{"id":100662,"date":"2025-09-30T11:31:49","date_gmt":"2025-09-30T09:31:49","guid":{"rendered":"https:\/\/www.bonuscard.co.za\/aansoekvorm\/"},"modified":"2026-02-09T11:43:23","modified_gmt":"2026-02-09T09:43:23","slug":"aansoekvorm","status":"publish","type":"page","link":"https:\/\/www.bonuscard.co.za\/af-za\/aansoekvorm\/","title":{"rendered":"Aansoekvorm"},"content":{"rendered":"<p><div class=\"et_d4_element et_pb_section et_pb_section_0  et_pb_css_mix_blend_mode et_pb_fullwidth_section et_section_regular et_block_section\" >\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module et_d4_element et_pb_fullwidth_image et_pb_fullwidth_image_0\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"225\" src=\"https:\/\/www.bonuscard.co.za\/wp-content\/uploads\/2025\/09\/cardstrip-bg.jpg\" alt=\"\" title=\"cardstrip-bg\" srcset=\"https:\/\/www.bonuscard.co.za\/wp-content\/uploads\/2025\/09\/cardstrip-bg.jpg 1920w, https:\/\/www.bonuscard.co.za\/wp-content\/uploads\/2025\/09\/cardstrip-bg-1280x150.jpg 1280w, https:\/\/www.bonuscard.co.za\/wp-content\/uploads\/2025\/09\/cardstrip-bg-980x115.jpg 980w, https:\/\/www.bonuscard.co.za\/wp-content\/uploads\/2025\/09\/cardstrip-bg-480x56.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 1920px, 100vw\" class=\"wp-image-100385\" \/>\n\t\t\t\n\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div><div class=\"et_d4_element et_pb_section et_pb_section_1  et_pb_css_mix_blend_mode et_section_regular et_block_section\" >\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_d4_element et_pb_row et_pb_row_0  et_pb_css_mix_blend_mode et_block_row\">\n\t\t\t\t<div class=\"et_d4_element et_pb_column_4_4 et_pb_column et_pb_column_0  et_pb_css_mix_blend_mode et-last-child et_block_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module et_d4_element et_pb_heading et_pb_heading_0 et_pb_bg_layout_\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_heading_container\"><h1 class=\"et_pb_module_heading\">AANSOEK VIR LIDMAATSKAP<\/h1><\/div>\n\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div><div class=\"et_d4_element et_pb_row et_pb_row_1  et_pb_css_mix_blend_mode et_block_row\">\n\t\t\t\t<div class=\"et_d4_element et_pb_column_4_4 et_pb_column et_pb_column_1  et_pb_css_mix_blend_mode et-last-child et_block_column\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module et_d4_element et_pb_code et_pb_code_0\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_code_inner\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-100424 forminator-design--material forminator-custom forminator_ajax draft-enabled\" data-forminator-render=\"0\" data-form=\"forminator-module-100424\" data-uid=\"69e9fbdb5a214\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-100424\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-100424 forminator-design--material forminator-custom forminator_ajax draft-enabled\"\r\n\t\t\t\tmethod=\"post\"\r\n\t\t\t\tdata-forminator-render=\"0\"\r\n\t\t\t\tdata-form-id=\"100424\"\r\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"default\" data-design=\"material\" data-grid=\"custom\" style=\"display: none;\"\r\n\t\t\t\tdata-uid=\"69e9fbdb5a214\"\r\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-pagination-progress\" aria-hidden=\"true\"><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-100424--page-0\"\r\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-100424--page-0-label\"\r\n\t\t\t\tdata-step=\"0\"\r\n\t\t\t\tdata-label=\"Finish\"\r\n\t\t\t\tdata-actual-label=\"15%\"\r\n\t\t\t\tdata-name=\"page-break-1\"\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">PERSONAL INFORMATION<\/h2><h3 class=\"forminator-subtitle\">All fields required.<\/h3><hr class=\"forminator-border\" style=\"border: 2px solid #005775;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_69e9fbdb5a214\" id=\"forminator-field-name-2_69e9fbdb5a214-label\" class=\"forminator-label\">Title <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"E.g. Mr \/ Mrs\" id=\"forminator-field-name-2_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_69e9fbdb5a214\" id=\"forminator-field-name-1_69e9fbdb5a214-label\" class=\"forminator-label\">Names in Full <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"E.g. John\" id=\"forminator-field-name-1_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-3\" class=\"forminator-field-name forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-3_69e9fbdb5a214\" id=\"forminator-field-name-3_69e9fbdb5a214-label\" class=\"forminator-label\">Surname <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-3\" value=\"\" placeholder=\"E.g. Doe\" id=\"forminator-field-name-3_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-2\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-2_69e9fbdb5a214\" id=\"forminator-field-phone-2_69e9fbdb5a214-label\" class=\"forminator-label\">Identification Number <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-2\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-2_69e9fbdb5a214\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" maxlength=\"13\" data-validation=\"character_limit\" aria-describedby=\"forminator-field-phone-2_69e9fbdb5a214-description\" \/><span id=\"forminator-field-phone-2_69e9fbdb5a214-description\" class=\"forminator-description\" id=\"forminator-field-phone-2_69e9fbdb5a214-description\">Please enter a valid 13-digits South African ID number<span data-limit=\"13\" data-type=\"\">0 \/ 13<\/span><\/span><\/div><\/div><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69e9fbdb5a214\" id=\"forminator-field-email-1_69e9fbdb5a214-label\" class=\"forminator-label\">Email <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"E.g. john@doe.com\" id=\"forminator-field-email-1_69e9fbdb5a214\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_69e9fbdb5a214\" id=\"forminator-field-upload-1_69e9fbdb5a214-label\" class=\"forminator-label\">Please upload ID Document<\/label><div class=\"forminator-multi-upload \" data-element=\"upload-1_69e9fbdb5a214\"><input type=\"file\" name=\"upload-1[]\" id=\"forminator-field-upload-1_69e9fbdb5a214\" class=\"forminator-input-file forminator-field-upload-1_69e9fbdb5a214-100424\" multiple=\"multiple\" data-method=\"ajax\" accept=\".jpg,.jpeg,.jpe,.png,.webp,.pdf,.redux\" data-size=\"12000000\" data-size-message=\"Maximum file size allowed is 12 MB. \" data-filetype=\"jpg|jpeg|jpe|png|webp|pdf|redux\" data-filetype-message=\"file extension is not allowed.\"><div class=\"forminator-multi-upload-message\" aria-hidden=\"true\"><span class=\"forminator-icon-upload\" aria-hidden=\"true\"><\/span><p>Drag and Drop (or) <a class=\"forminator-upload-file--forminator-field-upload-1_69e9fbdb5a214\" href=\"#\" onclick=\"return false;\">Choose Files<\/a><\/p><\/div><\/div><ul class=\"forminator-uploaded-files upload-container-upload-1_69e9fbdb5a214\"><\/ul><\/div><\/div><div id=\"upload-4\" class=\"forminator-field-upload forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-4_69e9fbdb5a214\" id=\"forminator-field-upload-4_69e9fbdb5a214-label\" class=\"forminator-label\">Please upload Proof of Residence<\/label><div class=\"forminator-multi-upload \" data-element=\"upload-4_69e9fbdb5a214\"><input type=\"file\" name=\"upload-4[]\" id=\"forminator-field-upload-4_69e9fbdb5a214\" class=\"forminator-input-file forminator-field-upload-4_69e9fbdb5a214-100424\" multiple=\"multiple\" data-method=\"ajax\" data-size=\"12000000\" data-size-message=\"Maximum file size allowed is 12 MB. \"><div class=\"forminator-multi-upload-message\" aria-hidden=\"true\"><span class=\"forminator-icon-upload\" aria-hidden=\"true\"><\/span><p>Drag and Drop (or) <a class=\"forminator-upload-file--forminator-field-upload-4_69e9fbdb5a214\" href=\"#\" onclick=\"return false;\">Choose Files<\/a><\/p><\/div><\/div><ul class=\"forminator-uploaded-files upload-container-upload-4_69e9fbdb5a214\"><\/ul><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-3\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-3_69e9fbdb5a214\" id=\"forminator-field-phone-3_69e9fbdb5a214-label\" class=\"forminator-label\">Mobile <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-3\" value=\"\" placeholder=\"E.g. 082 123 4567\" id=\"forminator-field-phone-3_69e9fbdb5a214\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69e9fbdb5a214\" id=\"forminator-field-phone-1_69e9fbdb5a214-label\" class=\"forminator-label\">Alternative Phone<\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"E.g. 012 361 5526\" id=\"forminator-field-phone-1_69e9fbdb5a214\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-35\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-35_69e9fbdb5a214\" id=\"forminator-field-text-35_69e9fbdb5a214-label\" class=\"forminator-label\">Street Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-35\" value=\"\" placeholder=\"E.g. 40 Ingersol\" id=\"forminator-field-text-35_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-30\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-30_69e9fbdb5a214\" id=\"forminator-field-text-30_69e9fbdb5a214-label\" class=\"forminator-label\">PO Box<\/label><input type=\"text\" name=\"text-30\" value=\"\" placeholder=\"(PO Box Number)\" id=\"forminator-field-text-30_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-36\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-36_69e9fbdb5a214\" id=\"forminator-field-text-36_69e9fbdb5a214-label\" class=\"forminator-label\">Suburb <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-36\" value=\"\" placeholder=\"E.g. Lynnwood\" id=\"forminator-field-text-36_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-33\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-33_69e9fbdb5a214\" id=\"forminator-field-text-33_69e9fbdb5a214-label\" class=\"forminator-label\">Suburb<\/label><input type=\"text\" name=\"text-33\" value=\"\" placeholder=\"(PO Box)\" id=\"forminator-field-text-33_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-37\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-37_69e9fbdb5a214\" id=\"forminator-field-text-37_69e9fbdb5a214-label\" class=\"forminator-label\">City <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-37\" value=\"\" placeholder=\"E.g. Pretoria\" id=\"forminator-field-text-37_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-32\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-32_69e9fbdb5a214\" id=\"forminator-field-text-32_69e9fbdb5a214-label\" class=\"forminator-label\">City<\/label><input type=\"text\" name=\"text-32\" value=\"\" placeholder=\"(PO Box)\" id=\"forminator-field-text-32_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-38\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-38_69e9fbdb5a214\" id=\"forminator-field-text-38_69e9fbdb5a214-label\" class=\"forminator-label\">Province <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-38\" value=\"\" placeholder=\"E.g. Gauteng\" id=\"forminator-field-text-38_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-31\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-31_69e9fbdb5a214\" id=\"forminator-field-text-31_69e9fbdb5a214-label\" class=\"forminator-label\">Province<\/label><input type=\"text\" name=\"text-31\" value=\"\" placeholder=\"(PO Box)\" id=\"forminator-field-text-31_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-39\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-39_69e9fbdb5a214\" id=\"forminator-field-text-39_69e9fbdb5a214-label\" class=\"forminator-label\">Postal Code <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-39\" value=\"\" placeholder=\"E.g. 0020\" id=\"forminator-field-text-39_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-34\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-34_69e9fbdb5a214\" id=\"forminator-field-text-34_69e9fbdb5a214-label\" class=\"forminator-label\">Postal Code<\/label><input type=\"text\" name=\"text-34\" value=\"\" placeholder=\"(PO Box)\" id=\"forminator-field-text-34_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-10\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-100424__field--select-10_69e9fbdb5a214\" id=\"forminator-form-100424__field--select-10_69e9fbdb5a214-label\" class=\"forminator-label\">Do you own fixed property? <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-100424__field--select-10_69e9fbdb5a214\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-10\" data-default-value=\"\" data-placeholder=\"Please select\" data-search=\"false\" data-search-placeholder=\"Please select\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-100424__field--select-10_69e9fbdb5a214-label\"><option value=\"\"  >Please select<\/option><option value=\"Yes\"  data-calculation=\"0\">Yes<\/option><option value=\"No\"  data-calculation=\"0\">No<\/option><\/select><\/div><\/div><div id=\"select-11\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-100424__field--select-11_69e9fbdb5a214\" id=\"forminator-form-100424__field--select-11_69e9fbdb5a214-label\" class=\"forminator-label\">If not, current living arrangements?