The Notebook Company - www.notebook.co.za Finance or Data Contract or Rental Application Form
If you would prefer to pay with a Credit Card, please fill in notebook.co.za/creditcard ( instead of financing and Data contracts)

See All our laptop offers at Laptop.co.za/all OR Our Favourites at Laptop.co.za/Best

If ANY of the Questions are NOT applicable to you just type "n/a" in the box
Please send a copy of your:
1. Certified ID(s) if ID card back and front
2. Proof of Residence(s)
3. 3x months bank statements (or Financial statements) with bank stamp
4. 3x months latest Pay slips
5. Company letterhead (if company)
6. Company registration documents (if company)
7. Copy of a processed cheque (if company)
to finance@notebook.co.za or vodacom@notebook.co.za or Fax to 086 6243471 to speed up the process - Add your name and Contact tel# to the subject line of such an email
EQUIPMENT DETAILS:
What Would you like to Purchase? *
eg:iPad 3 64GB wifi & cellular , or any Product Description (or laptop@R99pm.co.za offer)
Your answer
Preferred Time Period *
Default is 24 months
CUSTOMER'S PERSONAL DETAILS
Initials *
Your answer
Surname *
Your answer
Firstname *
Your answer
Secondname *
Your answer
Cellphone number *
Your answer
Home number *
Your answer
Work number *
Your answer
ID Number *
Your answer
eMail address *
Your answer
Ethnic Grouop *
Language *
Marital Indicators *
How Married? *
Confirm you are NOT under Debt Review or Administration order? *
Required
Confirm you have NOT been sequestrated or liquidated? *
(Permission for credit check and application for finance via SP Such as Vodacom, RCS, etc)
Required
CUSTOMER'S ADDRESS DETAILS
Residential Address: *
Your answer
Postal Address:
If Not the same as Residential Address
Your answer
Type of Dwelling *
Ownership *
CUSTOMER'S EMPLOYMENT DETAILS
Confirm that you are Permanently Employed? *
If you are a Sole-proprietor, CC's, Pty Ltd - please COMPLETE that TOO on this Application
Sector/Industry *
n/a or details
Your answer
Employer *
n/a or details
Your answer
Occupation *
Your answer
Department *
n/a or details
Your answer
Period Employed *
n/a or details
Your answer
Previous Period Employed *
HR Consultant *
n/a or details
Your answer
HR Contact Nr *
n/a or details
Your answer
Salary Pay Date *
n/a or details
Your answer
Monthly Income *
n/a or details
Your answer
Employee Number *
n/a or details
Your answer
CUSTOMER'S SPOUSE / PARTNER DETAILS
Title
Your answer
Initials
Your answer
Surname
Your answer
Full Names
Your answer
ID Number
Your answer
Cell Number
Your answer
Work Number
Your answer
DETAILS RELATIVE / FRIEND NOT LIVING WITH APPLICANT
FIRST RELATIVE / FRIEND
Title *
n/a or details
Your answer
Name *
n/a or details
Your answer
Surname *
n/a or details
Your answer
Relationship *
n/a or details
Your answer
Cell Number *
n/a or details
Your answer
Home Number *
n/a or details
Your answer
Work Number *
n/a or details
Your answer
Sole Proprietor , CC, PTY LTD Details:
Name Of Business *
n/a or Full legal entity name
Your answer
Registration number *
n/a or details
Your answer
VAT number *
n/a or details
Your answer
Number of Employees *
n/a or details
Your answer
Trade References *
Give 3x Trade References or n/a
Your answer
Insurance Company Name: *
n/a or details
Your answer
Insurance Company Policy No *
n/a or details
Your answer
Insurance Company Contact tel # and Contact Person *
n/a or details
Your answer
Directors/Members.Shareholders Owners Details *
Full Name, ID Number, % Shares, Residential Address or n/a
Your answer
Major Customers *
Name, Tel # or n/a
Your answer
Auditors *
Auditors Name, Contact Person name, Telephone number, Email address or n/a
Your answer
Which month is your Financial Year End ? *
n/a or details
Your answer
Confirm your Income and Balance Sheets are Available ? *
Required
Bank Details:
Bank Details - BANK NAME *
BANK NAME **You have to Fill this in** (DO NOT state n/a)
Your answer
Bank Details - BRANCH NAME AND BRANCH CODE *
BRANCH NAME AND BRANCH CODE **You have to Fill this in** (DO NOT state n/a)
Your answer
Bank Details - ACCOUNT NUMBER *
ACCOUNT NUMBER **You have to Fill this in** (DO NOT state n/a)
Your answer
Bank Details - TYPE OF ACCOUNT *
TYPE OF ACCOUNT: EG SAVINGS or CURRENT or TRANSMISSION **You have to Fill this in** (DO NOT state n/a)
Your answer
Bank Details - YEAR OPENED *
YEAR OPENED **You have to Fill this in** (DO NOT state n/a)
Your answer
Submit
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