affordableloans4all.co.za
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Submitted URL: https://www.affordableloans4all.co.za/
Effective URL: https://affordableloans4all.co.za/
Submission: On August 11 via manual from US — Scanned from DE
Effective URL: https://affordableloans4all.co.za/
Submission: On August 11 via manual from US — Scanned from DE
Form analysis 2 forms found in the DOM
GET https://affordableloans4all.co.za/
<form method="get" class="td-search-form" action="https://affordableloans4all.co.za/">
<!-- close button -->
<div class="td-search-close">
<a href="#"><i class="td-icon-close-mobile"></i></a>
</div>
<div role="search" class="td-search-input">
<span>Search</span>
<input id="td-header-search-mob" type="text" value="" name="s" autocomplete="off">
</div>
</form><form id="formI" data-auto-scroll="" data-no-message-redirect="" data-thousand="" data-decimal="." data-delay="1" data-id="7"
class="fc-form fc-form-7 align- save-form- remove-asterisk- icons-hide- disable-enter- label-block field-border-visible frame-visible dont-submit-hidden-false field-alignment-left align-left"
style="width: 920px; color: #666666; font-size: 100%; background: white">
<!-- ngRepeat: page in Builder.FormElements track by $index -->
<div class="form-page form-page-0 active" data-index="0">
<div class="form-page-content ng-not-empty">
<div data-identifier="field11" data-index="0" style="width: 100%" class=" form-element form-element-field11 options-false form-element-0 default-false form-element-type-oneLineText is-required-true odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover"><span class="sub-label-false"><span class="main-label"><span>ID Number</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="" make-read-only="" data-field-id="field11" name="field11[]" data-min-char="" data-max-char="" data-val-type="numbers" data-regexp="" data-is-required="true"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field7" data-index="1" style="width: 100%" class=" even form-element form-element-field7 options-false form-element-1 default-false form-element-type-dropdown is-required-true -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-false"><span class="main-label"><span>Title</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field7" name="field7" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="Mr" class=" ">Mr</option>
<option value="Mrs" class=" ">Mrs</option>
<option value="Miss" class=" ">Miss</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field9" data-index="2" style="width: 100%" class=" form-element form-element-field9 options-false form-element-2 default-false form-element-type-oneLineText is-required-true odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover"><span class="sub-label-false"><span class="main-label"><span>First Name</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="" make-read-only="" data-field-id="field9" name="field9[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true" data-allow-spaces=""
class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field8" data-index="3" style="width: 100%" class=" even form-element form-element-field8 options-false form-element-3 default-false form-element-type-oneLineText is-required-true -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover"><span class="sub-label-false"><span class="main-label"><span>Surname</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="" make-read-only="" data-field-id="field8" name="field8[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true" data-allow-spaces=""
class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field76" data-index="4" style="width: 100%" class=" form-element form-element-field76 options-false form-element-4 default-false form-element-type-datepicker is-required-true odd -handle">
<div class="form-element-html">
<div><label class="datepicker-cover field-cover"><span class="sub-label-false"><span class="main-label"><span>Date of Birth</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input autocomplete="off" data-field-id="field76" placeholder="" type="text" class="validation-lenient ng-empty hasDatepicker" data-is-required="true" datepicker="" data-date-min-range=""
data-date-format="dd/mm/yy" data-date-days="{"0":true,"1":true,"2":true,"3":true,"4":true,"5":true,"6":true}" data-date-min="" data-date-min-alt=""
data-date-max-alt="" data-date-max="" data-date-lang="en" name="field76" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-original-title=""
id="dp1660215903318"><i class="formcraft-icon">date_range</i></div>
</label></div>
</div>
</div>
<div data-identifier="field75" data-index="5" style="width: 100%" class=" even form-element form-element-field75 options- form-element-5 default-false form-element-type-oneLineText is-required-true -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover"><span class="sub-label-true"><span class="main-label"><span>Age</span></span><span class="sub-label"><span>Please enter your age</span></span></span>