<\/label><select  id=\"forminator-form-100424__field--select-11_69e9fbdb5a214\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-11\" data-default-value=\"\" data-placeholder=\"Please select\" data-search=\"false\" data-search-placeholder=\"Please select\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-100424__field--select-11_69e9fbdb5a214-label\"><option value=\"\"  >Please select<\/option><option value=\"Rent\"  data-calculation=\"0\">Rent<\/option><option value=\"Live-with-Parents\"  data-calculation=\"0\">Live with Parents<\/option><option value=\"Other\"  data-calculation=\"0\">Other<\/option><\/select><\/div><\/div><div id=\"text-13\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-13_69e9fbdb5a214\" id=\"forminator-field-text-13_69e9fbdb5a214-label\" class=\"forminator-label\">Years at present address <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-13\" value=\"\" placeholder=\"\" id=\"forminator-field-text-13_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-6\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-100424__field--select-6_69e9fbdb5a214\" id=\"forminator-form-100424__field--select-6_69e9fbdb5a214-label\" class=\"forminator-label\">Language <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-100424__field--select-6_69e9fbdb5a214\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-6\" data-default-value=\"\" data-placeholder=\"Please select\" data-search=\"false\" data-search-placeholder=\"Please select\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-100424__field--select-6_69e9fbdb5a214-label\" aria-describedby=\"forminator-form-100424__field--select-6_69e9fbdb5a214-description\"><option value=\"\"  >Please select<\/option><option value=\"English\"  data-calculation=\"0\">English<\/option><option value=\"Afrikaans\"  data-calculation=\"0\">Afrikaans<\/option><\/select><span id=\"forminator-form-100424__field--select-6_69e9fbdb5a214-description\" class=\"forminator-description\">Select Language<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-7\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-100424__field--select-7_69e9fbdb5a214\" id=\"forminator-form-100424__field--select-7_69e9fbdb5a214-label\" class=\"forminator-label\">RSA Resident <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-100424__field--select-7_69e9fbdb5a214\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-7\" data-default-value=\"\" data-placeholder=\"Please select\" data-search=\"false\" data-search-placeholder=\"Please select\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-100424__field--select-7_69e9fbdb5a214-label\"><option value=\"\"  >Please select<\/option><option value=\"Yes\"  data-calculation=\"0\">Yes<\/option><option value=\"No\"  data-calculation=\"0\">No<\/option><option value=\"Other\"  data-calculation=\"0\">Other<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-8\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-100424__field--select-8_69e9fbdb5a214\" id=\"forminator-form-100424__field--select-8_69e9fbdb5a214-label\" class=\"forminator-label\">Maritial Status <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-100424__field--select-8_69e9fbdb5a214\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-8\" data-default-value=\"\" data-placeholder=\"Please select\" data-search=\"false\" data-search-placeholder=\"Please select\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-100424__field--select-8_69e9fbdb5a214-label\"><option value=\"\"  >Please select<\/option><option value=\"By-ante-nuptial-contract\"  data-calculation=\"0\">By ante nuptial contract<\/option><option value=\"In-community-of-property\"  data-calculation=\"0\">In community of property<\/option><option value=\"Widow-Widower\"  data-calculation=\"0\">Widow\/Widower<\/option><option value=\"Unmarried\"  data-calculation=\"0\">Unmarried<\/option><option value=\"Divorced\"  data-calculation=\"0\">Divorced<\/option><option value=\"Customary-Law\"  data-calculation=\"0\">Customary Law<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-1\" class=\"forminator-field-number forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-1_69e9fbdb5a214\" id=\"forminator-field-number-1_69e9fbdb5a214-label\" class=\"forminator-label\">Number of Dependents <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-1\" value=\"\" placeholder=\"E.g. 2\" id=\"forminator-field-number-1_69e9fbdb5a214\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" type=\"number\" step=\"any\" min=\"0\" max=\"150\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-14\" class=\"forminator-field-checkbox forminator-col forminator-col-6 \"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-14-69e9fbdb5a214-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-14-69e9fbdb5a214-label\" class=\"forminator-label\">Were you previously a member of Pretorium Trust?<\/span><label id=\"forminator-field-checkbox-14-1-69e9fbdb5a214-label\" for=\"forminator-field-checkbox-14-1-69e9fbdb5a214\" class=\"forminator-checkbox\" title=\"Yes\"><input type=\"checkbox\" name=\"checkbox-14[]\" value=\"Yes\" id=\"forminator-field-checkbox-14-1-69e9fbdb5a214\" aria-labelledby=\"forminator-field-checkbox-14-1-69e9fbdb5a214-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Yes<\/span><\/label><label id=\"forminator-field-checkbox-14-2-69e9fbdb5a214-label\" for=\"forminator-field-checkbox-14-2-69e9fbdb5a214\" class=\"forminator-checkbox\" title=\"No\"><input type=\"checkbox\" name=\"checkbox-14[]\" value=\"No\" id=\"forminator-field-checkbox-14-2-69e9fbdb5a214\" aria-labelledby=\"forminator-field-checkbox-14-2-69e9fbdb5a214-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">No<\/span><\/label><\/div><\/div><div id=\"name-16\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-16_69e9fbdb5a214\" id=\"forminator-field-name-16_69e9fbdb5a214-label\" class=\"forminator-label\">If &#039;Yes&#039; Membership Number<\/label><input type=\"text\" name=\"name-16\" value=\"\" placeholder=\"\" id=\"forminator-field-name-16_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-100424--page-1\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-100424--page-1-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"1\"\r\n\t\t\t\tdata-label=\"15%\"\r\n\t\t\t\tdata-actual-label=\"Page 2\"\r\n\t\t\t\tdata-name=\"page-break-3\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-4\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">EMPLOYMENT DETAILS<\/h2><h3 class=\"forminator-subtitle\">All fields required.<\/h3><hr class=\"forminator-border\" style=\"border: 2px solid #017263;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-4\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-100424__field--select-4_69e9fbdb5a214\" id=\"forminator-form-100424__field--select-4_69e9fbdb5a214-label\" class=\"forminator-label\">Type of Employment <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-100424__field--select-4_69e9fbdb5a214\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-4\" data-default-value=\"\" data-placeholder=\"Please select\" data-search=\"false\" data-search-placeholder=\"Please select\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-100424__field--select-4_69e9fbdb5a214-label\"><option value=\"\"  >Please select<\/option><option value=\"Permanent\"  data-calculation=\"0\">Permanent<\/option><option value=\"Self-Employment\"  data-calculation=\"0\">Self-Employment<\/option><option value=\"Contracted\"  data-calculation=\"0\">Contracted<\/option><option value=\"Commission-Earner\"  data-calculation=\"0\">Commission Earner<\/option><option value=\"Pensioner\"  data-calculation=\"0\">Pensioner<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-6\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-6_69e9fbdb5a214\" id=\"forminator-field-name-6_69e9fbdb5a214-label\" class=\"forminator-label\">Name of Employer <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-6\" value=\"\" placeholder=\"\" id=\"forminator-field-name-6_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-19\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-19_69e9fbdb5a214\" id=\"forminator-field-name-19_69e9fbdb5a214-label\" class=\"forminator-label\">Years of Service <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-19\" value=\"\" placeholder=\"E.g. 2 years\" id=\"forminator-field-name-19_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-7\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-7_69e9fbdb5a214\" id=\"forminator-field-name-7_69e9fbdb5a214-label\" class=\"forminator-label\">Occupation <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-7\" value=\"\" placeholder=\"E.g. Account Manager\" id=\"forminator-field-name-7_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-8\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-8_69e9fbdb5a214\" id=\"forminator-field-textarea-8_69e9fbdb5a214-label\" class=\"forminator-label\">Employer Physical Address <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-8\" placeholder=\"\" id=\"forminator-field-textarea-8_69e9fbdb5a214\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" aria-describedby=\"forminator-field-textarea-8_69e9fbdb5a214-description\" ><\/textarea><span id=\"forminator-field-textarea-8_69e9fbdb5a214-description\" class=\"forminator-description\">(Current Employer)<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-3_69e9fbdb5a214\" id=\"forminator-field-textarea-3_69e9fbdb5a214-label\" class=\"forminator-label\">Name of previous employer and years of service<\/label><textarea name=\"textarea-3\" placeholder=\"\" id=\"forminator-field-textarea-3_69e9fbdb5a214\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-100424--page-2\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-100424--page-2-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"2\"\r\n\t\t\t\tdata-label=\"Page  2\"\r\n\t\t\t\tdata-actual-label=\"Page 3\"\r\n\t\t\t\tdata-name=\"page-break-9\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-3\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">SPOUSE&#039;S PERSONAL INFORMATION<\/h2><h3 class=\"forminator-subtitle\">Required if married in community of property<\/h3><hr class=\"forminator-border\" style=\"border: 2px solid #006b50;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-4\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-4_69e9fbdb5a214\" id=\"forminator-field-name-4_69e9fbdb5a214-label\" class=\"forminator-label\">Spouse&#039;s Initials<\/label><input type=\"text\" name=\"name-4\" value=\"\" placeholder=\"\" id=\"forminator-field-name-4_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-5\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-5_69e9fbdb5a214\" id=\"forminator-field-name-5_69e9fbdb5a214-label\" class=\"forminator-label\">Spouse&#039;s Maiden Surname<\/label><input type=\"text\" name=\"name-5\" value=\"\" placeholder=\"\" id=\"forminator-field-name-5_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" aria-describedby=\"forminator-field-name-5_69e9fbdb5a214-description\" \/><span id=\"forminator-field-name-5_69e9fbdb5a214-description\" class=\"forminator-description\">If applicable<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-4\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-4_69e9fbdb5a214\" id=\"forminator-field-phone-4_69e9fbdb5a214-label\" class=\"forminator-label\">Spouse&#039;s Identification number<\/label><input type=\"text\" name=\"phone-4\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-4_69e9fbdb5a214\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" maxlength=\"13\" data-validation=\"character_limit\" aria-describedby=\"forminator-field-phone-4_69e9fbdb5a214-description\" \/><span id=\"forminator-field-phone-4_69e9fbdb5a214-description\" class=\"forminator-description\" id=\"forminator-field-phone-4_69e9fbdb5a214-description\">Please insert a valid 13-digit South African ID number (If applicable)<span data-limit=\"13\" data-type=\"\">0 \/ 13<\/span><\/span><\/div><\/div><div id=\"phone-7\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-7_69e9fbdb5a214\" id=\"forminator-field-phone-7_69e9fbdb5a214-label\" class=\"forminator-label\">Spouse&#039;s Phone<\/label><input type=\"text\" name=\"phone-7\" value=\"\" placeholder=\"E.g. 082 213 4343\" id=\"forminator-field-phone-7_69e9fbdb5a214\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-3\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-3_69e9fbdb5a214\" id=\"forminator-field-upload-3_69e9fbdb5a214-label\" class=\"forminator-label\">Please attach Spouse&#039;s ID document<\/label><div class=\"forminator-multi-upload \" data-element=\"upload-3_69e9fbdb5a214\" aria-describedby=\"forminator-field-upload-3_69e9fbdb5a214-description\"><input type=\"file\" name=\"upload-3[]\" id=\"forminator-field-upload-3_69e9fbdb5a214\" class=\"forminator-input-file forminator-field-upload-3_69e9fbdb5a214-100424\" multiple=\"multiple\" data-method=\"ajax\" data-size=\"8000000\" data-size-message=\"Maximum file size allowed is 8 MB. \"><div class=\"forminator-multi-upload-message\" aria-hidden=\"true\"><span class=\"forminator-icon-upload\" aria-hidden=\"true\"><\/span><p>Drag and Drop (or) <a class=\"forminator-upload-file--forminator-field-upload-3_69e9fbdb5a214\" href=\"#\" onclick=\"return false;\">Choose Files<\/a><\/p><\/div><\/div><span id=\"forminator-field-upload-3_69e9fbdb5a214-description\" class=\"forminator-description\">If applicable<\/span><ul class=\"forminator-uploaded-files upload-container-upload-3_69e9fbdb5a214\"><\/ul><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-15\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Spouse&#039;s Employment Details<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-12\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-100424__field--select-12_69e9fbdb5a214\" id=\"forminator-form-100424__field--select-12_69e9fbdb5a214-label\" class=\"forminator-label\">Type of Employment<\/label><select  id=\"forminator-form-100424__field--select-12_69e9fbdb5a214\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-12\" data-default-value=\"\" data-placeholder=\"Please select\" data-search=\"false\" data-search-placeholder=\"Please select\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-100424__field--select-12_69e9fbdb5a214-label\"><option value=\"\"  >Please select<\/option><option value=\"Permanent\"  data-calculation=\"0\">Permanent<\/option><option value=\"Self-Employment\"  data-calculation=\"0\">Self-Employment<\/option><option value=\"Contracted\"  data-calculation=\"0\">Contracted<\/option><option value=\"Commission-Earner\"  data-calculation=\"0\">Commission Earner<\/option><option value=\"Pensioner\"  data-calculation=\"0\">Pensioner<\/option><\/select><\/div><\/div><div