mdsloans.co.za Open in urlscan Pro
102.130.123.133  Public Scan

Form analysis
2 forms found in the DOM

POST

<form id="loan-application-1" class="visual-form-builder vfb-form-1 " method="post" enctype="multipart/form-data" novalidate="novalidate">
  <input type="hidden" name="form_id" value="1">
  <fieldset class="vfb-fieldset vfb-fieldset-1 loan-application-form " id="item-vfb-1">
    <div class="vfb-legend">
      <h3>Loan Application Form</h3>
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    <ul class="vfb-section vfb-section-1">
      <div id="item-vfb-15" class="vfb-section-div ">
        <h4>Personal Details Section</h4>
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      <li class="vfb-item vfb-item-text  " id="item-vfb-5"><label for="vfb-5" class="vfb-desc">Name (s) <span class="vfb-required-asterisk">*</span></label><input type="text" name="vfb-5" id="vfb-5" value="" class="vfb-text  vfb-medium  required  ">
      </li>
      <li class="vfb-item vfb-item-text  " id="item-vfb-6"><label for="vfb-6" class="vfb-desc">Surname <span class="vfb-required-asterisk">*</span></label><input type="text" name="vfb-6" id="vfb-6" value="" class="vfb-text  vfb-medium  required  ">
      </li>
      <li class="vfb-item vfb-item-date  " id="item-vfb-7"><label for="vfb-7" class="vfb-desc">Date of Birth <span class="vfb-required-asterisk">*</span></label><input type="text" name="vfb-7" id="vfb-7" value=""
          class="vfb-text vfb-date-picker vfb-medium required hasDatepicker" data-dp-dateformat="mm/dd/yy"></li>
      <li class="vfb-item vfb-item-select  " id="item-vfb-8"><label for="vfb-8" class="vfb-desc">Gender <span class="vfb-required-asterisk">*</span></label><select name="vfb-8" id="vfb-8" class="vfb-select  vfb-medium  required ">
          <option value="Male">Male</option>
          <option value="Fenale">Fenale</option>
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      <li class="vfb-item vfb-item-select  " id="item-vfb-10"><label for="vfb-10" class="vfb-desc">Marital Status <span class="vfb-required-asterisk">*</span></label><select name="vfb-10" id="vfb-10" class="vfb-select  vfb-medium  required ">
          <option value="Single">Single</option>
          <option value="Married">Married</option>
          <option value="Divroced">Divroced</option>
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      <li class="vfb-item vfb-item-text  " id="item-vfb-11"><label for="vfb-11" class="vfb-desc">Nationality <span class="vfb-required-asterisk">*</span></label><input type="text" name="vfb-11" id="vfb-11" value=""
          class="vfb-text  vfb-medium  required  "></li>
      <li class="vfb-item vfb-item-text  " id="item-vfb-9"><label for="vfb-9" class="vfb-desc">ID or Passport Number <span class="vfb-required-asterisk">*</span></label><input type="text" name="vfb-9" id="vfb-9" value=""
          class="vfb-text  vfb-medium  required  "></li>
      <li class="vfb-item vfb-item-text  " id="item-vfb-12"><label for="vfb-12" class="vfb-desc">Contact Phone No <span class="vfb-required-asterisk">*</span></label><input type="text" name="vfb-12" id="vfb-12" value=""
          class="vfb-text  vfb-medium  required  "></li>
      <li class="vfb-item vfb-item-email  " id="item-vfb-13"><label for="vfb-13" class="vfb-desc">Email Address <span class="vfb-required-asterisk">*</span></label><input type="email" name="vfb-13" id="vfb-13" value=""
          class="vfb-text  vfb-medium  required  email "></li>
      <li class="vfb-item vfb-item-textarea  " id="item-vfb-33"><label for="vfb-33" class="vfb-desc">Contact Address </label>
        <div><textarea name="vfb-33" id="vfb-33" class="vfb-textarea  vfb-medium  "></textarea></div>
      </li>
      <div id="item-vfb-16" class="vfb-section-div ">
        <h4>Employment Details Section</h4>
      </div>
      <div class="vfb-clear"></div>
      <li class="vfb-item vfb-item-select  " id="item-vfb-17"><label for="vfb-17" class="vfb-desc">Employment Status <span class="vfb-required-asterisk">*</span></label><select name="vfb-17" id="vfb-17" class="vfb-select  vfb-medium  required ">
          <option value="Self-Employed">Self-Employed</option>
          <option value="Employed">Employed</option>
        </select></li>
      <li class="vfb-item vfb-item-text  " id="item-vfb-18"><label for="vfb-18" class="vfb-desc">Name of Employer <span class="vfb-required-asterisk">*</span></label><input type="text" name="vfb-18" id="vfb-18" value=""
          class="vfb-text  vfb-medium  required  "></li>
      <li class="vfb-item vfb-item-text  " id="item-vfb-19"><label for="vfb-19" class="vfb-desc">Job Title <span class="vfb-required-asterisk">*</span></label><input type="text" name="vfb-19" id="vfb-19" value=""
