ONWA

💡To expedite your application, please email your latest 3 months’ bank statements to: [email protected]

PERSONAL DETAILS

EMPLOYMENT DETAILS

APPLICANT PHYSICAL HOME ADDRESS

APPLICANT POSTAL ADDRESS

*If different from above

PERSONAL REFERENCE #1

PERSONAL REFERENCE #2

product you wish to buy

DECLARATION

I hereby certify that all the information provided in this application form is true and correct. I acknowledge that this information is given to Digifax (Pty) Ltd trading as Digirent for the purpose of assessing my ability to pay the monthly rental under the Rent2Buy facility. I understand that Digirent may investigate my payment history and report information regarding the conduct of my account to credit bureaus and other relevant entities. I understand that XtremeMarine (PTY) LTD is solely the retailer of the products and is not a party to this rental agreement.

Agreement

💡To expedite your application, please email your latest 3 months’ bank statements to: [email protected]