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Loan application

Apply online for financial assistance

Complete the secure application form. If you are not registered, your information will still be captured and linked to your ID number for future accuracy and record keeping.

LoanPersonalEmploymentBankingDocumentsConsent
Before submitting: Please prepare your ID copy, proof of income and recent bank statement before starting. Your application will be captured as pending review and assessed before any payout decision.

Loan Request Details

Choose the amount you would like to request. Move the slider, review the estimated repayable amount, then click Click to Confirm the Amount so the selected amount is recorded on your application.

R500
R500R4 000

Selected loan amount: R500

R700.00

Estimated repayable amount includes interest and admin fees. This amount is shown for guidance before admin review and affordability assessment.

Personal Information

Provide your legal details exactly as they appear on your South African ID document. All fields are required unless the system completes them automatically.

No manual capture required.

Contact Details

Use contact details that are active and accessible.

Residential Address

Your address is used for verification and application records.

Employment Information

These details support responsible affordability review. Enter your pay day as a two-digit day number only where possible.

Enter only the day of the month, for example 25.

Banking Details

Select your bank and the universal branch code will be completed automatically.

Required Documents

Upload all three required documents for application review. If the form finds an error before submission, your typed information will remain on-screen. For security reasons, uploaded documents may need to be selected again after a server-side error.

Application Terms and Consent

By submitting this application, I confirm that all information and documents provided are true, accurate and current. I understand that Khokhas Financial Services will review the application, assess affordability and verify required documents before any payout decision is made.

  • I consent to my personal, employment, banking and application information being processed for assessment, affordability review, communication and record keeping.
  • I understand that, where applicable, a DebiCheck mandate may be sent for my approval before payout processing.
  • I understand that repayment is linked to my recorded pay day and will be managed according to the approved application terms.
  • I agree that Khokhas Financial Services may contact me by phone, WhatsApp, SMS or email regarding this application.
  • I understand that false, incomplete or outdated information may delay or affect the outcome of my application.
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