id=\"name-17\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-17_69e9fbdb5a214\" id=\"forminator-field-name-17_69e9fbdb5a214-label\" class=\"forminator-label\">Name of Employer<\/label><input type=\"text\" name=\"name-17\" value=\"\" placeholder=\"\" id=\"forminator-field-name-17_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-18\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-18_69e9fbdb5a214\" id=\"forminator-field-name-18_69e9fbdb5a214-label\" class=\"forminator-label\">Occupation<\/label><input type=\"text\" name=\"name-18\" value=\"\" placeholder=\"E.g. Account Manager\" id=\"forminator-field-name-18_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"date-3\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-3-picker_69e9fbdb5a214\" id=\"forminator-field-date-3-picker_69e9fbdb5a214-label\" class=\"forminator-label\">Employment Date<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-3\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-3-picker_69e9fbdb5a214\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"yy-mm-dd\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"0\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-9\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-9_69e9fbdb5a214\" id=\"forminator-field-textarea-9_69e9fbdb5a214-label\" class=\"forminator-label\">Employer Physical Address<\/label><textarea name=\"textarea-9\" placeholder=\"\" id=\"forminator-field-textarea-9_69e9fbdb5a214\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" aria-describedby=\"forminator-field-textarea-9_69e9fbdb5a214-description\" ><\/textarea><span id=\"forminator-field-textarea-9_69e9fbdb5a214-description\" class=\"forminator-description\">(Current Employer)<\/span><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-100424--page-3\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-100424--page-3-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"3\"\r\n\t\t\t\tdata-label=\"Page  3\"\r\n\t\t\t\tdata-actual-label=\"Page 4\"\r\n\t\t\t\tdata-name=\"page-break-4\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-5\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">FRIEND OR RELATIVE INFORMATION<\/h2><h3 class=\"forminator-subtitle\">(not living with you)<\/h3><hr class=\"forminator-border\" style=\"border: 2px solid #00605f;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-8\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-8_69e9fbdb5a214\" id=\"forminator-field-name-8_69e9fbdb5a214-label\" class=\"forminator-label\">First and Last Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-8\" value=\"\" placeholder=\"\" id=\"forminator-field-name-8_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-9\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-9_69e9fbdb5a214\" id=\"forminator-field-name-9_69e9fbdb5a214-label\" class=\"forminator-label\">Relationship <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-9\" value=\"\" placeholder=\"E.g. Father \/ Sister\" id=\"forminator-field-name-9_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-6\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-6_69e9fbdb5a214\" id=\"forminator-field-phone-6_69e9fbdb5a214-label\" class=\"forminator-label\">Mobile <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-6\" value=\"\" placeholder=\"E.g. 082 123 4567\" id=\"forminator-field-phone-6_69e9fbdb5a214\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><div id=\"phone-5\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-5_69e9fbdb5a214\" id=\"forminator-field-phone-5_69e9fbdb5a214-label\" class=\"forminator-label\">Home Phone<\/label><input type=\"text\" name=\"phone-5\" value=\"\" placeholder=\"E.g. 012 361 5526\" id=\"forminator-field-phone-5_69e9fbdb5a214\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-4_69e9fbdb5a214\" id=\"forminator-field-textarea-4_69e9fbdb5a214-label\" class=\"forminator-label\">Residential Address<\/label><textarea name=\"textarea-4\" placeholder=\"\" id=\"forminator-field-textarea-4_69e9fbdb5a214\" class=\"forminator-textarea\" rows=\"6\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-100424--page-4\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-100424--page-4-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"4\"\r\n\t\t\t\tdata-label=\"Page  4\"\r\n\t\t\t\tdata-actual-label=\"Page 5\"\r\n\t\t\t\tdata-name=\"page-break-6\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">AUTHORISED CARD HOLDERS<\/h2><hr class=\"forminator-border\" style=\"border: 2px solid #065766;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-10\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-10_69e9fbdb5a214\" id=\"forminator-field-name-10_69e9fbdb5a214-label\" class=\"forminator-label\">MEMBER - Title and Initials<\/label><input type=\"text\" name=\"name-10\" value=\"\" placeholder=\"E.g. Mr J\" id=\"forminator-field-name-10_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-11\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-11_69e9fbdb5a214\" id=\"forminator-field-name-11_69e9fbdb5a214-label\" class=\"forminator-label\">Surname<\/label><input type=\"text\" name=\"name-11\" value=\"\" placeholder=\"E.g. Doe\" id=\"forminator-field-name-11_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_69e9fbdb5a214\" id=\"forminator-field-text-3_69e9fbdb5a214-label\" class=\"forminator-label\">ID Number<\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"\" id=\"forminator-field-text-3_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"\" maxlength=\"13\" aria-describedby=\"forminator-field-text-3_69e9fbdb5a214-description\" \/><span id=\"forminator-field-text-3_69e9fbdb5a214-description\" class=\"forminator-description\">Please insert a valid 13-digit South African ID number<span data-limit=\"13\" data-type=\"characters\">0 \/ 13<\/span><\/span><\/div><\/div><div id=\"currency-1\" class=\"forminator-field-currency forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-1_69e9fbdb5a214\" id=\"forminator-field-currency-1_69e9fbdb5a214-label\" class=\"forminator-label\">Card Limit<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-1\" value=\"\" placeholder=\"E.g. 5000\" id=\"forminator-field-currency-1_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"phone-8\" class=\"forminator-field-phone forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-8_69e9fbdb5a214\" id=\"forminator-field-phone-8_69e9fbdb5a214-label\" class=\"forminator-label\">Member Phone Number<\/label><input type=\"text\" name=\"phone-8\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-8_69e9fbdb5a214\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-12\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-12_69e9fbdb5a214\" id=\"forminator-field-name-12_69e9fbdb5a214-label\" class=\"forminator-label\">SPOUSE - Title and Initials<\/label><input type=\"text\" name=\"name-12\" value=\"\" placeholder=\"\" id=\"forminator-field-name-12_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-13\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-13_69e9fbdb5a214\" id=\"forminator-field-name-13_69e9fbdb5a214-label\" class=\"forminator-label\">Surname<\/label><input type=\"text\" name=\"name-13\" value=\"\" placeholder=\"\" id=\"forminator-field-name-13_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_69e9fbdb5a214\" id=\"forminator-field-text-4_69e9fbdb5a214-label\" class=\"forminator-label\">ID Number<\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"\" id=\"forminator-field-text-4_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"\" maxlength=\"13\" \/><span id=\"forminator-field-text-4_69e9fbdb5a214-description\" class=\"forminator-description\"><span data-limit=\"13\" data-type=\"characters\">0 \/ 13<\/span><\/span><\/div><\/div><div id=\"currency-2\" class=\"forminator-field-currency forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-2_69e9fbdb5a214\" id=\"forminator-field-currency-2_69e9fbdb5a214-label\" class=\"forminator-label\">Card Limit<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-2\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-2_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"phone-9\" class=\"forminator-field-phone forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-9_69e9fbdb5a214\" id=\"forminator-field-phone-9_69e9fbdb5a214-label\" class=\"forminator-label\">Spouse Phone Number<\/label><input type=\"text\" name=\"phone-9\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-9_69e9fbdb5a214\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-14\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-14_69e9fbdb5a214\" id=\"forminator-field-name-14_69e9fbdb5a214-label\" class=\"forminator-label\">CHILD - Title and Initials<\/label><input type=\"text\" name=\"name-14\" value=\"\" placeholder=\"\" id=\"forminator-field-name-14_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"name-15\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-15_69e9fbdb5a214\" id=\"forminator-field-name-15_69e9fbdb5a214-label\" class=\"forminator-label\">Surname<\/label><input type=\"text\" name=\"name-15\" value=\"\" placeholder=\"\" id=\"forminator-field-name-15_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_69e9fbdb5a214\" id=\"forminator-field-text-5_69e9fbdb5a214-label\" class=\"forminator-label\">ID Number<\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"\" id=\"forminator-field-text-5_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"\" maxlength=\"13\" \/><span id=\"forminator-field-text-5_69e9fbdb5a214-description\" class=\"forminator-description\"><span data-limit=\"13\" data-type=\"characters\">0 \/ 13<\/span><\/span><\/div><\/div><div id=\"currency-3\" class=\"forminator-field-currency forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-3_69e9fbdb5a214\" id=\"forminator-field-currency-3_69e9fbdb5a214-label\" class=\"forminator-label\">Card Limit<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-3\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-3_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"phone-10\" class=\"forminator-field-phone forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-10_69e9fbdb5a214\" id=\"forminator-field-phone-10_69e9fbdb5a214-label\" class=\"forminator-label\">Child Phone Number<\/label><input type=\"text\" name=\"phone-10\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-10_69e9fbdb5a214\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-4\" class=\"forminator-field-currency forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-4_69e9fbdb5a214\" id=\"forminator-field-currency-4_69e9fbdb5a214-label\" class=\"forminator-label\">Total monthly purchase limit applied for<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-4\" value=\"\" placeholder=\"E.g. 10000\" id=\"forminator-field-currency-4_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-69e9fbdb5a214-label\" aria-describedby=\"forminator-radiogroup-radio-1-69e9fbdb5a214-description\"><span id=\"forminator-radiogroup-radio-1-69e9fbdb5a214-label\" class=\"forminator-label\">Do you require a budget facility? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-69e9fbdb5a214\" class=\"forminator-radio\" title=\"Yes\"><input type=\"radio\" name=\"radio-1\" value=\"one\" id=\"forminator-field-radio-1-1-69e9fbdb5a214\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-1-69e9fbdb5a214-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-69e9fbdb5a214\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-1\" value=\"two\" id=\"forminator-field-radio-1-2-69e9fbdb5a214\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\" aria-describedby=\"forminator-field-radio-1-69e9fbdb5a214-description\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><span id=\"forminator-radiogroup-radio-1-69e9fbdb5a214-description\" class=\"forminator-description\">NO BUDGET PURCHASES ALLOWED ON LIQUOR, FOOD OR PETROL. No purchase of less than R300 will qualify for the budget facility. PURCHASES ON BUDGET QUALIFY FOR THE ANNUAL BONUS<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-61\" class=\"forminator-field-currency forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-61_69e9fbdb5a214\" id=\"forminator-field-currency-61_69e9fbdb5a214-label\" class=\"forminator-label\">Budget limit applied for <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-61\" value=\"\" placeholder=\"E.g. 5000\" id=\"forminator-field-currency-61_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"1\" aria-required=\"1\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-4\" class=\"forminator-field-date forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-4-picker_69e9fbdb5a214\" id=\"forminator-field-date-4-picker_69e9fbdb5a214-label\" class=\"forminator-label\">Date <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-4\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-4-picker_69e9fbdb5a214\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"yy-mm-dd\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"0\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"signature-5\" class=\"forminator-field-signature forminator-col forminator-col-6 \"><div class=\"forminator-field forminator-field-signature\"><label for=\"forminator-field-ctlSignature69e9fbdb5da05\" id=\"forminator-field-ctlSignature69e9fbdb5da05-label\" class=\"forminator-label\">Applicant&#039;s Signature <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-signature\" data-elementheight=\"180\" aria-describedby=\"forminator-field-ctlSignature69e9fbdb5da05-description\"><span id=\"ctlSignature69e9fbdb5da05_placeholder\" class=\"forminator-signature--placeholder\" aria-hidden=\"true\">Start signing your signature here<\/span><div id=\"ctlSignature69e9fbdb5da05_Container\" class=\"forminator-signature--container\"><canvas id=\"ctlSignature69e9fbdb5da05\" class=\"forminator-signature-canvas\" height=\"180\" tabindex=\"-1\"><p>Your browser does not support e-Signature field.