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Art Funding Application Form

Step 1 of 5

20%

Application Reference Number
Artist Name:
Artwork Title:
Auction Name:
Section A - Personal Details
Application Type
- Individual
- Sole Proprietor
- Surety/Co-debtor
Trading As
Income Tax Number
First Name(s)
Initials
Title
Surname
SA Identity Number
Gender
- Male
- Female
Passport Number
Passport Expiry Date

DD
MM
YYYY
Nationality
Date of Birth
Language of Choice
- English
- Afrikaans
Marital Status
- Single
- Married
- Divorced
- Separated
- Widowed
- Cohabiting
Marital Type
- ANC
- COP
Number of Dependants (including your spouse)
Do you own your own property?
- Yes
- No
Physical Address
Street Address Address Line 2 City Province Postal Code
Postal Address
Street Address Address Line 2 City Province Postal Code
How long at present address?
How long at previous address?
Home Number
Work Number
Cellphone Number
Fax Number
Email Address

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Section F - Art Details
Date of Auction
Estimated Purchase Price
Deposit Amount
Term (not to exceed 24 months)
Credit Insurance
- Yes
- No
Comprehensive Insurance required
- Yes
- No
If No, full details of current insurance
Section G - Loan Details
Short Term Loan
Please enter a value between 0 and 24.
Term (max 24 months)
Day of the month to be debited
- 1st
- 15th
- 25th
Document Delivery Manner
- Post/Standard Mail
- Fax
- Email

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Section H - Statutory Affordability Assessment (National Credit Act 34/2005)

- Income (does not replace current payslip)
- Salary (Gross)
- Car Allowance
- Commission
- Fuel Allowance (if any)
- Investment Income
- Pension
- Disability
- Other Income
- Other Income
- Income Total
- Fixed Expenses
- Life Insurance
- Home Insurance
- PAYE
- Pension
- Medical Aid
- UIF
- Rent
- Levy
- Other Fixed Expenses
- Other Fixed Expenses
- Total Fixed Expenses
- Household Expenses
- Utilities
- Fuel
- Household Maintenance
- Vehicle Maintenance
- Transportation
- Creche/School/College
- Wages
- Telephone
- Cellphone
- Doctor/Chemist
- License Fees
- Entertainment/M-net/Dstv
- Food & Groceries
- Subscriptions
- Donations
- Other Expenses
- Other Expenses
- Total Household Expenses

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Are You a Minor?
- Yes
- No
Have you ever been declared mentally unfit by a court?
- Yes
- No
Are you a emancipated Minor?
- Yes
- No
Are you subject to an Administration Order?
- Yes
- No
Do you have any current application pending for debt restructuring/alleviation?
- Yes
- No
Do you have any current debt rearrangements in existence?
- Yes
- No
Have you ever previously applied for debt rearrangement?
- Yes
- No
Do you have any applications pending for credit with any other credit provider?
- Yes
- No
Do you have any open quotations per Section 92 of the National Credit Act?
- Yes
- No
If the answer to any of the above is 'Yes' please provide details
I understand that I will be liable for a monthly service fee. I hereby consent to Bidvest Bank Ltd making enquiries about my credit record and carrying out fraud prevention checks with any credit reference agency to confirm details on this application. I consent to Bidvest Bank Ltd providing Credit Reference Agencies with regular updates, including how I manage my account. I hereby declare that the information provided herein by me is true and correct.

Supporting Documentation to be Uploaded
Copy of ID
Copy of Latest Payslip
3 Months' stamped Bank Statements
Proof of Residence
Do you consent to receiving marketing and product information from Bidvest Bank?
- Yes
- No
- SMS
- Email
Name
This field is for validation purposes and should be left unchanged.

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Bidvest Bank Limited (Reg No 2000/006478/06) is a licensed financial services and registered credit provider, NCRCP17.

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