          class="vfb-text  vfb-medium  required  "></li>
      <li class="vfb-item vfb-item-text  " id="item-vfb-20"><label for="vfb-20" class="vfb-desc">Net Salary <span class="vfb-required-asterisk">*</span></label><input type="text" name="vfb-20" id="vfb-20" value=""
          class="vfb-text  vfb-medium  required  "></li>
      <li class="vfb-item vfb-item-date  " id="item-vfb-21"><label for="vfb-21" class="vfb-desc">Job Start Date <span class="vfb-required-asterisk">*</span></label><input type="text" name="vfb-21" id="vfb-21" value=""
          class="vfb-text vfb-date-picker vfb-medium required hasDatepicker" data-dp-dateformat="mm/dd/yy"></li>
      <li class="vfb-item vfb-item-text  " id="item-vfb-24"><label for="vfb-24" class="vfb-desc">Work Phone <span class="vfb-required-asterisk">*</span></label><input type="text" name="vfb-24" id="vfb-24" value=""
          class="vfb-text  vfb-medium  required  "></li>
      <li class="vfb-item vfb-item-textarea  " id="item-vfb-32"><label for="vfb-32" class="vfb-desc">Work Address <span class="vfb-required-asterisk">*</span></label>
        <div><textarea name="vfb-32" id="vfb-32" class="vfb-textarea  vfb-medium  required "></textarea></div>
      </li>
      <li class="vfb-item vfb-item-text  " id="item-vfb-25"><label for="vfb-25" class="vfb-desc">Salary Date <span class="vfb-required-asterisk">*</span></label><input type="text" name="vfb-25" id="vfb-25" value=""
          class="vfb-text  vfb-medium  required  "></li>
      <div id="item-vfb-26" class="vfb-section-div ">
        <h4>Loan Details Section</h4>
      </div>
      <div class="vfb-clear"></div>
      <li class="vfb-item vfb-item-select  " id="item-vfb-27"><label for="vfb-27" class="vfb-desc">Loan Required <span class="vfb-required-asterisk">*</span></label><select name="vfb-27" id="vfb-27" class="vfb-select  vfb-medium  required ">
          <option value="Personal Loan">Personal Loan</option>
          <option value="Business Loan">Business Loan</option>
          <option value="Home Loan">Home Loan</option>
          <option value="Car Loan">Car Loan</option>
          <option value="Study Loan">Study Loan</option>
          <option value="Debt Consolidation">Debt Consolidation</option>
        </select></li>
      <li class="vfb-item vfb-item-text  " id="item-vfb-28"><label for="vfb-28" class="vfb-desc">Loan Amount Requesting <span class="vfb-required-asterisk">*</span></label><input type="text" name="vfb-28" id="vfb-28" value=""
          class="vfb-text  vfb-medium  required  "></li>
      <li class="vfb-item vfb-item-text  " id="item-vfb-29"><label for="vfb-29" class="vfb-desc">Repayment Period <span class="vfb-required-asterisk">*</span></label><span class="vfb-span"><input type="text" name="vfb-29" id="vfb-29" value=""
            class="vfb-text  vfb-medium  required  "><label>State how many months or years required</label></span></li>
      <li class="vfb-item vfb-item-text  " id="item-vfb-30"><label for="vfb-30" class="vfb-desc">Bank Name <span class="vfb-required-asterisk">*</span></label><input type="text" name="vfb-30" id="vfb-30" value=""
          class="vfb-text  vfb-medium  required  "></li>
      <li class="vfb-item vfb-item-text  " id="item-vfb-31"><label for="vfb-31" class="vfb-desc">Account Number <span class="vfb-required-asterisk">*</span></label><input type="text" name="vfb-31" id="vfb-31" value=""
          class="vfb-text  vfb-medium  required  "></li>
    </ul>&nbsp;
  </fieldset>
  <fieldset class="vfb-fieldset vfb-fieldset-2 verification " id="item-vfb-2" style="display:block">
    <div class="vfb-legend">
      <h3>Verification</h3>
    </div>
    <ul class="vfb-section vfb-section-2">
      <li class="vfb-item vfb-item-secret" style="display:block"><label for="vfb-3" class="vfb-desc">Please enter any two digits <span class="vfb-required-asterisk">*</span></label><input type="hidden" name="_vfb-secret" value="vfb-3"><span
          class="vfb-span"><input type="text" name="vfb-3" id="vfb-3" value="" class="vfb-text  vfb-medium  required {digits:true,maxlength:2,minlength:2} " style="display:block"><label>Example: 12</label></span></li>
      <li style="display:none;"><label>This box is for spam protection - &lt;strong&gt;please leave it blank&lt;/strong&gt;:</label>
        <div><input name="vfb-spam"></div>
      </li>
      <li class="vfb-item vfb-item-submit" id="item-vfb-4">
        <input type="submit" name="vfb-submit" id="vfb-4" value="Apply Now" class="vfb-submit ">
      </li>
    </ul>
  </fieldset><input type="hidden" name="_wp_http_referer" value="/apply-now/">
</form>

