Home APPLY ONLINE NOW Don’t Wait – Get Your Loan Today How It Works PERSONAL INFORMATIONLoan Amount Needed *ZARName & Surname *Phone *Your Email Address *Date of Birth *ID Number *Marital StatusSingleMarriedDivorcedWidowNumber of DependantsStreet Address *CityProvincePostal CodeEMPLOYMENT INFORMATIONEmployer Name / Name of CompanyHow Long Have You Worked Here *Company Email AddressWork TelWork Address *CityState/ProvinceZIP / Postal CodeEmployement Status *PermanentTemporaryEmployee Number *Monthly Salary Amount *ZARSalary Date *EMERGENCY CONTACTName of a person not living with you *Phone Number *Street AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeRelationship *MONTHLY EXPENDITURESNet Salary *ZAROvetimeZARBonus *ZARTransport *ZARClothing *ZARHire Purchase Installment *ZARCellphone Contract *ZARGroceries *ZARMicro and other Loans *ZARManucipal Services (Water, Lights & RatesZARInsurance Premiums *ZARPocket MoneyZARSchool FeesZAROtherZARBANKING DETAILSName of Bank *Branch Name *Account Holder Name *Date Account OpenedBank Account Number *Branch Code *ID Document Upload *Choose FileNo file chosenDelete uploaded fileLatest Payslip *Drag and Drop (or) Choose FilesLatest 3 Months Bank Statements *Drag and Drop (or) Choose FilesTerms of Service *By submitting your information to Midas Financial Solutions, you acknowledge and consent to the following: Credit Check AuthorizationYou give Midas Financial Solutions permission to conduct a credit check and verify your financial history with a registered credit bureau in order to assess your loan application. Accuracy of InformationYou confirm that all information provided in this form is true, complete, and accurate to the best of your knowledge. Providing false or misleading information may result in your application being declined. Use of Personal InformationYour personal details will be handled in accordance with the Protection of Personal Information Act (POPIA) and will only be used for assessing your application, managing your account, and complying with regulatory requirements. Agreement to TermsBy submitting this form, you confirm that you have read, understood, and agreed to these Terms of Service. SubmitPlease do not fill in this field. Need Cash Fast? Call Us Now! Call us today at (011) 432-2465 How It Works