Loan Application Form

1. Applicant Information

Full Name *

South African ID Number *

Date of Birth *

Phone Number *

Email Address

Residential Address *

2. Employment Details

Employment Status *EmployedSelf-EmployedUnemployed

Employer Name

Monthly Income (ZAR)

Job Title / Position

Work Address

3. Loan Request

Loan Amount Requested (ZAR) *

Purpose of the Loan *

Preferred Repayment Term1 Month3 Month6 Month12 Month

Bank Name *

Bank Account Number

Account TypeSavingsCheque

Branch Code

Upload Required DocumentsPlease upload the following: - Valid South African ID - Proof of Residence (less than 3 months old) - Latest Payslip or Proof of Income - 1 Month Bank Statement

Drag and Drop (or) Choose Files

Declaration *

I hereby confirm that the information provided is true and correct.

Declaration *

I understand that this application is subject to credit assessment and approval.

Date *

Start Your Financial Journey

Join us at AM1 Financial Service today and take the first step towards achieving your financial aspirations.

Get Started

Scroll to Top

Powered by

👋 Hello! Need help with a loan?
Tap to chat with AM1 Financial Services.

Open Chat

Loan Application Form

1. Applicant Information

2. Employment Details

3. Loan Request

Start Your Financial Journey​

Start Your Financial Journey