Apply for a Loan Personal Information Full Name: Occupation: Postal Address: Namibian ID Number: Email Address: Phone Number: Upload Namibian ID: Upload File Marital Details Are you Married? Select Yes No Spouse Name: Spouse’s ID/Passport No: Community of Property: In Community Out of Community Upload Marriage Certificate: Upload File Employment & Financial Details Employer Name: Employer Contact No (digits only): Source of Funds: NB: Kindly note that all source of funds must be properly and thoroughly supported with documentary evidence of how the money was earned—i.e., what activities were conducted to generate the funds. Upload Payslip – Month 1: Upload File Upload Payslip – Month 2: Upload File Upload Bank Statement (Last 2 Months): Upload File Bank Details Bank Name: FNB Bank Windhoek Standard Bank Nedbank Other - Please Specify Please Specify Other Bank: Bank Account No (digits only): Branch Name: Branch Number (digits only): Type of Account: Saving Current Other (please specify) Please Specify: Loan Request Details Loan Type: Payday Loan Revolving Credit 2–3 Month Loan Loan Amount (N$1,000 - N$10,000): Income and Expenditure Income Salary Income (N$): Other Income (N$): Total Income (N$): Expenses Rent/Lease/Bond (N$): Water & Electricity (N$): Insurance (N$): Food (N$): Motor Vehicle (N$): School Fees (N$): Life Insurance (N$): Petrol (N$): DSTV (N$): Levies (N$): Entertainment (N$): Other Expense 1 (N$): Other Expense 2 (N$): Total Expenses (N$): Net Income (N$): Address & Proof of Residence Residential Address: Upload Proof of Residence (Utility Bill / Lease Agreement): Upload File Consent & Agreement DECLARATION BY APPLICANT: I hereby declare under oath/affirm that the information provided is true and correct to the best of my knowledge. I agree to notify Waveflex Cash Loan cc of any material changes within 7 days, and I consent to a full credit check. I agree to the Declaration and the Terms and Conditions. Submit Application