GET https://mdsloans.co.za/

<form role="search" method="get" class="search-form" action="https://mdsloans.co.za/">
  <label>
    <span class="screen-reader-text">Search for:</span>
    <input type="search" class="search-field" placeholder="Search …" value="" name="s">
  </label>
  <input type="submit" class="search-submit" value="Search">
</form>

Text Content

Skip to content
 * 
   Hotline Number0218136032
   
   Office Hours8:00am - 5:00pm {Sun:Closed}
   Email Us
   info@mdsloans.co.za
 * Apply Now
 *  * 
    * 
    * 
    * 
    * 


 * About Us
 * Loan Types
   * Personal Loan
   * Business Loan
   * Debt Consolidation
   * Car Loan
   * Home Loan
   * Study Loan
 * Features & Benefit
 * Contact Us


 * 
   Hotline Number0218136032
   
   Office Hours8:00am - 5:00pm {Sun:Closed}
   Email Us
   info@mdsloans.co.za
 * Apply Now

 *  * 
    * 
    * 
    * 
    * 

 * About Us
 * Loan Types
   * Personal Loan
   * Business Loan
   * Debt Consolidation
   * Car Loan
   * Home Loan
   * Study Loan
 * Features & Benefit
 * Contact Us




APPLY NOW

 1. Home  - 
 2. Apply Now


LOAN APPLICATION FORM

   PERSONAL DETAILS SECTION

   
 * Name (s) *
 * Surname *
 * Date of Birth *
 * Gender *MaleFenale
 * Marital Status *SingleMarriedDivroced
 * Nationality *
 * ID or Passport Number *
 * Contact Phone No *
 * Email Address *
 * Contact Address
   

   EMPLOYMENT DETAILS SECTION

   
 * Employment Status *Self-EmployedEmployed
 * Name of Employer *
 * Job Title *
 * Net Salary *
 * Job Start Date *
 * Work Phone *
 * Work Address *
   
 * Salary Date *

   LOAN DETAILS SECTION

   
 * Loan Required *Personal LoanBusiness LoanHome LoanCar LoanStudy LoanDebt
   Consolidation
 * Loan Amount Requesting *
 * Repayment Period *State how many months or years required
 * Bank Name *
 * Account Number *

 


VERIFICATION

 * Please enter any two digits *Example: 12
 * This box is for spam protection - <strong>please leave it blank</strong>:
   
 * 




Working Hours Mon-Sat: 8am-5pm

Support Mail info@mdsloans.co.za

Contact Details 87 St George's Str, Simon's Town,Cape Town, 7995

THE CORE PURPOSE OF MDS LOANS

MDS Loans was established to offer you a simple, hassle-free, and uncomplicated
credit solutions to customers. If you need a short-term loan that pays out with
the least bit of effort, MDS Loans is just what you’re looking for. We offer you
innovative credit facilities that simplify your life.
 * Apply Now
 * Features & Benefit
 * Contact Us

SEARCH

Search for:

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