<\/p><\/canvas><\/div><\/div><input type=\"hidden\" name=\"field-signature-5\" value=\"69e9fbdb5da05\" class=\"signature-prefix\"><span id=\"forminator-field-ctlSignature69e9fbdb5da05-description\" class=\"forminator-description\">I\/We consent to the Credit Provider verifying my\/our credit record\/s with any credit reference agency or other Credit Providers and verify all information supplied on this application.<\/span><\/div><\/div><div id=\"signature-7\" class=\"forminator-field-signature forminator-col forminator-col-6 \"><div class=\"forminator-field forminator-field-signature\"><label for=\"forminator-field-ctlSignature69e9fbdb5da4c\" id=\"forminator-field-ctlSignature69e9fbdb5da4c-label\" class=\"forminator-label\">Spouse Signature<\/label><div class=\"forminator-signature\" data-elementheight=\"180\" aria-describedby=\"forminator-field-ctlSignature69e9fbdb5da4c-description\"><span id=\"ctlSignature69e9fbdb5da4c_placeholder\" class=\"forminator-signature--placeholder\" aria-hidden=\"true\">Start signing your signature here<\/span><div id=\"ctlSignature69e9fbdb5da4c_Container\" class=\"forminator-signature--container\"><canvas id=\"ctlSignature69e9fbdb5da4c\" class=\"forminator-signature-canvas\" height=\"180\" tabindex=\"-1\"><p>Your browser does not support e-Signature field.<\/p><\/canvas><\/div><\/div><input type=\"hidden\" name=\"field-signature-7\" value=\"69e9fbdb5da4c\" class=\"signature-prefix\"><span id=\"forminator-field-ctlSignature69e9fbdb5da4c-description\" class=\"forminator-description\">If applying for Pretorium Trust card.<\/span><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-100424--page-5\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-100424--page-5-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"5\"\r\n\t\t\t\tdata-label=\"Page  5\"\r\n\t\t\t\tdata-actual-label=\"Page 6\"\r\n\t\t\t\tdata-name=\"page-break-7\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-7\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">AFFORDABILITY ASSESSMENT<\/h2><h3 class=\"forminator-subtitle\">All fields required.<\/h3><hr class=\"forminator-border\" style=\"border: 2px solid #037277;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-9\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Monthly Income<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-5\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-5_69e9fbdb5a214\" id=\"forminator-field-currency-5_69e9fbdb5a214-label\" class=\"forminator-label\">Gross Salary - Applicant<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-5\" value=\"\" placeholder=\"E.g. 12000\" id=\"forminator-field-currency-5_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-6\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-6_69e9fbdb5a214\" id=\"forminator-field-currency-6_69e9fbdb5a214-label\" class=\"forminator-label\">Gross Salary - Spouse<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-6\" value=\"\" placeholder=\"E.g. 8000\" id=\"forminator-field-currency-6_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-10\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-10_69e9fbdb5a214\" id=\"forminator-field-currency-10_69e9fbdb5a214-label\" class=\"forminator-label\">Other Income - Applicant<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-10\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-10_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-11\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-11_69e9fbdb5a214\" id=\"forminator-field-currency-11_69e9fbdb5a214-label\" class=\"forminator-label\">Other Income - Spouse<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-11\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-11_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-16\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-16_69e9fbdb5a214\" id=\"forminator-field-text-16_69e9fbdb5a214-label\" class=\"forminator-label\">Please specify<\/label><input type=\"text\" name=\"text-16\" value=\"\" placeholder=\"E.g. Rental Income\" id=\"forminator-field-text-16_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-15\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-15_69e9fbdb5a214\" id=\"forminator-field-text-15_69e9fbdb5a214-label\" class=\"forminator-label\">Please specify<\/label><input type=\"text\" name=\"text-15\" value=\"\" placeholder=\"E.g. Rental Income\" id=\"forminator-field-text-15_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-1\" class=\"forminator-field-calculation forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"calculation-1-field_69e9fbdb5a214\" id=\"calculation-1-field_69e9fbdb5a214-label\" class=\"forminator-label\">Total Income - Applicant<\/label><input type=\"text\" name=\"calculation-1\" value=\"\" id=\"calculation-1-field_69e9fbdb5a214\" class=\"forminator-calculation forminator-input\" data-formula=\"{currency-5}+{currency-10}\" data-required=\"\" data-decimal-point=\".\" data-precision=\"2\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" readonly=\"readonly\" \/><\/div><\/div><div id=\"calculation-2\" class=\"forminator-field-calculation forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"calculation-2-field_69e9fbdb5a214\" id=\"calculation-2-field_69e9fbdb5a214-label\" class=\"forminator-label\">Total Income - Spouse<\/label><input type=\"text\" name=\"calculation-2\" value=\"\" id=\"calculation-2-field_69e9fbdb5a214\" class=\"forminator-calculation forminator-input\" data-formula=\"{currency-6}+{currency-11}\" data-required=\"\" data-decimal-point=\".\" data-precision=\"2\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" readonly=\"readonly\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-5\" class=\"forminator-field-upload forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-5_69e9fbdb5a214\" id=\"forminator-field-upload-5_69e9fbdb5a214-label\" class=\"forminator-label\">Please upload Proof of Income (Applicant)<\/label><div class=\"forminator-multi-upload \" data-element=\"upload-5_69e9fbdb5a214\" aria-describedby=\"forminator-field-upload-5_69e9fbdb5a214-description\"><input type=\"file\" name=\"upload-5[]\" id=\"forminator-field-upload-5_69e9fbdb5a214\" class=\"forminator-input-file forminator-field-upload-5_69e9fbdb5a214-100424\" multiple=\"multiple\" data-method=\"ajax\" data-size=\"12000000\" data-size-message=\"Maximum file size allowed is 12 MB. \"><div class=\"forminator-multi-upload-message\" aria-hidden=\"true\"><span class=\"forminator-icon-upload\" aria-hidden=\"true\"><\/span><p>Drag and Drop (or) <a class=\"forminator-upload-file--forminator-field-upload-5_69e9fbdb5a214\" href=\"#\" onclick=\"return false;\">Choose Files<\/a><\/p><\/div><\/div><span id=\"forminator-field-upload-5_69e9fbdb5a214-description\" class=\"forminator-description\">Please attach 3 months latest payslips or bank statements<\/span><ul class=\"forminator-uploaded-files upload-container-upload-5_69e9fbdb5a214\"><\/ul><\/div><\/div><div id=\"upload-6\" class=\"forminator-field-upload forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-6_69e9fbdb5a214\" id=\"forminator-field-upload-6_69e9fbdb5a214-label\" class=\"forminator-label\">Please upload Proof of Income (Spouse)<\/label><div class=\"forminator-multi-upload \" data-element=\"upload-6_69e9fbdb5a214\" aria-describedby=\"forminator-field-upload-6_69e9fbdb5a214-description\"><input type=\"file\" name=\"upload-6[]\" id=\"forminator-field-upload-6_69e9fbdb5a214\" class=\"forminator-input-file forminator-field-upload-6_69e9fbdb5a214-100424\" multiple=\"multiple\" data-method=\"ajax\" data-size=\"12000000\" data-size-message=\"Maximum file size allowed is 12 MB. \"><div class=\"forminator-multi-upload-message\" aria-hidden=\"true\"><span class=\"forminator-icon-upload\" aria-hidden=\"true\"><\/span><p>Drag and Drop (or) <a class=\"forminator-upload-file--forminator-field-upload-6_69e9fbdb5a214\" href=\"#\" onclick=\"return false;\">Choose Files<\/a><\/p><\/div><\/div><span id=\"forminator-field-upload-6_69e9fbdb5a214-description\" class=\"forminator-description\">Please attach 3 months latest payslips or bank statements<\/span><ul class=\"forminator-uploaded-files upload-container-upload-6_69e9fbdb5a214\"><\/ul><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-8\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Payslip Deductions<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-8\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-8_69e9fbdb5a214\" id=\"forminator-field-currency-8_69e9fbdb5a214-label\" class=\"forminator-label\">Medical Aid - Applicant<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-8\" value=\"\" placeholder=\"E.g. 2000\" id=\"forminator-field-currency-8_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-9\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-9_69e9fbdb5a214\" id=\"forminator-field-currency-9_69e9fbdb5a214-label\" class=\"forminator-label\">Medical Aid - Spouse<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-9\" value=\"\" placeholder=\"E.g. 2000\" id=\"forminator-field-currency-9_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-15\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-15_69e9fbdb5a214\" id=\"forminator-field-currency-15_69e9fbdb5a214-label\" class=\"forminator-label\">Pension \/ Provident Fund - Applicant<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-15\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-15_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-19\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-19_69e9fbdb5a214\" id=\"forminator-field-currency-19_69e9fbdb5a214-label\" class=\"forminator-label\">Pension \/ Provident Fund - Spouse<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-19\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-19_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-14\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-14_69e9fbdb5a214\" id=\"forminator-field-currency-14_69e9fbdb5a214-label\" class=\"forminator-label\">PAYE - Applicant<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-14\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-14_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-18\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-18_69e9fbdb5a214\" id=\"forminator-field-currency-18_69e9fbdb5a214-label\" class=\"forminator-label\">PAYE - Spouse<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-18\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-18_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-13\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-13_69e9fbdb5a214\" id=\"forminator-field-currency-13_69e9fbdb5a214-label\" class=\"forminator-label\">UIF - Applicant<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-13\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-13_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-17\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-17_69e9fbdb5a214\" id=\"forminator-field-currency-17_69e9fbdb5a214-label\" class=\"forminator-label\">UIF - Spouse<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-17\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-17_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-12\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-12_69e9fbdb5a214\" id=\"forminator-field-currency-12_69e9fbdb5a214-label\" class=\"forminator-label\">Other Deductions - Applicant<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-12\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-12_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-16\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-16_69e9fbdb5a214\" id=\"forminator-field-currency-16_69e9fbdb5a214-label\" class=\"forminator-label\">Other Deductions - Spouse<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-16\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-16_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-3\" class=\"forminator-field-calculation forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"calculation-3-field_69e9fbdb5a214\" id=\"calculation-3-field_69e9fbdb5a214-label\" class=\"forminator-label\">Total Deductions - Applicant<\/label><input type=\"text\" name=\"calculation-3\" value=\"\" id=\"calculation-3-field_69e9fbdb5a214\" class=\"forminator-calculation forminator-input\" data-formula=\"{currency-8}+{currency-15}+{currency-14}+{currency-13}+{currency-12}\" data-required=\"\" data-decimal-point=\".\" data-precision=\"2\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" readonly=\"readonly\" \/><\/div><\/div><div id=\"calculation-4\" class=\"forminator-field-calculation forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"calculation-4-field_69e9fbdb5a214\" id=\"calculation-4-field_69e9fbdb5a214-label\" class=\"forminator-label\">Total Deductions - Spouse<\/label><input type=\"text\" name=\"calculation-4\" value=\"\" id=\"calculation-4-field_69e9fbdb5a214\" class=\"forminator-calculation forminator-input\" data-formula=\"{currency-9}+{currency-19}+{currency-18}+{currency-17}+{currency-16}\" data-required=\"\" data-decimal-point=\".\" data-precision=\"2\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" readonly=\"readonly\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-6\" class=\"forminator-field-calculation forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"calculation-6-field_69e9fbdb5a214\" id=\"calculation-6-field_69e9fbdb5a214-label\" class=\"forminator-label\">Net Salary - Application<\/label><input type=\"text\" name=\"calculation-6\" value=\"\" id=\"calculation-6-field_69e9fbdb5a214\" class=\"forminator-calculation forminator-input\" data-formula=\"{calculation-1}-{calculation-3}\" data-required=\"\" data-decimal-point=\".