Académique Documents
Professionnel Documents
Culture Documents
One Account
Application
Customer Relationship Centre 0860 FNB ONE 0860 362 663 Fax the completed application form to 0861 334 474 Are you an existing One Account holder? If yes, One Account number If yes, are you: Adding a property to your facility Selling one property and buying another property Requiring a further loan Amount Yes No
Looking to increase your facility size (without additional property) If not an existing One Account holder, Do you wish to convert an existing FNB home loan account? FNB home loan account number Are you a FirstRand staff member? Yes No Yes
No
Do you wish to convert an existing FNB cheque account? Yes FNB cheque account number
No
Primary Applicant
Personal Details Language Ethnic Group Title Surname First Name/s as per ID ID / Passport Number Country of Issue *Permit Number Date of Issue Date of Birth Gender Number of Dependants Marital Status Married Single Divorced Widowed Male Female *Certificate required Asian Black English Coloured Afrikaans White
Co-applicant
Afrikaans White
*Certificate required
Male
Female
Married
Single
Divorced
Widowed
Other partnership Does a COP contract exist in your partnership If married, how are you married? Have you ever been declared insolvent? Have you been rehabilitated? If yes, rehabilitation date Tax reference no If registered for VAT, VAT reg no Present Physical Address Code Present Postal Address
(if different from the physical address)
Other partnership Yes No Other No No ANC Yes COP Yes Yes No Other No No
ANC
Code
Code
Code
Yes
No
Yes
No
PAGE 1 OF 7
Primary Applicant
Future Postal Address Code Telephone (home) Telephone (work) Cellular Fax E-mail address What is your preferred method of communication? Select any two. Telephone Fax E-mail Mail SMS
Co-applicant
Code
Telephone
Fax
SMS
Banking details - (If existing FNB customer, complete only account number) Bank account number Bank Branch Employment details Employment Status Employed * Self Employed Employed * Self Employed
* Business Financial Statements required. Type of employment Occupation Name of Employer Address of Employer Code Length of Service/Period of own Business (months) Employer Operating for (months) Employee Number *Type of Income Weekly Wages (Rands) Monthly Salary (Rands) Other Monthly Income Car Travel Rent Overtime Commission Other TOTAL Previous Occupation Previous Length of Service (months) Name of Previous Employer Employer Subsidised Loan? Employer Guarantee Collateral Amount Yes Yes No No Yes Yes Car Travel Rent Overtime Commission Other TOTAL Wages None Payslip Bank Statements Wages Permanent Contract Temporary Permanent
Code
Payslip
Bank Statements
None
No No
PAGE 2 OF 7
Address of the property you wish to include in your One Account, including Erf No./Portion No. (Please state town) At which institution is the current home Loan and account number? Current bond amount at current institution and interest rate New loan amount required (1) Amount of future use requirement (Higher registered bond amount) Total bond amount to be registered (New loan amount) (1) + (2) (2) Property assessment contact person and details
Property/ies details
Owner occupied / Rental stock In whose name In whose name is the property should the currently covering bond registered? be registered?
TOTAL Y N
PAGE 3 OF 7
Is the 10% revolving portion required? (Additional overdraft facility of up to 10% of the value of the property/ies)
Signature of Applicants
Date
FNB Consultant Details (Branch Banking, Bancassurance, Estate Agent, Networking Sales, Mortgage Originator)
Surname First Names Cellphone No. Estate Agency Name Agents/Consultants Name eBucks Account No. (Only applicable to Estate Agents) Catchment Area Outlet Name Attorney Firm Selected Employee No. Fax No.
PAGE 4 OF 7
Balance Sheet
To be used for the recording of the financial positions of private individuals and other non-corporate legal entities such as partnerships, syndicates, joint ventures, etc. of as at
Note:
If married in Community of Property, or, if married out of Community of Property and the spouse has not furnished the bank with an unlimited suretyship in favour of the Bank declaring the assets and liabilities of a spouse are not to be included. Amount
* Delete that which is not applicable In the case of individuals, give the following information:* Married in/out of Community of Property * Unmarried
Date of birth I/We hereby declare that this statement is given to FNB as proof of/our position, and that it is a full, true and correct statement. I further declare that no General or Special Notarial Bond or other Charge is current over my assets detailed apart from the bonds stated and that no fixed properties have been brought or sold under Deed of Sale except as detailed on page 3.
Signature
Signature
Date Liabilities Due to Bank viz.: Bills payable Open Accounts (e.g. Edgars, Truworths) Owing under Hire Purchase Agreements, e.g. Furniture Other Short Term Liabilities, Viz. (e.g. Personal loans, Vehicle finance)
Date
Total
PAGE 5 OF 7
Medium/Long Term Investments (shares in private companies, loans, bonds, etc.- give details below in necessary)
Fixed property (detail each separate stating if freehold, leasehold or Land settlement title).
Market Value
Vehicles, Implements Furniture, Fittings etc. Life insurance (not payable to third parties) Face value R Extend estimate loan value only
Subtotal Total If applicable - Details of Private Company Shares If applicable - Details of other Investments
PAGE 6 OF 7
Statement of Expenditure as at Monthly Expenses Accommodation Bond Repayments Rent/Board and Lodging Water and Lights Rates and Taxes Household Wages Household Staff Telephone Pool/Tennis Courts/Garden Household Maintenance General Hardware Groceries Pet Food and Vet Costs Medical Medical Aid Subscriptions Costs in excess of benefits Chemist Medical Insurance Travelling Fuel Parking Train/Bus Entertainment Allowances/Clothing - Personal - Spouse - Children Paper/Magazines Gifts/Donations Insurance Life, Endowment Assurance House Building Insurance - Contents Cars/Boats/Trailers Retirement Annuities Funeral UIF Accident HP and Open Accounts (e.g. Edgars, Vehicle finance) 1 2 3 4 5 6 Bank Accounts Loans etc. Interest on O/D's, etc. Bank Charges Credit Card Payment (Ord.) Credit Card Payment (Bud.) Personal Loan Repayments Study Loan Repayment Total Monthly Income Less Total Monthly Expenditure Total Monthly Expenditure Monthly Income Net Salary - Self Net Salary - Spouse - *Net of tax, pension and other deductions Interest Rental Dividends Subsidies Reimbursive Allowance - **Petrol, travel, parking expenses, etc. Fees Club MNet/DSTV TV Rental University fees/Higher education School Fees Books Creche/After-school Fees Social Club Amount Monthly Expenses Brought forward Sundries Alimony/Maintenance Liquor Cigarettes Chemist (non-medical) Dry Cleaning Shoe/Clothing Repairs Church Union Fees Nappy Service Provision for Savings Appliance Repairs Stationery/Stamps Hairdresser Monthly Provision for Annual Payments Hobbies Licences/Taxes Cars Caravans Trailers Bikes Radio/TV Rates Provisional Tax Amount
Subtotal
Surplus (Deficit)
Signature Signature
Date Date
PAGE 7 OF 7