Terms and Conditions
About Yourself
Title *
Initials *
Surname *
Date of Birth *
Identity number *
Postal address*
City *
Postal code *
Fill in your cellphone number and at least one contact number **
Home telephone number **
Work telephone number **
Cellphone number *
Email address
Your mother's maiden name *
Affordability Information
Total monthly income (1 + 2)
1. Monthly income:*
Take home pay, salary after deductions or income from business after deductions
2. Other monthly income:
e.g. maintenance received, rental income, allowance, etc.
Total monthly expenses (3 + 4)
3. Monthly living expenses:
e.g. rent, water and electricity, food and groceries, transport (excluding vehicle repayment), education, child and/or spouse maintenance not on payslip, medical not on payslip, etc.
4. Monthly debt repayment obligations:*
e.g. bond repayment, vehicle repayment, personal and study loans, credit cards, clothing and furniture accounts, cell phone contracts, DSTV, insurance policies etc.
Disposable income (remaining income)
Updates and Notifications

May we send you information on the latest fashion, special offers, and exclusive invitations from Identity via:

If you do not indicate your personal preferences to the marketing and third party questions below, we will continue to use these practices until you advise otherwise.

no further communication
Terms and Conditions
* I agree to these terms and conditions
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