Loan Application

First name

Last name

Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

How much do You want to Borrow?

Gross Income (per month)

Net Income (per month)

Rent/Bond

Food/Groceries

Utilities (water, elec etc)

Transport (car, uber, fuel etc)

Debt Repayments(Per Month)

Do you owe any Mashonisa money?

No, I do not

Yes, I do

How much money do you honestly believe you can pay per month for this loan?

Upload Photo of ID

Upload File

RSA ID NUMBER

I accept terms & conditions and conscent to a Credit Check

Thank you for your application. If your application is approved, you will recieve an email with instructions for your next step.

with OMEGA