<div><span class="error"></span><input type="text" placeholder="" make-read-only="" data-field-id="field75" name="field75[]" data-min-char="" data-max-char="" data-val-type="numbers" data-regexp="" data-is-required="true"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field10" data-index="6" style="width: 100%" class=" form-element form-element-field10 options- form-element-6 default-false form-element-type-oneLineText is-required-true odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover"><span class="sub-label-false"><span class="main-label"><span>Cell Number</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="" make-read-only="" data-field-id="field10" name="field10[]" data-min-char="" data-max-char="" data-val-type="numbers" data-regexp="" data-is-required="true"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field44" data-index="7" style="width: 100%" class=" even form-element form-element-field44 options- form-element-7 default-false form-element-type-oneLineText is-required-true -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover"><span class="sub-label-false"><span class="main-label"><span>Home Phone No</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="" make-read-only="" data-field-id="field44" name="field44[]" data-min-char="" data-max-char="" data-val-type="numbers" data-regexp="" data-is-required="true"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field15" data-index="8" style="width: 100%" class=" form-element form-element-field15 options- form-element-8 default-false form-element-type-oneLineText is-required-true odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover"><span class="sub-label-false"><span class="main-label"><span>Work Phone No</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="" make-read-only="" data-field-id="field15" name="field15[]" data-min-char="" data-max-char="" data-val-type="numbers" data-regexp="" data-is-required="true"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field16" data-index="9" style="width: 100%" class=" even form-element form-element-field16 options- form-element-9 default-false form-element-type-email is-required-true -handle">
<div class="form-element-html">
<div><label class="email-cover field-cover"><span class="sub-label-true"><span class="main-label"><span>Email Address</span></span><span class="sub-label"><span>a valid email</span></span></span>
<div><span class="error"></span><input placeholder="" data-field-id="field16" type="text" data-val-type="email" make-read-only="" data-is-required="true" name="field16" class="validation-lenient" data-placement="right"
data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-original-title=""><i class="formcraft-icon">email</i></div>
</label></div>
</div>
</div>
<div data-identifier="field12" data-index="10" style="width: 100%" class=" form-element form-element-field12 options-false form-element-10 default-false form-element-type-oneLineText is-required-true odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover"><span class="sub-label-true"><span class="main-label"><span>Home Address</span></span><span class="sub-label"><span>Line 1</span></span></span>
<div><span class="error"></span><input type="text" placeholder="" make-read-only="" data-field-id="field12" name="field12[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true" data-allow-spaces=""
class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field36" data-index="11" style="width: 100%" class=" even form-element form-element-field36 options- form-element-11 default-false form-element-type-oneLineText is-required-true -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover"><span class="sub-label-true"><span class="main-label"><span>Suburb</span></span><span class="sub-label"><span>Line 2</span></span></span>
<div><span class="error"></span><input type="text" placeholder="" make-read-only="" data-field-id="field36" name="field36[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true" data-allow-spaces=""
class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field13" data-index="12" style="width: 100%" class=" form-element form-element-field13 options- form-element-12 default-false form-element-type-oneLineText is-required-true odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover"><span class="sub-label-true"><span class="main-label"><span>Town/City</span></span><span class="sub-label"><span>Line 3</span></span></span>
<div><span class="error"></span><input type="text" placeholder="" make-read-only="" data-field-id="field13" name="field13[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true" data-allow-spaces=""
class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field14" data-index="13" style="width: 100%" class=" even form-element form-element-field14 options- form-element-13 default-false form-element-type-oneLineText is-required-true -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover"><span class="sub-label-true"><span class="main-label"><span>Postal Code</span></span><span class="sub-label"><span>Line 4</span></span></span>
<div><span class="error"></span><input type="text" placeholder="" make-read-only="" data-field-id="field14" name="field14[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true" data-allow-spaces=""
class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field83" data-index="14" style="width: 100%" class=" form-element form-element-field83 options-false form-element-14 default-false form-element-type-dropdown is-required-true odd -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Property Owner</span></span><span class="sub-label"><span>pick one!</span></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field83" name="field83" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select An Option</option>
<option value="YES" class=" ">YES</option>
<option value="NO" class=" ">NO</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field84" data-index="15" style="width: 100%" class=" even form-element form-element-field84 options-false form-element-15 default-false form-element-type-dropdown is-required-true -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Motor Vehicle Owner</span></span><span class="sub-label"><span>pick one!</span></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field84" name="field84" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select An Option</option>
<option value="YES" class=" ">YES</option>
<option value="NO" class=" ">NO</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field85" data-index="16" style="width: 100%" class=" form-element form-element-field85 options- form-element-16 default-false form-element-type-dropdown is-required-true odd -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Permission To Promote</span></span><span class="sub-label"><span>pick one!</span></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field85" name="field85" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select An Option</option>
<option value="True" class=" ">YES</option>
<option value="False" class=" ">NO</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field23" data-index="17" style="width: 100%" class=" even form-element form-element-field23 options-true form-element-17 default-false form-element-type-dropdown is-required-true -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-false"><span class="main-label"><span>Employment Status</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field23" name="field23" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="Working full time" class=" ">Working full time</option>
<option value="Working part time" class=" ">Working part time</option>
<option value="Self-Employed" class=" ">Self-Employed</option>
<option value="Retired" class=" ">Retired</option>
<option value="Student" class=" ">Student</option>
<option value="Not currently employed" class=" ">Not currently employed</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field82" data-index="18" style="width: 100%" class=" form-element form-element-field82 options- form-element-18 default-false form-element-type-dropdown is-required-true odd -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Employment Sector</span></span><span class="sub-label"><span>pick one!</span></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field82" name="field82" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select An Option</option>
<option value="1" class=" ">Agriculture</option>
<option value="2" class=" ">Cleaning Services</option>
<option value="3" class=" ">Communications</option>
<option value="4" class=" ">Education</option>
<option value="5" class=" ">Financial</option>
<option value="6" class=" ">Information Technology</option>
<option value="7" class=" ">Manufacturing</option>
<option value="8" class=" ">Mining</option>
<option value="9" class=" ">Motor Vehicle</option>
<option value="10" class=" ">Other</option>
<option value="11" class=" ">Public Sector</option>
<option value="12" class=" ">Retail Services</option>
<option value="13" class=" ">Security</option>
<option value="14" class=" ">Tourism</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field45" data-index="19" style="width: 100%" class=" even form-element form-element-field45 options- form-element-19 default-false form-element-type-oneLineText is-required-true -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover"><span class="sub-label-false"><span class="main-label"><span>Company Name</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="" make-read-only="" data-field-id="field45" name="field45[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true" data-allow-spaces=""
class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field42" data-index="20" style="width: 100%" class=" form-element form-element-field42 options- form-element-20 default-false form-element-type-datepicker is-required-true odd -handle">
<div class="form-element-html">
<div><label class="datepicker-cover field-cover"><span class="sub-label-false"><span class="main-label"><span>Employment Date</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input autocomplete="off" data-field-id="field42" placeholder="" type="text" class="validation-lenient ng-empty hasDatepicker" data-is-required="true" datepicker="" data-date-min-range=""
data-date-format="yy-mm-dd" data-date-days="{"0":true,"1":true,"2":true,"3":true,"4":true,"5":true,"6":true}" data-date-min="" data-date-min-alt=""
data-date-max-alt="" data-date-max="" data-date-lang="en" name="field42" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-original-title=""
id="dp1660215903319"><i class="formcraft-icon">date_range</i></div>
</label></div>
</div>
</div>
<div data-identifier="field87" data-index="21" style="width: 100%" class=" even form-element form-element-field87 options- form-element-21 default-false form-element-type-dropdown is-required-true -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Employment Time</span></span><span class="sub-label"><span>pick one!</span></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field87" name="field87" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select An Option</option>
<option value="Morethan6months" class=" ">More than 6months</option>
<option value="Lessthan6months" class=" ">Less than 6months</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field70" data-index="22" style="width: 100%" class=" form-element form-element-field70 options- form-element-22 default-false form-element-type-dropdown is-required-true odd -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Gross Salary</span></span><span class="sub-label"><span>pick one!</span></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field70" name="field70" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Please Select</option>
<option value="0-2499" class=" ">0-2499</option>
<option value="2500-4999" class=" ">2500-4999</option>
<option value="5000-7499" class=" ">5000-7499</option>
<option value="7500-9999" class=" ">7500-9999</option>
<option value="10000-12499" class=" ">10000-12499</option>
<option value="12500-14999" class=" ">12500-14999</option>
<option value="15000-17499" class=" ">15000-17499</option>
<option value="17500-19999" class=" ">17500-19999</option>
<option value="20000-24999" class=" ">20000-24999</option>
<option value="25000-29999" class=" ">25000-29999</option>
<option value="30000-34999" class=" ">30000-34999</option>
<option value="35000-39999" class=" ">35000-39999</option>
<option value="40000-44999" class=" ">40000-44999</option>
<option value="45000-49999" class=" ">45000-49999</option>
<option value="50000-54999" class=" ">50000-54999</option>
<option value="55000-59999" class=" ">55000-59999</option>
<option value="60000-64999" class=" ">60000-64999</option>
<option value="65000-69999" class=" ">65000-69999</option>
<option value="70000-74999" class=" ">70000-74999</option>
<option value="75000-79999" class=" ">75000-79999</option>
<option value="80000-84999" class=" ">80000-84999</option>
<option value="85000-89999" class=" ">85000-89999</option>
<option value="90000-94999" class=" ">90000-94999</option>
<option value="95000-99999" class=" ">95000-99999</option>
<option value="100000+" class=" ">100000+</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field38" data-index="23" style="width: 100%" class=" even form-element form-element-field38 options- form-element-23 default-false form-element-type-oneLineText is-required-true -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover"><span class="sub-label-true"><span class="main-label"><span>Net Salary</span></span><span class="sub-label"><span>Please do NOT add dots(.) or commas (,)</span></span></span>
<div><span class="error"></span><input type="text" placeholder="" make-read-only="" data-field-id="field38" name="field38[]" data-min-char="" data-max-char="" data-val-type="numbers" data-regexp="" data-is-required="true"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field46" data-index="24" style="width: 100%" class=" form-element form-element-field46 options- form-element-24 default-false form-element-type-oneLineText is-required-true odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover"><span class="sub-label-false"><span class="main-label"><span>Monthly Expenses</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="" make-read-only="" data-field-id="field46" name="field46[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true" data-allow-spaces=""
class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field24" data-index="25" style="width: 100%" class=" even form-element form-element-field24 options- form-element-25 default-false form-element-type-dropdown is-required-true -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-false"><span class="main-label"><span>Salary Frequency</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field24" name="field24" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="Monthly" class=" ">Monthly</option>
<option value="Weekly" class=" ">Weekly</option>
<option value="Fortnight" class=" ">Fortnight</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field91" data-index="26" style="width: 100%" class=" form-element form-element-field91 options- form-element-26 default-false form-element-type-datepicker is-required-true odd -handle">
<div class="form-element-html">
<div><label class="datepicker-cover field-cover"><span class="sub-label-false"><span class="main-label"><span>Salary Date</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input autocomplete="off" data-field-id="field91" placeholder="" type="text" class="validation-lenient ng-empty hasDatepicker" data-is-required="true" datepicker="" data-date-min-range=""
data-date-format="dd/mm/yy" data-date-days="{"0":true,"1":true,"2":true,"3":true,"4":true,"5":true,"6":true}" data-date-min="" data-date-min-alt=""
data-date-max-alt="" data-date-max="" data-date-lang="en" name="field91" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-original-title=""
id="dp1660215903320"><i class="formcraft-icon">date_range</i></div>
</label></div>
</div>
</div>
<div data-identifier="field31" data-index="27" style="width: 100%" class=" even form-element form-element-field31 options- form-element-27 default-false form-element-type-dropdown is-required-true -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-false"><span class="main-label"><span>Blacklisted Status</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field31" name="field31" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="Yes" class=" ">Yes</option>
<option value="No" class=" ">No</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field48" data-index="28" style="width: 100%" class=" form-element form-element-field48 options- form-element-28 default-false form-element-type-dropdown is-required-true odd -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-false"><span class="main-label"><span>Debt Review/Administration</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field48" name="field48" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="Yes" class=" ">Yes</option>
<option value="No" class=" ">No</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field79" data-index="29" style="width: 100%" class=" even form-element form-element-field79 options- form-element-29 default-false form-element-type-dropdown is-required-true -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Debt Amount</span></span><span class="sub-label"><span>pick one!</span></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field79" name="field79" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select An Option</option>
<option value="0" class=" ">0</option>
<option value="Less than R40000" class=" ">Less than R40000</option>
<option value="R40000 - R70000" class=" ">R40000 - R70000</option>
<option value="R70000 - R100000" class=" ">R70000 - R100000</option>
<option value="More than R100000" class=" ">More than R100000</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field80" data-index="30" style="width: 100%" class=" form-element form-element-field80 options- form-element-30 default-false form-element-type-dropdown is-required-true odd -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Arrears</span></span><span class="sub-label"><span>pick one!</span></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field80" name="field80" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select An Option</option>
<option value="0 Days" class=" ">0 Days</option>
<option value="30 Days" class=" ">30 Days</option>
<option value="60 Days" class=" ">60 Days</option>
<option value="90 Days" class=" ">90 Days</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field81" data-index="31" style="width: 100%" class=" even form-element form-element-field81 options- form-element-31 default-false form-element-type-dropdown is-required-true -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>What's the biggest thing holding you back from enjoying life?</span></span><span
class="sub-label"><span>pick one!</span></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field81" name="field81" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select An Option</option>
<option value="Credit Card" class=" ">Credit Card</option>
<option value="Loan Payments" class=" ">Loan Payments</option>
<option value="Car Payments" class=" ">Car Payments</option>
<option value="Bond Payments" class=" ">Bond Payments</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field4" data-index="32" style="width: 100%" class=" form-element form-element-field4 options- form-element-32 default-false form-element-type-oneLineText is-required-true odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover"><span class="sub-label-false"><span class="main-label"><span>Required Loan Amount (R)</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="" make-read-only="" data-field-id="field4" name="field4[]" data-min-char="" data-max-char="" data-val-type="numbers" data-regexp="" data-is-required="true"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field86" data-index="33" style="width: 100%" class=" even form-element form-element-field86 options- form-element-33 default-false form-element-type-dropdown is-required-true -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Loan Purpose</span></span><span class="sub-label"><span>pick one!</span></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field86" name="field86" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select An Option</option>
<option value="Medical Expenses" class=" ">Medical Expenses</option>
<option value="Home Maintenance & Repairs" class=" ">Home Maintenance & Repairs</option>
<option value="Relocation Expenses" class=" ">Relocation Expenses</option>
<option value="Vehicle Expenses" class=" ">Vehicle Expenses</option>
<option value="Repay Existing Debt" class=" ">Repay Existing Debt</option>
<option value="Other Expenses" class=" ">Other Expenses</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field73" data-index="34" style="width: 100%" class=" form-element form-element-field73 options- form-element-34 default-false form-element-type-dropdown is-required-true odd -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Have your own Income Bank Account?</span></span><span class="sub-label"><span>If you select NO, your
application won't be successful!</span></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field73" name="field73" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="YES" class=" ">YES</option>
<option value="NO" class=" ">NO</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field72" data-index="35" style="width: 100%" class=" even form-element form-element-field72 options- form-element-35 default-false form-element-type-dropdown is-required-true -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Salary Paid By EFT</span></span><span class="sub-label"><span>pick one!</span></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field72" name="field72" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select An Option</option>
<option value="YES" class=" ">YES</option>
