Sizabantu Capital Application

1. Business & Contact Information

Welcome! Please provide us with your company's details to start the application process.

Company Name:

Please enter your company name

Company Registration Number:

Please enter your registration number

Physical Address:

Please enter your physical address

City:

Please enter your city

Zip Code:

Please enter your zip code

Phone Number:

Please enter your phone number

Email:

Please enter a valid email address

2. Director(s) / Shareholder(s) Details

Please tell us about the directors and shareholders of your company. Add all relevant parties.

Director/Member 1

First Name:

Please enter first name

Last Name:

Please enter last name

Identity Number:

Please enter ID number

Share Percentage:

Please enter share percentage

Contact Numbers:

Please enter contact number

Email:

Please enter a valid email

Marital Status:

Please select marital status

3. Loan & Tender Information

What is your funding request for? Provide details about the tender or project.

Funding Amount Required (R):

Please enter a valid amount

Purpose of Funding:

Please describe the purpose of funding

Tender/Purchase Order Details:

Company/Department of Purchase Order:

Please enter company/department name

Purchase Order Number:

Please enter purchase order number

Purchase Order Amount (R):

Please enter purchase order amount

Repayment Period:

1-30 Days (10% interest) 31-45 Days (15% interest) 46-60 Days (20% interest) 61-90 Days (30% interest)

Please select a repayment period

4. Security & Collateral

Please provide details of the assets you can pledge as security for the loan.

Type of Asset:

Please select asset type

Asset Details:

Please provide asset details

Owner's Full Names:

Please enter owner's name

Identity/Registration Number:

Please enter ID/registration number

Is Asset Freehold?

Yes No

Please select an option

5. Legal Agreement & Submission

Please read and accept the following terms before submitting your application.

Pre-Agreement Statement & Quotation

Sizabantu Capital is prepared to advance money to the Borrower on the terms of this agreement. This quotation is valid for 5 business days and includes a R4,500 initiation fee. Interest is calculated monthly from the date the loan is advanced.

Note: The interest rate will be based on the repayment period selected in the previous step.

I have read and understand the Pre-Agreement Statement and Quotation.

Please accept the Pre-Agreement Statement

Personal Surety

By signing, the signatory warrants they are authorized to enter this agreement on behalf of the company and binds themselves as surety and co-principal debtor for all the company's obligations.

I, as the signatory, agree to bind myself as surety and co-principal debtor.

Please accept the Personal Surety terms

Declaration

I confirm that all information provided in this application is true and accurate. I authorize Sizabantu Capital to conduct credit and background checks as necessary for this application.

I declare that all information is true and accurate and authorize Sizabantu Capital to conduct checks.

Please accept the Declaration