Loan Application

Personal Details

Work Details

Please enter the first 3 letters of the company that you work for.
Then, select it from the list that appears below.

If your company is not found in the list, please enter the name of your company in full as per your payslip and continue to the next section.


Employment Start Date:

Tick if your salary varies from month to month?

Banking Details

Tick Box if your bank account has been open for more than 3 months?

Credit History

Are you under administration?
Are you under debt review?
Have you ever been sequestrated?
I consent to Bayport conducting a credit bureau check to assess my current financial situation
I understand that by accepting I am consenting to Bayport Processing, storing, and sharing my Personal Information as more fully explained in the below link. I am also confirming that I have read, understand, and consent to the use of my personal Information as detailed here
I want to receive future marketing communications from Bayport

All of the information requested in this form is required by Bayport Financial Services 2010 (Pty) Ltd (“Bayport”) to assess your application for the product offering/s you select. Make sure that you read and understand the questions in this application. If you do not complete all the information required on this form, Bayport will not be able to assess your application and will decline this application. In making this application you accept and understand that this is an application for Bayport product offerings and is not a promise that Bayport will approve this application.