DEBT CONSOLIDATION APPLICATION
Government and City of Cape Town Employees only
Sector
*
Please Select
Government Department
City of Cape Town
Credit Status
*
Please Select
Credit Clear
Arrears
Debt Review
Low Credit score
Applicant Name
*
First Name
Last Name
ID Number
*
Work Number
*
Please enter a landline phone number.
Format: (000) 000-0000.
Cell Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
WhatsApp Number
*
Please enter a valid WhatsApp number.
Format: (000) 000-0000.
Email
*
example@example.com
Address
*
Full Street Address, Suburb & Province
Street Address Line 2
City
Province
Postal Code
Marital Status
*
Please Select
Single
Married COP
Married ANC
Divorced
Widow(er)
Partner - living together
Employer Name
*
Occupation
*
Are you permanently employed for more than 6 months
*
Please Select
YES
NO
Gross Income
*
Before deductions
Basic Salary
*
As per payslip
Net Income
*
After deductions
Persal/Employee Number
*
As per payslip
Which bank do you bank with
*
Please Select
ABSA
Capitec
First national Bank
Nedbank
Old Mutual/Bidvest
Standard bank
Tyme Bank
Other
Must be an open account for more than 3 months
Do you own property
*
Please Select
YES
NO
Must be an open account for more than 3 months
How is your property registered
*
Please Select
Single
Joint
Legal entity
Must be an open account for more than 3 months
Is your property Bonded or Bond-free
*
Please Select
Bond-free
Bonded - ABSA
Bonded - FNB
Bonded - Nedbank
Bonded - SA Home Loans
Bonded - Standard bank
Bonded - Other
Compliance check
*
Please Select
Under administration
Under Debt Mediation
Under Debt Review
Sequestrated
none
Debt Mediation customers are not able to qualify
By submitting this form, you consent to DEBT2BOND securely processing your information to provide the selected services. You further authorize DEBT2BOND to share your details exclusively with financial institutions, insurers, and registered financial service providers, in full compliance with applicable data protection laws, to fulfil your request. Where applicable, you also consent to DEBT2BOND and its partners conducting credit checks or verifying financial information necessary to assess eligibility for related financial products or services.
*
YES
How did you hear about us?
*
Please Select
Referred
Social Media
Web search
Email/sms campaign
If referred: State Name of referee
*
Please verify that you are human
*
Submit
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