\" data-precision=\"2\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" readonly=\"readonly\" \/><\/div><\/div><div id=\"calculation-5\" class=\"forminator-field-calculation forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"calculation-5-field_69e9fbdb5a214\" id=\"calculation-5-field_69e9fbdb5a214-label\" class=\"forminator-label\">Net Salary - Spouse<\/label><input type=\"text\" name=\"calculation-5\" value=\"\" id=\"calculation-5-field_69e9fbdb5a214\" class=\"forminator-calculation forminator-input\" data-formula=\"{calculation-2}-{calculation-4}\" data-required=\"\" data-decimal-point=\".\" data-precision=\"2\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" readonly=\"readonly\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-10\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Monthly Expenses<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-59\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-59_69e9fbdb5a214\" id=\"forminator-field-currency-59_69e9fbdb5a214-label\" class=\"forminator-label\">Accommodation Expense - Applicant<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-59\" value=\"\" placeholder=\"E.g. 5000\" id=\"forminator-field-currency-59_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-20\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-20_69e9fbdb5a214\" id=\"forminator-field-currency-20_69e9fbdb5a214-label\" class=\"forminator-label\">Accommodation Expense - Spouse<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-20\" value=\"\" placeholder=\"E.g. 5000\" id=\"forminator-field-currency-20_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-29\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-29_69e9fbdb5a214\" id=\"forminator-field-currency-29_69e9fbdb5a214-label\" class=\"forminator-label\">Transport Expense - Applicant<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-29\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-29_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-37\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-37_69e9fbdb5a214\" id=\"forminator-field-currency-37_69e9fbdb5a214-label\" class=\"forminator-label\">Transport Expense - Spouse<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-37\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-37_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-28\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-28_69e9fbdb5a214\" id=\"forminator-field-currency-28_69e9fbdb5a214-label\" class=\"forminator-label\">Food Expense - Applicant<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-28\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-28_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-36\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-36_69e9fbdb5a214\" id=\"forminator-field-currency-36_69e9fbdb5a214-label\" class=\"forminator-label\">Food Expense - Spouse<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-36\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-36_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-27\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-27_69e9fbdb5a214\" id=\"forminator-field-currency-27_69e9fbdb5a214-label\" class=\"forminator-label\">Education Expense - Applicant<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-27\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-27_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-35\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-35_69e9fbdb5a214\" id=\"forminator-field-currency-35_69e9fbdb5a214-label\" class=\"forminator-label\">Education Expense - Spouse<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-35\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-35_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-26\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-26_69e9fbdb5a214\" id=\"forminator-field-currency-26_69e9fbdb5a214-label\" class=\"forminator-label\">Medical Expense - Applicant<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-26\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-26_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-34\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-34_69e9fbdb5a214\" id=\"forminator-field-currency-34_69e9fbdb5a214-label\" class=\"forminator-label\">Medical Expense - Spouse<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-34\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-34_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-25\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-25_69e9fbdb5a214\" id=\"forminator-field-currency-25_69e9fbdb5a214-label\" class=\"forminator-label\">Maintenance Expense - Applicant<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-25\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-25_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-33\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-33_69e9fbdb5a214\" id=\"forminator-field-currency-33_69e9fbdb5a214-label\" class=\"forminator-label\">Maintenance Expense - Spouse<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-33\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-33_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-24\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-24_69e9fbdb5a214\" id=\"forminator-field-currency-24_69e9fbdb5a214-label\" class=\"forminator-label\">Water &amp; Electricity - Applicant<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-24\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-24_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-32\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-32_69e9fbdb5a214\" id=\"forminator-field-currency-32_69e9fbdb5a214-label\" class=\"forminator-label\">Water &amp; Electricity - Spouse<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-32\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-32_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-23\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-23_69e9fbdb5a214\" id=\"forminator-field-currency-23_69e9fbdb5a214-label\" class=\"forminator-label\">Other Expenses - Applicant<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-23\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-23_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-31\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-31_69e9fbdb5a214\" id=\"forminator-field-currency-31_69e9fbdb5a214-label\" class=\"forminator-label\">Other Expense - Spouse<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-31\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-31_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-7\" class=\"forminator-field-calculation forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"calculation-7-field_69e9fbdb5a214\" id=\"calculation-7-field_69e9fbdb5a214-label\" class=\"forminator-label\">Total Expenses - Applicant<\/label><input type=\"text\" name=\"calculation-7\" value=\"\" id=\"calculation-7-field_69e9fbdb5a214\" class=\"forminator-calculation forminator-input\" data-formula=\"{currency-59}+{currency-29}+{currency-28}+{currency-27}+{currency-26}+{currency-25}+{currency-24}+{currency-23}\" data-required=\"\" data-decimal-point=\".\" data-precision=\"2\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" readonly=\"readonly\" \/><\/div><\/div><div id=\"calculation-8\" class=\"forminator-field-calculation forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"calculation-8-field_69e9fbdb5a214\" id=\"calculation-8-field_69e9fbdb5a214-label\" class=\"forminator-label\">Total Expenses - Spouse<\/label><input type=\"text\" name=\"calculation-8\" value=\"\" id=\"calculation-8-field_69e9fbdb5a214\" class=\"forminator-calculation forminator-input\" data-formula=\"{currency-20}+{currency-37}+{currency-36}+{currency-35}+{currency-34}+{currency-33}+{currency-32}+{currency-31}\" data-required=\"\" data-decimal-point=\".\" data-precision=\"2\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" readonly=\"readonly\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-11\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Accounts<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-38\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-38_69e9fbdb5a214\" id=\"forminator-field-currency-38_69e9fbdb5a214-label\" class=\"forminator-label\">Asset Finance - Applicant<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-38\" value=\"\" placeholder=\"E.g. 250\" id=\"forminator-field-currency-38_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-39\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-39_69e9fbdb5a214\" id=\"forminator-field-currency-39_69e9fbdb5a214-label\" class=\"forminator-label\">Asset Finance - Spouse<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-39\" value=\"\" placeholder=\"E.g. 500\" id=\"forminator-field-currency-39_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-48\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-48_69e9fbdb5a214\" id=\"forminator-field-currency-48_69e9fbdb5a214-label\" class=\"forminator-label\">Personal Loans - Applicant<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-48\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-48_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-57\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-57_69e9fbdb5a214\" id=\"forminator-field-currency-57_69e9fbdb5a214-label\" class=\"forminator-label\">Personal Loans - Spouse<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-57\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-57_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-47\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-47_69e9fbdb5a214\" id=\"forminator-field-currency-47_69e9fbdb5a214-label\" class=\"forminator-label\">Credit Cards - Applicant<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-47\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-47_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-56\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-56_69e9fbdb5a214\" id=\"forminator-field-currency-56_69e9fbdb5a214-label\" class=\"forminator-label\">Credit Cards - Spouse<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-56\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-56_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-46\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-46_69e9fbdb5a214\" id=\"forminator-field-currency-46_69e9fbdb5a214-label\" class=\"forminator-label\">Bond Repayments - Applicant<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-46\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-46_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-55\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-55_69e9fbdb5a214\" id=\"forminator-field-currency-55_69e9fbdb5a214-label\" class=\"forminator-label\">Bond Repayments - Spouse<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-55\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-55_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-45\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-45_69e9fbdb5a214\" id=\"forminator-field-currency-45_69e9fbdb5a214-label\" class=\"forminator-label\">Cellphone Expense - Applicant<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-45\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-45_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-54\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-54_69e9fbdb5a214\" id=\"forminator-field-currency-54_69e9fbdb5a214-label\" class=\"forminator-label\">Cellphone Expense - Spouse<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-54\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-54_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-44\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-44_69e9fbdb5a214\" id=\"forminator-field-currency-44_69e9fbdb5a214-label\" class=\"forminator-label\">Micro Loans - Applicant<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-44\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-44_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-53\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-53_69e9fbdb5a214\" id=\"forminator-field-currency-53_69e9fbdb5a214-label\" class=\"forminator-label\">Micro Loans - Spouse<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-53\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-53_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-43\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-43_69e9fbdb5a214\" id=\"forminator-field-currency-43_69e9fbdb5a214-label\" class=\"forminator-label\">Security - Applicant<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-43\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-43_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-52\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-52_69e9fbdb5a214\" id=\"forminator-field-currency-52_69e9fbdb5a214-label\" class=\"forminator-label\">Security - Spouse<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-52\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-52_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-42\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-42_69e9fbdb5a214\" id=\"forminator-field-currency-42_69e9fbdb5a214-label\" class=\"forminator-label\">Insurance - Applicant<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-42\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-42_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-51\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-51_69e9fbdb5a214\" id=\"forminator-field-currency-51_69e9fbdb5a214-label\" class=\"forminator-label\">Insurance - Spouse<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-51\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-51_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-41\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-41_69e9fbdb5a214\" id=\"forminator-field-currency-41_69e9fbdb5a214-label\" class=\"forminator-label\">Clothing - Applicant<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-41\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-41_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-50\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-50_69e9fbdb5a214\" id=\"forminator-field-currency-50_69e9fbdb5a214-label\" class=\"forminator-label\">Clothing - Spouse<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-50\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-50_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-40\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-40_69e9fbdb5a214\" id=\"forminator-field-currency-40_69e9fbdb5a214-label\" class=\"forminator-label\">General Retail - Applicant<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-40\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-40_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-49\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-49_69e9fbdb5a214\" id=\"forminator-field-currency-49_69e9fbdb5a214-label\" class=\"forminator-label\">General Retail - Spouse<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-49\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-49_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-9\" class=\"forminator-field-calculation forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"calculation-9-field_69e9fbdb5a214\" id=\"calculation-9-field_69e9fbdb5a214-label\" class=\"forminator-label\">Total Accounts - Applicant<\/label><input type=\"text\" name=\"calculation-9\" value=\"\" id=\"calculation-9-field_69e9fbdb5a214\" class=\"forminator-calculation forminator-input\" data-formula=\"{currency-38}+{currency-48}+{currency-47}+{currency-46}+{currency-45}+{currency-44}+{currency-43}+{currency-42}+{currency-41}+{currency-40}\" data-required=\"\" data-decimal-point=\".