Skip to content
+27 34 001 0290
info@triplex.org.za
Home
How It Work
Loan FAQ
Investment
About Us
Home
How It Work
Loan FAQ
Investment
About Us
Contact us
Apply for a Loan
Loan Application Form
Step
1
of
4
25%
Facebook
This field is for validation purposes and should be left unchanged.
(Required)
R100.00
R150.00
R200.00
R250.00
R300.00
R350.00
R400.00
R450.00
R500.00
R550.00
R600.00
R650.00
R700.00
R750.00
R800.00
R850.00
R900.00
R950.00
R1,000.00
R1,050.00
R1,100.00
R1,150.00
R1,200.00
R1,250.00
R1,300.00
R1,350.00
R1,400.00
R1,450.00
R1,500.00
R1,550.00
R1,600.00
R1,650.00
R1,700.00
R1,750.00
R1,800.00
R1,850.00
R1,900.00
R1,950.00
R2,000.00
(Required)
1 Month
2 Months
3 Months
if not selected, select a loan amount and loan period to view your repayment breakdown.
Loan Details
Personal Details
Gender
(Required)
Mr
Mrs
Miss
First Name
(Required)
Surname
(Required)
ID Number
Date Of Birth
(Required)
MM slash DD slash YYYY
Next Salary Date
(Required)
MM slash DD slash YYYY
Your Contactd
(Required)
Your Email Address
(Required)
Emploment Details
Your Employer
(Required)
Occupation
(Required)
Employer's Contacts
(Required)
Period Of Employement
(Required)
Salary Before Deduction
(Required)
Salary After Deduction
(Required)
Type of employment
(Required)
Permanent
Contract
Home Address
Owner Or Tenant
(Required)
Owner
Tenant
Street Address
(Required)
Suburb
(Required)
City
(Required)
Province
(Required)
Postal Code
(Required)
Uploads
Attach you ID, Proof Of Address, 3 Months Bank Statement & 3 Months Payslip
Drop files here or
Select files
Accepted file types: pdf, jpg, png, doc, Max. file size: 32 MB, Max. files: 5.