Apply for Credit - Ted's Home Store

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Unique ID

Surname*

First name(s)*

Employer*

Occupation*

Nett salary*

Type of employment*

permanent
contract

RSA ID Number*

Number of months employed*

eg: 05 Years 03 Months

Date of birth*

Owner or tenant*

owner
tenant

Address*

Suburb

City*

Region*

Postal Code*

Loan Amount*

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Loan Amount*

Work Telephone Area code*

Work Telephone Number*

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Home Telephone Area code

WhatsApp Number*

Cell number*

Email

Gender*

male
female

Marital status*

single
married

Spouse is Employed*

yes
no

Authorisation*

I authorise CHALLENOR FINANCE to give and receive any of my credit information to and from any Credit Bureau.

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How did you hear about Challenor Finance?*

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Are you a dealer?*

yes
no

Dealership Details

Dealer code*

Store name*

Sales person*

Contact number*

Dealership email*

Credit Quick Check

Credit Quick Check Application – KZN ONLY

Dealership Details