Mobile*

Current Address Since*

Property Type*

Previous Address Since*

End Date

Reason

Delivery Address*

P.O.Box

Other

EMPLOYMENT DETAILS

Employer

Status

Employer Industry

Occupation

No of Years/Months

Pay Frequency

Pay Amount

Annual Gross

Annual Net After Tax

Current Employment Start Date

Previous Employment Start Date

End Date

Reason

FINANCIAL STATUS

Monthly Net Income After Tax*

Additional Income*

Source of Additional Income*

Total Income*

Utility Bills*

Utility Bill Breakdown*

Living Expenses*

Living Expenses Breakdown*

Bank/Creditor Loans*

Bank/Creditor Loans Breakdown*

Please download and complete the Statement of Financial Position Form (Click Here) to reduce processing time.

EMPLOYER DETAILS

Address 1

Address 2

Address 3

Telephone No

City/Town

Country

Department

Staff/Employment No

REFEREE 1

Name

First

Last

Years Known*

Relationship*

Home Address*

Telephone No*

Work Address*

Telephone No*

Mobile No*

Occupation*

Email*

REFEREE 2

Name

First

Last

Years Known*

Relationship*

Home Address*

Telephone No*

Work Address*

Telephone No*

Mobile No*

Occupation*

Email*

REFEREE 3

Name

First

Last

Years Known*

Relationship*

Home Address*

Telephone No*

Work Address*

Telephone No*

Mobile No*

Occupation*

Email*

DOCUMENT CONFIRMATION

(Please refer to our Credit Requirements attached)

Income Proof

Browse...

If an Employee:

1. Recent (permanent) employment letter of confirmation or contract
2. Latest Payslip reflecting normal pay & deductions etc
3. Latest Bank statements – minimum 3-4 months
4. Evidence of additional or subsistence income if any

Other Proof

Browse...

*Any additional verification or supporting document that can assist with your Credit application.

ID & Address Proof:

Browse...

Recent Voter ID card or valid Drivers License (DL) or Learners Permit (LP) or Valid Passport
Joint FNPF/FCRA (TIN) card
Original copy of Birth Certificate if a Voter ID, DL or LP in 1. above not available together with a recent Utility Bill reflecting Residential address with Property owner or Landlord support letter if a dependent, boarding or renting etc.

Statement of Financial Position Form

Browse...

*Please upload the filled Statement of Financial Position Form.

Please note maximum File upload size is 10MB.

Date

This field should be left blank

TAKE 12

TAKE 12

Apply Now.

CUSTOMER DETAILS

PERSONAL DETAILS

RESIDENTIAL STATUS

EMPLOYMENT DETAILS

Pay Amount

FINANCIAL STATUS

EMPLOYER DETAILS

REFEREE 1

REFEREE 2

REFEREE 3

DOCUMENT CONFIRMATION

Declaration and Signature:

Declaration and Signature:

PERSONAL DETAILS

RESIDENTIAL STATUS

EMPLOYMENT DETAILS

Pay Amount

FINANCIAL STATUS

EMPLOYER DETAILS

Declaration and Signature:

Declaration and Signature:

PERSONAL DETAILS

RESIDENTIAL STATUS

EMPLOYMENT DETAILS

Pay Amount

FINANCIAL STATUS

EMPLOYER DETAILS

REFEREE 1

REFEREE 2

REFEREE 3

DOCUMENT CONFIRMATION

Declaration and Signature:

Declaration and Signature:

CUSTOMER SERVICE

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