This document contains a loan application form requesting personal and financial information such as name, contact details, ID/passport number, loan amount requested, duration of loan, bank account information, and employment details. It includes fields for applicant name, address, contact numbers, date of birth, nationality, occupation, company name and details if applicable. The applicant must declare that all information provided is true and accurate, and that any falsification will result in the loan not being approved.

1. MR NAIDOO.SALID
MOBILE No: 081 241 4410
FAX No: 086 546 2751
TEL No: 011 053 7918
EMAIL:macroloan@financier.com
No.117 JP STATION STREET
JOHANNESBURG
SOUTH AFRICA
Application Form
Please complete and return by fax or email. 2003/021297/23
ADVICE NOTES
SOUTH AFRICAN
ID/PASSPORT NUMBER
Have you been blacklisted? YES NO
Loan Amount: Loan Duration:
Account coordinates
(Details of the account
Where you want your
Loan funds
Transferred.
How would you want your money to be transferred to
you? Bank transfer
Bank name: …………………………………. Account Nº: ………………… ……………….
Bank Address: …………………………… …………. City: ……………………
State: …………………………......................Post Code..
Full Name:
Address:
City:
Telephone. Nº:
Email:
State:
Mobile:
Date of Birth: Nationality:
Post Code:
Fax Nº:
Occupation:
Please give the
Applicant’s full
Postal address.
Other Information of you
Company Name:
Company
Telephone:
Company
Address
City State
Period of year
In that
Company fax:
Post Code
Declaration
I (MR/MRS/MISS) ……………………………................................................................. HEREBY DECLARE THAT THE
ABOVE DATA / INFORMATION GIVEN ARE TRUE TO THE BEST OF YOUR KNOWLEDGE AND INCASE
OF FALSIFICATION, THE LOAN SHOULD NOT BE APPROVED FOR ME.
DATE: …………………………… SIGNATURE: ………………………………….
CAMELO -FINANCE -SOLUTION -PTY