Loan Application

Personal Information

Reference Number

Title *

First Name *

Last Name *

ID Number *

Cell Number *

Preferred Contact Method *

Email Address *

Street Address *

Suburb *

Town/City *

Province *

Loan Configuration

Loan Amount (R500 - R8,000) *R500

Select your first payment date

Last Payment Date: -

Loan Term (1-6 Months) *1 Month

Loan Cost Breakdown

Principal Amount: R0.00

Initiation Fee: R0.00

Service Fee: R0.00

Interest: R0.00

Insurance: R0.00

Total Fees & Interest: R0.00

Total Cost of Credit: R0.00

Monthly Installment: R0.00

Credit Cost Multiple: 0.00x

Affordability Assessment

In terms of Regulation 23A of the National Credit Act (NCA), MyBenefitz is required to conduct an affordability assessment based on your income and expenses.

Employer Details

Employer Name *

Occupation *

Employment Type *

Monthly Income

Gross Monthly Income (Before Deductions) *

Net Monthly Income (After Deductions) *

Monthly Expenses

Accommodation Expenses *

Transport Expenses *

Food Expenses *

Education Expenses

Medical Expenses

Water and Electricity *

Maintenance Expenses

Other Expenses

Monthly Cash Flow Summary

As part of the assessment, we will obtain your monthly debt obligations from your credit report and factor this into your overall affordability assessment.

Net Monthly Income: R0.00

Total Monthly Expenses: R0.00

Available Monthly Amount: R0.00

Document Upload

Please upload the following documents in PDF format only. All documents are required for processing your loan application.

Identity Document

Required

Drag & drop your ID document here or browse

PDF format only, maximum 5MB

Latest Payslip

Required

Drag & drop your latest payslip here or browse

PDF format only, maximum 5MB

Bank Statement

Required

Drag & drop your bank statement here or browse

PDF format only, maximum 5MB

Declaration and Consent

I acknowledge and confirm that:

I have read and understood this Agreement and, if I am married in community of property, my spouse agrees that I make the Agreement.
I am not currently under administration, debt review or sequestration or in the process of applying for such.
The agreement has been electronically originated and has been electromagnetically recorded and reduced to writing.
A copy of the Agreement has also been offered to me.
My risks, costs, rights and obligations under this Agreement have been explained to me.
I generally understand and appreciate my risks, costs, rights and obligations under this Agreement.
I am not over-indebted and entering into this Agreement will not make me over-indebted.
All my financial and other information given to MyBenefitz is correct, including the total amount of my monthly living expenses disclosed to MyBenefitz.
I am not taking the loan for business reasons.
My OTP acceptance indicates my acceptance of all terms and stipulations contained in this Agreement and I am bound by them.

By submitting this application through OTP authentication:

I authorize MyBenefitz and its partners to request Credit Reports from Credit Bureaus on my behalf. This includes accessing my credit information for the purpose of credit repair assessment and monitoring.

I agree that all customer support, updates, and discussions related to my application with MyBenefitz will be conducted via WhatsApp Messenger. I acknowledge that MyBenefitz will not initiate calls via mobile numbers. I consent to receive all official documents, agreements, and necessary paperwork via my registered email address.

I consent to the processing of my personal information in accordance with POPIA (Protection of Personal Information Act) for the purpose of assessing and granting me credit. The full privacy policy is available at www.mybenefitz.co.za/privacy-policy.

I have read, understood, and agree to all the terms, conditions, and declarations stated above.

OTP Verification

Please enter the OTP sent to:

Personal Information

Loan Configuration

Select your first payment date

Loan Cost Breakdown

Affordability Assessment

Employer Details

Monthly Income

Monthly Expenses

Monthly Cash Flow Summary

Document Upload

Identity Document

Latest Payslip

Bank Statement

Declaration and Consent

I acknowledge and confirm that:

By submitting this application through OTP authentication:

OTP Verification

OTP Sent Successfully

Thank You for Your Application!