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Personal Information



To ensure the security of your personal information
please complete the following:

Personal Info1

PERSONAL DETAILS

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REQUIRED INFORMATION FOR THE NATIONAL CREDIT ACT - STATISTICAL REPORTING ONLY

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LEGAL

If you are married:

- in community of property OR by Customary Law (prior to 15/11/2000)

then you are required to obtain, in terms of the Matrimonial Property Act, consent from your spouse to enter into any credit agreement.

If so, please confirm that you have your spouse's permission to enter this agreement.

 

Contact & Address2

CONTACT DETAILS

Physical address

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Postal address

OFFERS

I would like to receive information on exclusive offers and deals via Email.

I would like to receive information on exclusive offers and deals via SMS.

I would like to receive information on exclusive offers and deals via Phone.

May we disclose your details to other parties to correspond with you regarding other products that may be of interest to you?

 

Yes

Statement Delivery

Please note: your statement will be sent to you via e-mail or SMS if you have provided us with your details. Should you wish to change this, please contact our customer services department.

Employment3

COMPANY INFORMATION

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FAMILY CONTACT DETAILS (PLEASE SUPPLY DETAILS OF A FAMILY MEMBER)

OTHER REFERENCE (FRIEND / RELATION NOT LIVING WITH YOU)

Banking & Financial Details4

Banking Details

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In order to avoid paying unnecessary return debit order charges (levied by your bank), it is advisable to make the debit order effective date as soon as possible after you receive your salary.

I have read, understood and accept the terms and conditions of this Debit Order instruction form.

CREDIT CARD DETAILS

AUTOMATIC CREDIT INCREASE

Would you like to be considered for regular, automatic credit limit increases?

Income & Expenses5

Monthly Income

Monthly Expenses

Rent Bond

Discretionary Expenses

Terms & Conditions6

Customer Protection Insurance

For your protection, your Card must include Customer Protection Insurance

RCS Customer Protection Insurance, unwritten by Guardrisk, covers the following:

- Death Cover (covers your outstanding balance up to R10 000);
- Permanent Disability Cover(covers your outstanding balance up to R10 000);
- Temporary Disability Cover (covers up to 6 months installments if you are permanently employed and up to 12 months installments if you are self-employed);
- Retrenchment Cover (covers up to 6 months installments if you are permanently employed)

I understand that all pre-existing conditions for the first 24 months of cover and that retrenchment cover is only applicable to permanently employed individuals and only after 3 months waiting period.

I understand that I have the right to waive the proposed RCS Customer Protection Insurance policy with Guardrisk and Substitute it with a policy of my own choice which covers the same benefits, which must be credited to RCS with certain written documentation as stipulated in the National Credit Act, No. 34 of 2005.

Pre-Existing Medical Conditions

You will need to accept the following terms and conditions in order to start the account application process.

 

I understand and accept the terms and conditions

Please accept the Terms and Conditions

Thank You

Success

Your reference number is 6546546

Upload Your Income Verification Files

ID Document

Bank Statements

Payslips