RemoVet — Digital Loan Form (Signature Ready)

Loan Application — Digital (30-day / 30%)

1. Applicant Details

Full name (as per ID)

ID number

Residential address

Phone number

Email address

Title

Marital status

Next of kin (name)

Next of kin (contact)

Employment & Income

Employer name

Job title / Occupation

Length of employment

Monthly income (ZAR)

Monthly expenses (ZAR)

Bank name

Account number

Account type

2. Loan Details

Loan amount requested (ZAR)

Interest

Purpose of loan

Disbursement method

Repayment date (auto-calculated or choose)

3. Documents & Consents

Certified ID copy 3 months bank statements Proof of residence Latest payslip

I consent to RemoVet storing & processing my data (POPIA) I permit RemoVet to perform a credit check I permit RemoVet to contact my employer (optional)

4. Declaration

I declare that the information supplied is true and correct. I understand this is a 30-day loan with fixed 30% interest and I accept the repayment responsibility.

Signature (use finger or mouse)

For office use: Approved: Approved amount: