Personal Loan Application Form Page 2

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NB: Please complete form and fax to 011 4920071 / email
shons@vibegroups.co.za
Include a Clear copy of ID, 3 months Bank Statements, Latest payslip & Proof of Residents
Signed at ____________________by the Debtor on this the ____ day of ________ 2012 in
the presence of the undersigned witness.
As Witness
_____________
_____________
_____________
Client Signature
Signed at ____________________by the Creditor on this the ____ day of ________ 2012 in
the presence of the undersigned witness.
Bank :
FNB
Account Number: 62274985484
Branch Code :
250737
Ref No.:
__________
Vibe Financial Consultants CC. Tel 011 039 1145 / 011 039 1147 / 011 039 3048 Fax 011 492 0071
Chief albert Lethuli House, Cnr Sauer and President street, Ground floor, Johannesburg. Registration no. CK 2006/163986/23

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