<option value="NO" class=" ">NO</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field26" data-index="36" style="width: 100%" class=" form-element form-element-field26 options-false form-element-36 default-false form-element-type-dropdown is-required-true odd -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-false"><span class="main-label"><span>Bank Name</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field26" name="field26" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="ABSA" class=" ">ABSA</option>
<option value="African_Bank" class=" ">African Bank</option>
<option value="Capitec" class=" ">Capitec</option>
<option value="First_National_Bank" class=" ">FNB</option>
<option value="Nedbank" class=" ">Nedbank</option>
<option value="Standard_Bank" class=" ">Standard Bank</option>
<option value="Bidvest_Bank" class=" ">Bidvest Bank</option>
<option value="Go_Banking" class=" ">Go Banking</option>
<option value="Investec" class=" ">Investec</option>
<option value="Ithala_Bank" class=" ">Ithala Bank</option>
<option value="Post_Bank" class=" ">Post Bank</option>
<option value="RMB" class=" ">RMB</option>
<option value="Transnet" class=" ">Transnet</option>
<option value="Wizzit" class=" ">Wizzit</option>
<option value="Other" class=" ">Other</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field88" data-index="37" style="width: 100%" class=" even form-element form-element-field88 options- form-element-37 default-false form-element-type-oneLineText is-required-true -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover"><span class="sub-label-false"><span class="main-label"><span>Account Number</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="" make-read-only="" data-field-id="field88" name="field88[]" data-min-char="" data-max-char="" data-val-type="" data-regexp="" data-is-required="true" data-allow-spaces=""
class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field89" data-index="38" style="width: 100%" class=" form-element form-element-field89 options-false form-element-38 default-false form-element-type-oneLineText is-required-true odd -handle">
<div class="form-element-html">
<div><label class="oneLineText-cover field-cover"><span class="sub-label-false"><span class="main-label"><span>Other Income</span></span><span class="sub-label"></span></span>
<div><span class="error"></span><input type="text" placeholder="" make-read-only="" data-field-id="field89" id="field89" name="field89[]" data-min-char="" data-max-char="" data-val-type="numbers" data-regexp="" data-is-required="true"
data-allow-spaces="" class="validation-lenient" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="focus" data-html="true" data-input-mask="" data-mask-placeholder="" data-original-title=""></div>
</label></div>
</div>
</div>
<div data-identifier="field90" data-index="39" style="width: 100%" class=" even form-element form-element-field90 options- form-element-39 default-false form-element-type-dropdown is-required-true -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Debit Orders</span></span><span class="sub-label"><span>How many debit orders do you
have?</span></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field90" name="field90" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select An Option</option>
<option value="0" class=" ">0</option>
<option value="1" class=" ">1</option>
<option value="2" class=" ">2</option>
<option value="3" class=" ">3</option>
<option value="4" class=" ">4</option>
<option value="5" class=" ">5</option>
<option value="6" class=" ">6</option>
<option value="7" class=" ">7</option>
<option value="8" class=" ">8</option>
<option value="9" class=" ">9</option>
<option value="10" class=" ">10</option>
<option value="11" class=" ">11</option>
<option value="12" class=" ">12</option>
<option value="13" class=" ">13</option>
<option value="14" class=" ">14</option>
<option value="15" class=" ">15</option>
<option value="16" class=" ">16</option>
<option value="17" class=" ">17</option>
<option value="18" class=" ">18</option>
<option value="19" class=" ">19</option>
<option value="20" class=" ">20</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field92" data-index="40" style="width: 100%" class=" form-element form-element-field92 options-true form-element-40 default-false form-element-type-dropdown is-required-true odd -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>Should you be declined for a loan can DebtBuddy contact you for a free credit
consultation?</span></span><span class="sub-label"><span>pick one!</span></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field92" name="field92" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select An Option</option>
<option value="YES" class=" ">YES</option>
<option value="NO" class=" ">NO</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field71" data-index="41" style="width: 100%" class=" even form-element form-element-field71 options- form-element-41 default-false form-element-type-dropdown is-required-true -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>I Agree to Credit Check</span></span><span class="sub-label"><span>If you select NO, your application
won't be successful!</span></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field71" name="field71" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="YES" class=" ">YES</option>
<option value="NO" class=" ">NO</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field95" data-index="42" style="width: 100%" class=" form-element form-element-field95 options-false form-element-42 default-false form-element-type-dropdown is-required-true odd -handle">
<div class="form-element-html">
