Apply – Small Pay (Pty) Ltd

Payroll Loan Application

Personal Information

Full Name

Date of Birth

ID Number

Contact Number

Email Address

Home Address

Employment Information

Employer Name

Job Title

Employee Number

Employment Start Date

Payment Schedule

Nett Salary

Authorization and Agreement

I agree to the terms and conditions of the payroll loan.

I authorize automatic payroll deductions for loan repayments.

Supporting Documents

ID Copy

Latest Payslip

3 Months Bank Statement