\" data-precision=\"2\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" readonly=\"readonly\" \/><\/div><\/div><div id=\"calculation-10\" class=\"forminator-field-calculation forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"calculation-10-field_69e9fbdb5a214\" id=\"calculation-10-field_69e9fbdb5a214-label\" class=\"forminator-label\">Total Accounts - Spouse<\/label><input type=\"text\" name=\"calculation-10\" value=\"\" id=\"calculation-10-field_69e9fbdb5a214\" class=\"forminator-calculation forminator-input\" data-formula=\"{currency-39}+{currency-57}+{currency-56}+{currency-55}+{currency-54}+{currency-53}+{currency-52}+{currency-51}+{currency-50}+{currency-49}\" data-required=\"\" data-decimal-point=\".\" data-precision=\"2\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" readonly=\"readonly\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"currency-60\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-60_69e9fbdb5a214\" id=\"forminator-field-currency-60_69e9fbdb5a214-label\" class=\"forminator-label\">Min Bond Repayment - Applicant<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-60\" value=\"\" placeholder=\"E.g. 8000\" id=\"forminator-field-currency-60_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-58\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-58_69e9fbdb5a214\" id=\"forminator-field-currency-58_69e9fbdb5a214-label\" class=\"forminator-label\">Min Bond Repayment - Spouse<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-58\" value=\"\" placeholder=\"E.g. 8000\" id=\"forminator-field-currency-58_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-14\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Disposable Income<\/h2><h3 class=\"forminator-subtitle\">Pretorium Trust Card<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"calculation-11\" class=\"forminator-field-calculation forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"calculation-11-field_69e9fbdb5a214\" id=\"calculation-11-field_69e9fbdb5a214-label\" class=\"forminator-label\">Disposable Income Total - Applicant<\/label><input type=\"text\" name=\"calculation-11\" value=\"\" id=\"calculation-11-field_69e9fbdb5a214\" class=\"forminator-calculation forminator-input\" data-formula=\"{calculation-1}-{calculation-3}-{calculation-7}-{calculation-9}-{currency-60}\" data-required=\"\" data-decimal-point=\".\" data-precision=\"2\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" readonly=\"readonly\" \/><\/div><\/div><div id=\"calculation-12\" class=\"forminator-field-calculation forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"calculation-12-field_69e9fbdb5a214\" id=\"calculation-12-field_69e9fbdb5a214-label\" class=\"forminator-label\">Disposable Income Total - Spouse<\/label><input type=\"text\" name=\"calculation-12\" value=\"\" id=\"calculation-12-field_69e9fbdb5a214\" class=\"forminator-calculation forminator-input\" data-formula=\"{calculation-2}-{calculation-4}-{calculation-8}-{calculation-10}-{currency-58}\" data-required=\"\" data-decimal-point=\".\" data-precision=\"2\" data-is-hidden=\"\" disabled=\"disabled\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" readonly=\"readonly\" \/><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-100424--page-6\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-100424--page-6-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"6\"\r\n\t\t\t\tdata-label=\"Page  6\"\r\n\t\t\t\tdata-actual-label=\"Page 7\"\r\n\t\t\t\tdata-name=\"page-break-10\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-17\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">STATEMENT OF ASSETS<\/h2><hr class=\"forminator-border\" style=\"border: 2px solid #00594a;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-18\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Fixed Property<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-17\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-17_69e9fbdb5a214\" id=\"forminator-field-text-17_69e9fbdb5a214-label\" class=\"forminator-label\">Suburb<\/label><input type=\"text\" name=\"text-17\" value=\"\" placeholder=\"E.g. Lynnwood\" id=\"forminator-field-text-17_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"currency-62\" class=\"forminator-field-currency forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-62_69e9fbdb5a214\" id=\"forminator-field-currency-62_69e9fbdb5a214-label\" class=\"forminator-label\">Market Value<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-62\" value=\"\" placeholder=\"E.g. 1500000\" id=\"forminator-field-currency-62_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-65\" class=\"forminator-field-currency forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-65_69e9fbdb5a214\" id=\"forminator-field-currency-65_69e9fbdb5a214-label\" class=\"forminator-label\">Current Balance<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-65\" value=\"\" placeholder=\"E.g. 800000\" id=\"forminator-field-currency-65_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-18\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-18_69e9fbdb5a214\" id=\"forminator-field-text-18_69e9fbdb5a214-label\" class=\"forminator-label\">Suburb<\/label><input type=\"text\" name=\"text-18\" value=\"\" placeholder=\"\" id=\"forminator-field-text-18_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"currency-64\" class=\"forminator-field-currency forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-64_69e9fbdb5a214\" id=\"forminator-field-currency-64_69e9fbdb5a214-label\" class=\"forminator-label\">Market Value<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-64\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-64_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-66\" class=\"forminator-field-currency forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-66_69e9fbdb5a214\" id=\"forminator-field-currency-66_69e9fbdb5a214-label\" class=\"forminator-label\">Current Balance<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-66\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-66_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-19\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-19_69e9fbdb5a214\" id=\"forminator-field-text-19_69e9fbdb5a214-label\" class=\"forminator-label\">Suburb<\/label><input type=\"text\" name=\"text-19\" value=\"\" placeholder=\"\" id=\"forminator-field-text-19_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"currency-63\" class=\"forminator-field-currency forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-63_69e9fbdb5a214\" id=\"forminator-field-currency-63_69e9fbdb5a214-label\" class=\"forminator-label\">Market Value<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-63\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-63_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><div id=\"currency-67\" class=\"forminator-field-currency forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-67_69e9fbdb5a214\" id=\"forminator-field-currency-67_69e9fbdb5a214-label\" class=\"forminator-label\">Current Balance<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-67\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-67_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-19\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Movable Assets<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-20\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-20_69e9fbdb5a214\" id=\"forminator-field-text-20_69e9fbdb5a214-label\" class=\"forminator-label\">Description<\/label><input type=\"text\" name=\"text-20\" value=\"\" placeholder=\"E.g. Vehicle\" id=\"forminator-field-text-20_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"currency-68\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-68_69e9fbdb5a214\" id=\"forminator-field-currency-68_69e9fbdb5a214-label\" class=\"forminator-label\">Market Value<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-68\" value=\"\" placeholder=\"E.g. 50000\" id=\"forminator-field-currency-68_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-21\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-21_69e9fbdb5a214\" id=\"forminator-field-text-21_69e9fbdb5a214-label\" class=\"forminator-label\">Description<\/label><input type=\"text\" name=\"text-21\" value=\"\" placeholder=\"E.g. Furniture\" id=\"forminator-field-text-21_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"currency-70\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-70_69e9fbdb5a214\" id=\"forminator-field-currency-70_69e9fbdb5a214-label\" class=\"forminator-label\">Market Value<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-70\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-70_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-22\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-22_69e9fbdb5a214\" id=\"forminator-field-text-22_69e9fbdb5a214-label\" class=\"forminator-label\">Description<\/label><input type=\"text\" name=\"text-22\" value=\"\" placeholder=\"\" id=\"forminator-field-text-22_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"currency-69\" class=\"forminator-field-currency forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-currency-69_69e9fbdb5a214\" id=\"forminator-field-currency-69_69e9fbdb5a214-label\" class=\"forminator-label\">Market Value<\/label><div class=\"forminator-input-with-suffix\"><input name=\"currency-69\" value=\"\" placeholder=\"\" id=\"forminator-field-currency-69_69e9fbdb5a214\" class=\"forminator-input forminator-currency\" data-required=\"\" aria-required=\"\" data-decimals=\"2\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;.&#039;, &#039;digits&#039;: &#039;2&#039;\" type=\"number\" step=\"any\" \/><span class=\"forminator-suffix\">ZAR<\/span><\/div><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-100424--page-7\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-100424--page-7-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"7\"\r\n\t\t\t\tdata-label=\"Page  7\"\r\n\t\t\t\tdata-actual-label=\"Page 8\"\r\n\t\t\t\tdata-name=\"page-break-8\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-12\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">CREDIT AND PAYMENT HISTORY<\/h2><hr class=\"forminator-border\" style=\"border: 2px solid #00726b;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-4\" class=\"forminator-field-checkbox forminator-col forminator-col-6 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-4-69e9fbdb5a214-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-4-69e9fbdb5a214-label\" class=\"forminator-label\">Under Administration or Debt Review? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-4-1-69e9fbdb5a214-label\" for=\"forminator-field-checkbox-4-1-69e9fbdb5a214\" class=\"forminator-checkbox\" title=\"Yes\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"Yes\" id=\"forminator-field-checkbox-4-1-69e9fbdb5a214\" aria-labelledby=\"forminator-field-checkbox-4-1-69e9fbdb5a214-label\" data-calculation=\"0\"   aria-describedby=\"forminator-field-checkbox-4-69e9fbdb5a214-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Yes<\/span><\/label><label id=\"forminator-field-checkbox-4-2-69e9fbdb5a214-label\" for=\"forminator-field-checkbox-4-2-69e9fbdb5a214\" class=\"forminator-checkbox\" title=\"No\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"No\" id=\"forminator-field-checkbox-4-2-69e9fbdb5a214\" aria-labelledby=\"forminator-field-checkbox-4-2-69e9fbdb5a214-label\" data-calculation=\"0\"   aria-describedby=\"forminator-field-checkbox-4-69e9fbdb5a214-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">No<\/span><\/label><span id=\"forminator-field-checkbox-4-69e9fbdb5a214-description\" class=\"forminator-description\">In the past 3 months, have you applied for debt review or debt counseling or are presently under administration or debt review<\/span><\/div><\/div><div id=\"checkbox-5\" class=\"forminator-field-checkbox forminator-col forminator-col-6 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-5-69e9fbdb5a214-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-5-69e9fbdb5a214-label\" class=\"forminator-label\">Any disputes in process with a Credit Bureau? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-5-1-69e9fbdb5a214-label\" for=\"forminator-field-checkbox-5-1-69e9fbdb5a214\" class=\"forminator-checkbox\" title=\"Yes\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"Yes\" id=\"forminator-field-checkbox-5-1-69e9fbdb5a214\" aria-labelledby=\"forminator-field-checkbox-5-1-69e9fbdb5a214-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Yes<\/span><\/label><label id=\"forminator-field-checkbox-5-2-69e9fbdb5a214-label\" for=\"forminator-field-checkbox-5-2-69e9fbdb5a214\" class=\"forminator-checkbox\" title=\"No\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"No\" id=\"forminator-field-checkbox-5-2-69e9fbdb5a214\" aria-labelledby=\"forminator-field-checkbox-5-2-69e9fbdb5a214-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-6\" class=\"forminator-field-checkbox forminator-col forminator-col-4 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-6-69e9fbdb5a214-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-6-69e9fbdb5a214-label\" class=\"forminator-label\">Lost Card Protection (optional) <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-6-1-69e9fbdb5a214-label\" for=\"forminator-field-checkbox-6-1-69e9fbdb5a214\" class=\"forminator-checkbox\" title=\"Yes (R12)\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"Yes-(R12)\" id=\"forminator-field-checkbox-6-1-69e9fbdb5a214\" aria-labelledby=\"forminator-field-checkbox-6-1-69e9fbdb5a214-label\" data-calculation=\"0\"   aria-describedby=\"forminator-field-checkbox-6-69e9fbdb5a214-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Yes (R12)<\/span><\/label><label id=\"forminator-field-checkbox-6-2-69e9fbdb5a214-label\" for=\"forminator-field-checkbox-6-2-69e9fbdb5a214\" class=\"forminator-checkbox\" title=\"No\"><input type=\"checkbox\" name=\"checkbox-6[]\" value=\"No\" id=\"forminator-field-checkbox-6-2-69e9fbdb5a214\" aria-labelledby=\"forminator-field-checkbox-6-2-69e9fbdb5a214-label\" data-calculation=\"0\"   aria-describedby=\"forminator-field-checkbox-6-69e9fbdb5a214-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">No<\/span><\/label><span id=\"forminator-field-checkbox-6-69e9fbdb5a214-description\" class=\"forminator-description\">The member confirms that he is aware of the Card Protection Fund offered by Pretorium Trust and that he must apply in writing for protection under the scheme. In terms of Pretorium Trust's Protection Fund Scheme, the member accepts liability for all payments made by Pretorium Trust or which Pretorium Trust is bound to make in respect of, or arising from, any use of the card before Pretorium Trust is reasonably able to act after receipt of the written notification by the member that the card is lost or stolen. Please debit my Pretorium Trust account annually with (R12 per card) in respect of the purchase cards issued on my membership number and include my name on the list of members of the Purchase Card Safeguarding Fund.<\/span><\/div><\/div><div id=\"checkbox-16\" class=\"forminator-field-checkbox forminator-col forminator-col-4 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-16-69e9fbdb5a214-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-16-69e9fbdb5a214-label\" class=\"forminator-label\">Advance Payment Fund <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-16-1-69e9fbdb5a214-label\" for=\"forminator-field-checkbox-16-1-69e9fbdb5a214\" class=\"forminator-checkbox\" title=\"Agree\"><input type=\"checkbox\" name=\"checkbox-16[]\" value=\"Agree\" id=\"forminator-field-checkbox-16-1-69e9fbdb5a214\" aria-labelledby=\"forminator-field-checkbox-16-1-69e9fbdb5a214-label\" data-calculation=\"0\"   aria-describedby=\"forminator-field-checkbox-16-69e9fbdb5a214-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Agree<\/span><\/label><span id=\"forminator-field-checkbox-16-69e9fbdb5a214-description\" class=\"forminator-description\">The member must contribute to the Advance Payment Fund at a minimum of R25 per month to a maximum of twice the monthly purchase limit. Please debit my account monthly with R25.<\/span><\/div><\/div><div id=\"text-40\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-40_69e9fbdb5a214\" id=\"forminator-field-text-40_69e9fbdb5a214-label\" class=\"forminator-label\">Other Contribution Value<\/label><input type=\"text\" name=\"text-40\" value=\"\" placeholder=\"E.g. R 40\" id=\"forminator-field-text-40_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"signature-2\" class=\"forminator-field-signature forminator-col forminator-col-6 \"><div class=\"forminator-field forminator-field-signature\"><label for=\"forminator-field-ctlSignature69e9fbdb94d98\" id=\"forminator-field-ctlSignature69e9fbdb94d98-label\" class=\"forminator-label\">Signature <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-signature\" data-elementheight=\"180\"><span id=\"ctlSignature69e9fbdb94d98_placeholder\" class=\"forminator-signature--placeholder\" aria-hidden=\"true\">Start signing your signature here<\/span><div id=\"ctlSignature69e9fbdb94d98_Container\" class=\"forminator-signature--container\"><canvas id=\"ctlSignature69e9fbdb94d98\" class=\"forminator-signature-canvas\" height=\"180\" tabindex=\"-1\"><p>Your browser does not support e-Signature field.<\/p><\/canvas><\/div><\/div><input type=\"hidden\" name=\"field-signature-2\" value=\"69e9fbdb94d98\" class=\"signature-prefix\"><\/div><\/div><div id=\"signature-8\" class=\"forminator-field-signature forminator-col forminator-col-6 \"><div class=\"forminator-field forminator-field-signature\"><label for=\"forminator-field-ctlSignature69e9fbdb94de9\" id=\"forminator-field-ctlSignature69e9fbdb94de9-label\" class=\"forminator-label\">Signature Spouse <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-signature\" data-elementheight=\"180\"><span id=\"ctlSignature69e9fbdb94de9_placeholder\" class=\"forminator-signature--placeholder\" aria-hidden=\"true\">Start signing your signature here<\/span><div id=\"ctlSignature69e9fbdb94de9_Container\" class=\"forminator-signature--container\"><canvas id=\"ctlSignature69e9fbdb94de9\" class=\"forminator-signature-canvas\" height=\"180\" tabindex=\"-1\"><p>Your browser does not support e-Signature field.<\/p><\/canvas><\/div><\/div><input type=\"hidden\" name=\"field-signature-8\" value=\"69e9fbdb94de9\" class=\"signature-prefix\"><\/div><\/div><\/div><\/div><\/div><div\r\n\t\t\t\ttabindex=\"-1\"\r\n\t\t\t\trole=\"tabpanel\"\r\n\t\t\t\tid=\"forminator-custom-form-100424--page-8\"\r\n\t\t\t\tclass=\"forminator-pagination\"\r\n\t\t\t\taria-labelledby=\"forminator-custom-form-100424--page-8-label\"\r\n\t\t\t\taria-hidden=\"true\"\r\n\t\t\t\tdata-step=\"8\"\r\n\t\t\t\tdata-label=\"Page  8\"\r\n\t\t\t\tdata-actual-label=\"Page 9\"\r\n\t\t\t\tdata-name=\"\"\r\n\t\t\t\thidden\r\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-13\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">CONSENT AND SUBMISSION<\/h2><hr class=\"forminator-border\" style=\"border: 2px solid #028284;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-7\" class=\"forminator-field-checkbox forminator-col forminator-col-6 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-7-69e9fbdb5a214-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-7-69e9fbdb5a214-label\" class=\"forminator-label\">Do you wish to receive your statement via: <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-7-1-69e9fbdb5a214-label\" for=\"forminator-field-checkbox-7-1-69e9fbdb5a214\" class=\"forminator-checkbox\" title=\"Email\"><input type=\"checkbox\" name=\"checkbox-7[]\" value=\"Email\" id=\"forminator-field-checkbox-7-1-69e9fbdb5a214\" aria-labelledby=\"forminator-field-checkbox-7-1-69e9fbdb5a214-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Email<\/span><\/label><label id=\"forminator-field-checkbox-7-2-69e9fbdb5a214-label\" for=\"forminator-field-checkbox-7-2-69e9fbdb5a214\" class=\"forminator-checkbox\" title=\"Post\"><input type=\"checkbox\" name=\"checkbox-7[]\" value=\"Post\" id=\"forminator-field-checkbox-7-2-69e9fbdb5a214\" aria-labelledby=\"forminator-field-checkbox-7-2-69e9fbdb5a214-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Post<\/span><\/label><\/div><\/div><div id=\"checkbox-8\" class=\"forminator-field-checkbox forminator-col forminator-col-6 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-8-69e9fbdb5a214-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-8-69e9fbdb5a214-label\" class=\"forminator-label\">Would you like to be considered for an automatic annual credit limit increase? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-8-1-69e9fbdb5a214-label\" for=\"forminator-field-checkbox-8-1-69e9fbdb5a214\" class=\"forminator-checkbox\" title=\"Yes\"><input type=\"checkbox\" name=\"checkbox-8[]\" value=\"Yes\" id=\"forminator-field-checkbox-8-1-69e9fbdb5a214\" aria-labelledby=\"forminator-field-checkbox-8-1-69e9fbdb5a214-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Yes<\/span><\/label><label id=\"forminator-field-checkbox-8-2-69e9fbdb5a214-label\" for=\"forminator-field-checkbox-8-2-69e9fbdb5a214\" class=\"forminator-checkbox\" title=\"No\"><input type=\"checkbox\" name=\"checkbox-8[]\" value=\"No\" id=\"forminator-field-checkbox-8-2-69e9fbdb5a214\" aria-labelledby=\"forminator-field-checkbox-8-2-69e9fbdb5a214-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-9\" class=\"forminator-field-checkbox forminator-col forminator-col-6 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-9-69e9fbdb5a214-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-9-69e9fbdb5a214-label\" class=\"forminator-label\">Do you choose to be excluded from telemarketing campaigns by or on behalf of the Credit Provider? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-9-1-69e9fbdb5a214-label\" for=\"forminator-field-checkbox-9-1-69e9fbdb5a214\" class=\"forminator-checkbox\" title=\"Yes\"><input type=\"checkbox\" name=\"checkbox-9[]\" value=\"Yes\" id=\"forminator-field-checkbox-9-1-69e9fbdb5a214\" aria-labelledby=\"forminator-field-checkbox-9-1-69e9fbdb5a214-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Yes<\/span><\/label><label id=\"forminator-field-checkbox-9-2-69e9fbdb5a214-label\" for=\"forminator-field-checkbox-9-2-69e9fbdb5a214\" class=\"forminator-checkbox\" title=\"No\"><input type=\"checkbox\" name=\"checkbox-9[]\" value=\"No\" id=\"forminator-field-checkbox-9-2-69e9fbdb5a214\" aria-labelledby=\"forminator-field-checkbox-9-2-69e9fbdb5a214-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">No<\/span><\/label><\/div><\/div><div id=\"checkbox-10\" class=\"forminator-field-checkbox forminator-col forminator-col-6 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-10-69e9fbdb5a214-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-10-69e9fbdb5a214-label\" class=\"forminator-label\">Would you like to be considered for any mass distributions of e-mails or sms messages conducted by the Credit Provider? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-10-1-69e9fbdb5a214-label\" for=\"forminator-field-checkbox-10-1-69e9fbdb5a214\" class=\"forminator-checkbox\" title=\"Yes\"><input type=\"checkbox\" name=\"checkbox-10[]\" value=\"Yes\" id=\"forminator-field-checkbox-10-1-69e9fbdb5a214\" aria-labelledby=\"forminator-field-checkbox-10-1-69e9fbdb5a214-label\" data-calculation=\"0\"   aria-describedby=\"forminator-field-checkbox-10-69e9fbdb5a214-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Yes<\/span><\/label><label id=\"forminator-field-checkbox-10-2-69e9fbdb5a214-label\" for=\"forminator-field-checkbox-10-2-69e9fbdb5a214\" class=\"forminator-checkbox\" title=\"No\"><input type=\"checkbox\" name=\"checkbox-10[]\" value=\"No\" id=\"forminator-field-checkbox-10-2-69e9fbdb5a214\" aria-labelledby=\"forminator-field-checkbox-10-2-69e9fbdb5a214-label\" data-calculation=\"0\"   aria-describedby=\"forminator-field-checkbox-10-69e9fbdb5a214-description\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">No<\/span><\/label><span id=\"forminator-field-checkbox-10-69e9fbdb5a214-description\" class=\"forminator-description\">Promotions by the Credit Provider on behalf of our suppliers<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-9\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-100424__field--select-9_69e9fbdb5a214\" id=\"forminator-form-100424__field--select-9_69e9fbdb5a214-label\" class=\"forminator-label\">Where did you hear about us?<\/label><select  id=\"forminator-form-100424__field--select-9_69e9fbdb5a214\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-9\" data-default-value=\"\" data-placeholder=\"Please select\" data-search=\"false\" data-search-placeholder=\"Please select\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-100424__field--select-9_69e9fbdb5a214-label\"><option value=\"\"  >Please select<\/option><option value=\"Member\"  data-calculation=\"0\">Member<\/option><option value=\"Online\"  data-calculation=\"0\">Online<\/option><option value=\"Social-Media\"  data-calculation=\"0\">Social Media<\/option><option value=\"Radio\"  data-calculation=\"0\">Radio<\/option><option value=\"Printed-Media\"  data-calculation=\"0\">Printed Media<\/option><option value=\"Other\"  data-calculation=\"0\">Other<\/option><\/select><\/div><\/div><div id=\"text-29\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-29_69e9fbdb5a214\" id=\"forminator-field-text-29_69e9fbdb5a214-label\" class=\"forminator-label\">If referred, Member number?<\/label><input type=\"text\" name=\"text-29\" value=\"\" placeholder=\"\" id=\"forminator-field-text-29_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-13\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-100424__field--select-13_69e9fbdb5a214\" id=\"forminator-form-100424__field--select-13_69e9fbdb5a214-label\" class=\"forminator-label\">Preferred Payment Method?