<div><label class="dropdown-cover field-cover autocomplete-type- has-input"><span class="sub-label-true"><span class="main-label"><span>I have read and agree to the terms and conditions (Disclaimer)</span></span><span
class="sub-label"><span>I hereby consent that Affordable Loans 4 All or any of its employees conduct credit checks and other related credit bureau searches in respect of our application for finance.</span></span></span>
<div><span class="error"></span><select data-is-required="true" class="validation-lenient" data-field-id="field95" name="field95" data-placement="right" data-toggle="tooltip" tooltip="" data-trigger="hover" data-html="true"
data-original-title="">
<option value="" class=" ">Select An Option</option>
<option value="I Accept" class=" ">I Accept</option>
<option value="I Decline" class=" ">I Decline</option>
</select><input type="text"></div>
</label></div>
</div>
</div>
<div data-identifier="field54" data-index="43" style="width: 100%" class=" even form-element form-element-field54 options-false form-element-43 default-false form-element-type-customText is-required-false -handle">
<div class="form-element-html">
<div>
<div class="absolute-false customText-cover field-cover" style="left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:">
<div class="full" style="text-align: left">
<p><span id="bind-math-sscayye"></span></p>
</div><input type="hidden" name="field54" data-field-id="field54">
</div>
</div>
</div>
<div id="ContainerForOffers">
<script type="text/javascript" src="https://display.tmginteractive.com/generateplacementscript.aspx?placement=45925000&publisher=889025&affid=&subid=&redirect="></script>
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<div data-identifier="field34" data-index="44" style="width: 100%" class=" form-element form-element-field34 options- form-element-44 default-false form-element-type-submit is-required-false odd -handle">
<div class="form-element-html">
<div>
<div class="align-center wide-true submit-cover field-cover"><button onclick="offerForge();" type="submit" class="button submit-button"><span class="text ">Apply Now</span><span
class="spin-cover"><i style="color:" class="loading-icon icon-cog animate-spin"></i></span></button></div>
<div class="submit-response "></div><label><input type="text" class="required_field" name="website" autocomplete="maple-syrup-pot" style="display: none;"></label>
</div>
</div>
</div>
</div>
</div><!-- end ngRepeat: page in Builder.FormElements track by $index -->
</form>Text Content
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GENERAL
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Loans 4 All website. By using Affordable Loans 4 All you agree and are
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notice.
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1 Step 1
ID Number
Title
MrMrsMiss
First Name
Surname
Date of Birth
date_range
AgePlease enter your age
Cell Number
Home Phone No
Work Phone No
Email Addressa valid email
email
Home AddressLine 1
SuburbLine 2
Town/CityLine 3
Postal CodeLine 4
Property Ownerpick one!
Select An OptionYESNO
Motor Vehicle Ownerpick one!
Select An OptionYESNO
Permission To Promotepick one!
Select An OptionYESNO
Employment Status
Working full timeWorking part timeSelf-EmployedRetiredStudentNot currently
employed
Employment Sectorpick one!
Select An OptionAgricultureCleaning
ServicesCommunicationsEducationFinancialInformation
TechnologyManufacturingMiningMotor VehicleOtherPublic SectorRetail
ServicesSecurityTourism
Company Name
Employment Date
date_range
Employment Timepick one!
Select An OptionMore than 6monthsLess than 6months
Gross Salarypick one!
Please
Select0-24992500-49995000-74997500-999910000-1249912500-1499915000-1749917500-1999920000-2499925000-2999930000-3499935000-3999940000-4499945000-4999950000-5499955000-5999960000-6499965000-6999970000-7499975000-7999980000-8499985000-8999990000-9499995000-99999100000+
Net SalaryPlease do NOT add dots(.) or commas (,)
Monthly Expenses
Salary Frequency
MonthlyWeeklyFortnight
Salary Date
date_range
Blacklisted Status
YesNo
Debt Review/Administration
YesNo
Debt Amountpick one!
Select An Option0Less than R40000R40000 - R70000R70000 - R100000More than
R100000
Arrearspick one!
Select An Option0 Days30 Days60 Days90 Days
What's the biggest thing holding you back from enjoying life?pick one!
Select An OptionCredit CardLoan PaymentsCar PaymentsBond Payments
Required Loan Amount (R)
Loan Purposepick one!
Select An OptionMedical ExpensesHome Maintenance & RepairsRelocation
ExpensesVehicle ExpensesRepay Existing DebtOther Expenses
Have your own Income Bank Account?If you select NO, your application won't be
successful!
YESNO
Salary Paid By EFTpick one!
Select An OptionYESNO
Bank Name
ABSAAfrican BankCapitecFNBNedbankStandard BankBidvest BankGo
BankingInvestecIthala BankPost BankRMBTransnetWizzitOther
Account Number
Other Income
Debit OrdersHow many debit orders do you have?
Select An Option01234567891011121314151617181920
Should you be declined for a loan can DebtBuddy contact you for a free credit
consultation?pick one!
Select An OptionYESNO
I Agree to Credit CheckIf you select NO, your application won't be successful!
YESNO
I have read and agree to the terms and conditions (Disclaimer)I hereby consent
that Affordable Loans 4 All or any of its employees conduct credit checks and
other related credit bureau searches in respect of our application for finance.
Select An OptionI AcceptI Decline
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