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Application Form
Line of work
Brand / Stock Reseller or consultant (e.g. Tupperware or Herbal Life reseller)
Gig – economy platform worker (e.g. Bolt, Uber)
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Avon
TLC
Herbal Life
Inuka
Presles
Avroy shlain
Tupperware
Amway
AMC
Others
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Uber
Bolt
Order-in
Takealot
Mr Delivery
Others
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How long have you been involved in the specified business
Not yet started
0-3 months
3-6 months
6-9 months
9-12 months
1-2 years
2-3 years
More than 3 years
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How much do you need?
R500
R600
R700
R800
R900
R1000
R1200
R1400
R1600
R1800
R2000
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What was your average monthly sales/earnings (before costs) over the last 6 months?
If your business involves the purchase of stock, what was your average monthly stock purchase over the last six months?
Do your earnings or sales get paid into your main bank account?
Choose an option
Yes
No
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Do you make stock purchases from this same account?
Choose an option
Yes
No
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What is the reference code you use to indicate purchases from the brand you distribute for?
Please indicate other means to identify stock purchases made on your bank account.
Please upload latest 3 months bank statements of the account you conduct your main line of business from
Upload Document
Upload supported file (Max 15MB)
Please upload your last 3 supplier invoices (if available). Although this step is optional, providing us with these documents will increase the chances of your application being approved.
Upload Document
Upload supported file (Max 15MB)
Would you like an individual or family funeral cover plan?
Choose an option
Individual
Family
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How did you hear about us?
Facebook
Google search
Word of mouth
Others
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