REGISTER CREDIT CHAMPION

Made and Entered By and Between
KANGA FINANCE (PTY) LTD - Reg No. 1998/013565/07

Merchant Name

First Name

Surname

Identity Number

Cellphone Number

Telephone Number

Fax Number

Email Address

Account Name

Bank

Branch Name and Branch Code

Account Number

Account Type

Commissions to be Paid to

ID card/book

Drag and drop the files inside this box

Bank Statement

Drag and drop the files inside this box

Process of application

Mobile Application

PC Application

Manual Application

Do you accept the terms of Personal Information

Do you accept the POPIA Act

Add Signature

Signed at (City/Town)