Ready To Get Started? Apply For Your Loan Now!

When life happens, we're here to help. To get started on your application, simply fill out the form below. Before you begin filling out the form, please make sure you have the following documents ready on the device you’ll be using to complete your loan application:

1. Proof of residence — a recent document, such as a utility bill, displaying your current address.

2. Certified Swati ID — a certified copy of your Swati ID card.

3. Bank statement — showing transactions for the past three months.

4. Vehicle blue book — the official blue book of the vehicle, bearing your name as the legal owner.

5. Completed change of ownership form — a fully completed change of ownership form for the vehicle.

Personal Information

Section 1/6

Full Name (as per ID/Passport):

ID/Passport Number:

Date of Birth (dd/mm/yyyy):

Gender:

Email Address:

Mobile Number:

Physical Address:

Postal Code:

Marital Status:

Spouse's Name (as per ID/Passport):

Spouse’s Mobile Number:

Next of Kin’s Name (as per ID/Passport):

Next of Kin’s Mobile Number:

Loan Information & Banking Details

Section 2/6

Loan Amount Requested (up to E30,000.00):

Repayment Period (up to two months):

Repayment Source:

Loan Purpose:

Bank Name:

Account Number:

Branch Code:

Particulars Of Existing Loans

Section 3/6

Enter N/A if There Is No Existing Loans

Loan Amount Money Lender Monthly Installment Expiry Date

Proposed Security for the Loan (Vehicle)

Section 4/6

Vehicle Details

Year:

Make and Model:

Odometer Reading:

Color:

Engine Number:

VIN/Chassis Number:

Registration Number:

Fuel Type:

General Condition:

Vehicle Value:

Owner’s Name (as per ID/Passport):

Additional Information

Roadworthy Certificate Status:

Insurance Status:

Outstanding Finance:

Maintenance History:

Mechanical issues

Attachments

Section 5/6

Please attach the following documents:

Proof of Residence — A recent document, such as a utility bill displaying your current address.
Certified Swati ID — A certified copy of your Swati ID card.
Bank Statement — Showing transactions for the past three months.
Vehicle Blue Book — The official blue book of the vehicle, bearing your name as the legal owner.
Completed Change of Ownership Form - A fully completed change of ownership form for the vehicle.

Proof of Residence

Certified Swati ID

Bank Statement

Vehicle Blue Book

Completed Change of Ownership Form

Declarations

Section 6/6

I confirm that all the particulars given by me are true and complete. The financial information is presented as a true and accurate statement of my financial condition on the date of this loan application. The information is provided for the purpose of obtaining a loan from FIRST-CLASS EDITING PTY LTD (t/a QVI CAPITAL).

Yes, I confirm.

I agree that if any changes in my particulars and/or financial condition occur, I will immediately notify QVI CAPITAL on the said changes and unless QVI CAPITAL is so notified, it may continue to rely upon this information and the representations made herein as a true and accurate statement of my particulars and/or financial condition.

Yes, I agree.

I authorize QVI CAPITAL to make whatever credit inquiries it deems necessary in connection with this information. I authorize and instruct any person or consumer reporting agency to furnish to QVI CAPITAL any information it may need to process my loan application.

Yes, I authorize.