<\/label><select  id=\"forminator-form-100424__field--select-13_69e9fbdb5a214\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-13\" data-default-value=\"\" data-placeholder=\"Please select\" data-search=\"false\" data-search-placeholder=\"Please select\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-100424__field--select-13_69e9fbdb5a214-label\"><option value=\"\"  >Please select<\/option><option value=\"Debit-Order\"  data-calculation=\"0\">Debit Order<\/option><option value=\"Other\"  data-calculation=\"0\">Other<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-16\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Debit Order Instruction<\/h2><h3 class=\"forminator-subtitle\">(If applicable)<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_69e9fbdb5a214\" id=\"forminator-field-text-9_69e9fbdb5a214-label\" class=\"forminator-label\">Account Holder Name<\/label><input type=\"text\" name=\"text-9\" value=\"\" placeholder=\"\" id=\"forminator-field-text-9_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_69e9fbdb5a214\" id=\"forminator-field-text-8_69e9fbdb5a214-label\" class=\"forminator-label\">Account Number<\/label><input type=\"text\" name=\"text-8\" value=\"\" placeholder=\"\" id=\"forminator-field-text-8_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-14\" class=\"forminator-field-text forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-14_69e9fbdb5a214\" id=\"forminator-field-text-14_69e9fbdb5a214-label\" class=\"forminator-label\">Account Type<\/label><input type=\"text\" name=\"text-14\" value=\"\" placeholder=\"E.g. Current \/ Savings\" id=\"forminator-field-text-14_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_69e9fbdb5a214\" id=\"forminator-field-text-6_69e9fbdb5a214-label\" class=\"forminator-label\">Bank Name<\/label><input type=\"text\" name=\"text-6\" value=\"\" placeholder=\"\" id=\"forminator-field-text-6_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_69e9fbdb5a214\" id=\"forminator-field-text-10_69e9fbdb5a214-label\" class=\"forminator-label\">Branch Number<\/label><input type=\"text\" name=\"text-10\" value=\"\" placeholder=\"\" id=\"forminator-field-text-10_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-5\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-100424__field--select-5_69e9fbdb5a214\" id=\"forminator-form-100424__field--select-5_69e9fbdb5a214-label\" class=\"forminator-label\">Date of Debit Order<\/label><select  id=\"forminator-form-100424__field--select-5_69e9fbdb5a214\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-5\" data-default-value=\"\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-100424__field--select-5_69e9fbdb5a214-label\"><option value=\"Last-working-day\"  data-calculation=\"0\">Last working day<\/option><option value=\"First-working-day\"  data-calculation=\"0\">First working day<\/option><\/select><\/div><\/div><div id=\"upload-7\" class=\"forminator-field-upload forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-7_69e9fbdb5a214\" id=\"forminator-field-upload-7_69e9fbdb5a214-label\" class=\"forminator-label\">Please upload Account Confirmation<\/label><div class=\"forminator-multi-upload \" data-element=\"upload-7_69e9fbdb5a214\"><input type=\"file\" name=\"upload-7[]\" id=\"forminator-field-upload-7_69e9fbdb5a214\" class=\"forminator-input-file forminator-field-upload-7_69e9fbdb5a214-100424\" multiple=\"multiple\" data-method=\"ajax\" data-size=\"12000000\" data-size-message=\"Maximum file size allowed is 12 MB. \"><div class=\"forminator-multi-upload-message\" aria-hidden=\"true\"><span class=\"forminator-icon-upload\" aria-hidden=\"true\"><\/span><p>Drag and Drop (or) <a class=\"forminator-upload-file--forminator-field-upload-7_69e9fbdb5a214\" href=\"#\" onclick=\"return false;\">Choose Files<\/a><\/p><\/div><\/div><ul class=\"forminator-uploaded-files upload-container-upload-7_69e9fbdb5a214\"><\/ul><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-23\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-23_69e9fbdb5a214\" id=\"forminator-field-text-23_69e9fbdb5a214-label\" class=\"forminator-label\">Signed at <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-23\" value=\"\" placeholder=\"E.g. Pretoria\" id=\"forminator-field-text-23_69e9fbdb5a214\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-2-picker_69e9fbdb5a214\" id=\"forminator-field-date-2-picker_69e9fbdb5a214-label\" class=\"forminator-label\">Date <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-2\" value=\"\" placeholder=\"\" id=\"forminator-field-date-2-picker_69e9fbdb5a214\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"yy-mm-dd\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"0\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" aria-describedby=\"forminator-field-date-2-picker_69e9fbdb5a214-description\" \/><\/div><span id=\"forminator-field-date-2-picker_69e9fbdb5a214-description\" class=\"forminator-description\">Date application completed<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"signature-6\" class=\"forminator-field-signature forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-field-signature\"><label for=\"forminator-field-ctlSignature69e9fbdb95389\" id=\"forminator-field-ctlSignature69e9fbdb95389-label\" class=\"forminator-label\">Signature of Account Holder <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-signature\" data-elementheight=\"180\" aria-describedby=\"forminator-field-ctlSignature69e9fbdb95389-description\"><span id=\"ctlSignature69e9fbdb95389_placeholder\" class=\"forminator-signature--placeholder\" aria-hidden=\"true\">Start signing your signature here<\/span><div id=\"ctlSignature69e9fbdb95389_Container\" class=\"forminator-signature--container\"><canvas id=\"ctlSignature69e9fbdb95389\" class=\"forminator-signature-canvas\" height=\"180\" tabindex=\"-1\"><p>Your browser does not support e-Signature field.<\/p><\/canvas><\/div><\/div><input type=\"hidden\" name=\"field-signature-6\" value=\"69e9fbdb95389\" class=\"signature-prefix\"><span id=\"forminator-field-ctlSignature69e9fbdb95389-description\" class=\"forminator-description\">Debit Order approval.<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-2\" class=\"forminator-field-consent forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-consent-2_69e9fbdb5a214\" id=\"forminator-field-consent-2_69e9fbdb5a214-label\" class=\"forminator-label\">Cost of Credit <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-2_69e9fbdb5a214__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-2\" id=\"forminator-field-consent-2_69e9fbdb5a214\" value=\"checked\" aria-labelledby=\"forminator-field-consent-2_69e9fbdb5a214-label\" aria-describedby=\"forminator-field-consent-2_69e9fbdb5a214__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-2_69e9fbdb5a214__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>I agree with the membership fees as per the <a rel=\"noopener\" target=\"_blank\" href=\"https:\/\/www.bonuscard.co.za\/wp-content\/uploads\/2025\/06\/Cost-of-Credit_New.webp\">Cost of Credit<\/a><\/p><\/div><\/div><\/div><\/div><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_69e9fbdb5a214\" id=\"forminator-field-consent-1_69e9fbdb5a214-label\" class=\"forminator-label\">Terms and Conditions <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_69e9fbdb5a214__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_69e9fbdb5a214\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_69e9fbdb5a214-label\" aria-describedby=\"forminator-field-consent-1_69e9fbdb5a214__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_69e9fbdb5a214__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>Yes, I agree with the <a href=\"https:\/\/www.bonuscard.co.za\/wp-content\/uploads\/2021\/05\/PrivacyPolicy-1.pdf\" target=\"_blank\" rel=\"noopener\">privacy policy<\/a> and <a href=\"https:\/\/www.bonuscard.co.za\/wp-content\/uploads\/2022\/06\/PT_TermsConditions.pdf\" target=\"_blank\" rel=\"noopener\">terms and conditions<\/a>.<\/p>\n<p>\u00a0<\/p><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-3\" class=\"forminator-field-consent forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-consent-3_69e9fbdb5a214\" id=\"forminator-field-consent-3_69e9fbdb5a214-label\" class=\"forminator-label\">Confirmation of Application <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-3_69e9fbdb5a214__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-3\" id=\"forminator-field-consent-3_69e9fbdb5a214\" value=\"checked\" aria-labelledby=\"forminator-field-consent-3_69e9fbdb5a214-label\" aria-describedby=\"forminator-field-consent-3_69e9fbdb5a214__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-3_69e9fbdb5a214__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>I\/we hereby confirm that I\/we have answered all your questions and relevant information fully and truthfully as part of this assessment process.<\/p>\n<p>I\/we hereby confirm that I\/we have fully disclosed my\/our debt repayment history<\/p><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"signature-3\" class=\"forminator-field-signature forminator-col forminator-col-6 \"><div class=\"forminator-field forminator-field-signature\"><label for=\"forminator-field-ctlSignature69e9fbdb95608\" id=\"forminator-field-ctlSignature69e9fbdb95608-label\" class=\"forminator-label\">Applicant&#039;s Signature <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-signature\" data-elementheight=\"180\"><span id=\"ctlSignature69e9fbdb95608_placeholder\" class=\"forminator-signature--placeholder\" aria-hidden=\"true\">Start signing your signature here<\/span><div id=\"ctlSignature69e9fbdb95608_Container\" class=\"forminator-signature--container\"><canvas id=\"ctlSignature69e9fbdb95608\" class=\"forminator-signature-canvas\" height=\"180\" tabindex=\"-1\"><p>Your browser does not support e-Signature field.<\/p><\/canvas><\/div><\/div><input type=\"hidden\" name=\"field-signature-3\" value=\"69e9fbdb95608\" class=\"signature-prefix\"><\/div><\/div><div id=\"signature-4\" class=\"forminator-field-signature forminator-col forminator-col-6 \"><div class=\"forminator-field forminator-field-signature\"><label for=\"forminator-field-ctlSignature69e9fbdb9565a\" id=\"forminator-field-ctlSignature69e9fbdb9565a-label\" class=\"forminator-label\">Spouse Signature<\/label><div class=\"forminator-signature\" data-elementheight=\"180\" aria-describedby=\"forminator-field-ctlSignature69e9fbdb9565a-description\"><span id=\"ctlSignature69e9fbdb9565a_placeholder\" class=\"forminator-signature--placeholder\" aria-hidden=\"true\">Start signing your signature here<\/span><div id=\"ctlSignature69e9fbdb9565a_Container\" class=\"forminator-signature--container\"><canvas id=\"ctlSignature69e9fbdb9565a\" class=\"forminator-signature-canvas\" height=\"180\" tabindex=\"-1\"><p>Your browser does not support e-Signature field.<\/p><\/canvas><\/div><\/div><input type=\"hidden\" name=\"field-signature-4\" value=\"69e9fbdb9565a\" class=\"signature-prefix\"><span id=\"forminator-field-ctlSignature69e9fbdb9565a-description\" class=\"forminator-description\">If applicable<\/span><\/div><\/div><\/div><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-5\" class=\"forminator-field-hidden  forminator-col-4 \"><input type=\"hidden\" id=\"hidden-5_69e9fbdb5a214\" name=\"hidden-5\" value=\"\" \/><\/div><div id=\"hidden-6\" class=\"forminator-field-hidden  forminator-col-4 \"><input type=\"hidden\" id=\"hidden-6_69e9fbdb5a214\" name=\"hidden-6\" value=\"\" \/><\/div><div id=\"hidden-7\" class=\"forminator-field-hidden  forminator-col-4 \"><input type=\"hidden\" id=\"hidden-7_69e9fbdb5a214\" name=\"hidden-7\" value=\"\" \/><\/div><\/div><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-8\" class=\"forminator-field-hidden  forminator-col-12 \"><input type=\"hidden\" id=\"hidden-8_69e9fbdb5a214\" name=\"hidden-8\" value=\"\" \/><\/div><\/div><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-9\" class=\"forminator-field-hidden  forminator-col-12 \"><input type=\"hidden\" id=\"hidden-9_69e9fbdb5a214\" name=\"hidden-9\" value=\"\" \/><\/div><\/div><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-10\" class=\"forminator-field-hidden  forminator-col-6 \"><input type=\"hidden\" id=\"hidden-10_69e9fbdb5a214\" name=\"hidden-10\" value=\"\" \/><\/div><div id=\"hidden-11\" class=\"forminator-field-hidden  forminator-col-6 \"><input type=\"hidden\" id=\"hidden-11_69e9fbdb5a214\" name=\"hidden-11\" value=\"\" \/><\/div><\/div><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-12\" class=\"forminator-field-hidden  forminator-col-6 \"><input type=\"hidden\" id=\"hidden-12_69e9fbdb5a214\" name=\"hidden-12\" value=\"\" \/><\/div><div id=\"hidden-13\" class=\"forminator-field-hidden  forminator-col-6 \"><input type=\"hidden\" id=\"hidden-13_69e9fbdb5a214\" name=\"hidden-13\" value=\"\" \/><\/div><\/div><div class=\"forminator-row forminator-hidden\"><div id=\"hidden-14\" class=\"forminator-field-hidden  forminator-col-12 \"><input type=\"hidden\" id=\"hidden-14_69e9fbdb5a214\" name=\"hidden-14\" value=\"\" \/><\/div><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled><span class=\"forminator-button--mask\" aria-label=\"hidden\"><\/span><span class=\"forminator-button--text\">Submit<\/span><\/button><a href=\"#\" class=\"forminator-save-draft-link disabled\" title=\"Fill in form fields before saving it as a draft\" formnovalidate>Save as Draft (THIS DOES NOT SUBMIT THE FORM)<\/a><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"64294d3f6d\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/af-za\/wp-json\/wp\/v2\/pages\/100662\" \/><input type=\"hidden\" name=\"form_id\" value=\"100424\"><input type=\"hidden\" name=\"page_id\" value=\"0\"><input type=\"hidden\" name=\"form_type\" value=\"registration\"><input type=\"hidden\" name=\"current_url\" value=\"\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"forminator-multifile-hidden\" class=\"forminator-multifile-hidden\"><input type=\"hidden\" name=\"action\" 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