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Registration Form

Name
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Surname
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ID Number
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Date of Birth (d/m/Y)

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Gender
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Contact Number
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Email
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Employer
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Occupation
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Address
Residential Address:
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Code:
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Province
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Country
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Do you own property?
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Spouse details (if applicable)
Spouse name:
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Spouse Contact:
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Spouse Email
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Spouse Occupation
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Services Required
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Other (specify):
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Please note: A non-refundable administration fee of R500-00 or R250-00 X2 is payable to commence process.

Please tick all the current and / or previous accounts you have had with any of the following creditors. You must tick at least one or more of the options. If none of your accounts are listed below, please use the space provided to complete the details.

CLOTHING
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CREDIT CARDS /BANKS
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FURNITURE
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SECURITY
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GENERAL RETAIL
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CAR RENTALS
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TELECOMMS
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Not listed above
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Need Property Financing?
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Terms and Conditions(*)
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1+1=(*)
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PLEASE NOTE: A non-refundable, upfront registration fee of R450 is payable before commencement of the clearing process.

On payment of the deposit, we will supply you with a report of your account and once it is confirmed that your case will be handled by Silumko Consulting, we guarantee your clearance from the credit bureau.

Any other amounts due to Silumko Consulting will be discussed with you during your take on interview, and confirmed in a formal quotation.

In order for us to proceed, kindly deposit your registration fee as follows:
Silumko Consulting CC
Standard bank
Cape Town Branch
Cheque Account: 070155631
Ref: Your name & surname

Fax or email your proof of payment to info@silumkoconsulting.com or silumkofree@gmail.com or fax no: 086 517 0786

Direct Contact

Get In Touch

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