Application Form

Please complete the form, and one of our friendly trained consultants will contact you.
Download Application Form Download Application Form


Please note that fields with * are compulsary fields

Information required to complete an application by Consumer for Debt Review in Terms of Section 86 of the National Credit Act (34 of 2005)

1. Proof of income (pay slip)
2. If working overtime or for commission, include at least 6 months of salary slips
3. Copy Of ID
4. List ALL creditors and include ONE recent statement for every creditor
5. When handed over to an attorney, list attorney, together with creditor
6. Credit Bureau report (debt counselor may draw this at R25 each)
7. When married in Community of property, the spouse ‘s details MUST be included
8. List of Essential Monthly Living Expenses