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Have these ready

  • Your ID number
  • Your employer’s details and how long you’ve worked there
  • Your gross and nett income
  • Your bank’s name
  • A relative’s name, number and address

You’ll sign at the end. Form not showing? Open it in a new tab.

The form is run by Jotform. How your details are used.

Customer with his keys beside a white Polo with a red bow, outside the Gemin Motors sign Customer with his keys beside a white Polo with a red bow Customer beside a blue Renault Duster with a red bow Customer shaking hands beside a white double cab bakkie with a red bow