Debt Review Removal Application Please NotePlease Note That: This application is NOT an application for Debt Review. This application will NOT result in the applicant or co-applicant being listed as having applied for Debt Review by virtue thereof. The purpose of this application is to determine whether the applicant is or appears to be over-indented as per Section 79(1) and (2) of the National Credit Act, 34 of 2005 and where applicable submit to court that the concerned applicant should be declared not to be over-indebted as envisioned in Section 88(1)(b) of the National Credit Act, 34 of 2005. Where applicable, a ruling made by court in terms of this application will be served to all concerned credit providers and all registered credit bureaus for the applicant's Debt Review flag to be removed accordingly. Basic InformationBasic InformationFull Name(s) *Last Name *Cellphone Number *Email Address *Current Physical Address *Marital StatusMarital StatusCurrent marital status *Select your marital statusSingleMarriedDivorcedWidowedHow are you currently married? *Select your marital statusIn community of propertyOut of community of propertyDid you apply for Debt Review alone or with your spouse? *Select an optionAloneWith SpouseYour ID Number *0 / 13Spouse's Basic InformationSpouse's Basic InformationSpouse's Full Name(s) *Spouse's Surname *Spouse's Cellphone Number *Spouse's Email AddressSpouse's ID number *0 / 13Employment StatusEmployment StatusWhat is your current employment status? *Select an optionEmployedSelf-employedUnemployedName of organization for which you are employed or self-employed? *What is your current role? *Employment Address *Spouse's Employment DetailsSpouse's Employment DetailsWhat is your spouse's current employment status? *Select an optionEmployedSelf-employedUnemployedName of organization for which your Spouse is employed or self-employed? *What is your Spouse's current role? *Employment Address *DependantsDependantsDo you currently have any dependants? *Select an optionYesNoHow many dependants do you currently have? *DependantsDependant's Full Name *Dependant's Age *Dependant's relations to you *IncomeIncomeYour current monthly Net Income (NB: Net Income is after deductions) *ZARAny Other Income? (Alternative Business, Pension, Child Maintenance, etc)e.g. Yes / NoYesNoBrief description of Other Income above *Other Income amount:USDSpouse's IncomeSpouse's IncomeYour Spouse's current monthly Net Income (NB: Net Income is after deductions) *ZARYour Spouse's Other Income (Alternative Business, Pension, Child Maintenance, etc)e.g. Yes / NoYesNoBrief description of Other Income above *Other Income amount:USDHousehold Living ExpensesHousehold Living Expenses RentZARWater and ElectricityZARMunicipal Rates/LeviesZARHousehold SecurityZARFuel or Travel ExpenditureZARHousehold InsuranceZARVehicle InsuranceZARFuneral Policy (Not deducted from salary)ZARLife Insurance (Not deducted from salary)ZARPension Contribution (Not deducted from salary)ZARGroceriesZARChild MaintenanceZARMedical Aid (not deducted from salary)ZARAdditional Medical ExpensesZARCellphone ExpenditureZARHome InternetZAREducational Fees (Pre-Primary, School or University Fees)ZARBank ChargesZARDomestic HelperZAREntertainment (DSTV, Netflix, etc)ZAROther ExpendituresZARBrief Description of Other Expenditures AboveCredit AgreementsCredit AgreementsDo you have any outstanding debts (Home loan, Vehicle finance, Personal Loans, Credit Cards, etc.) on your name? *e.g. Yes / NoYesNoDoes your Spouse have any outstanding credit agreements (Home loan, Vehicle finance, Personal Loans, Credit Cards, etc.) on their name? *e.g. Yes / NoYesNoSupporting DocumentsSupporting DocumentsA copy of your IDUpload a clear copy of your IDChoose FileNo file chosenDelete uploaded fileA copy of your Proof of AddressUpload a recent proof of address (not older than 3 months)Choose FileNo file chosenDelete uploaded fileA copy of your most recent salary slip(s)Please upload 3 months salary slips if you earn commission or overtime.Choose FileNo file chosenDelete uploaded fileA copy of your 3 months bank statementPlease upload a bank statement which reflects your salary or income stated above.Choose FileNo file chosenDelete uploaded fileSpouse's Supporting DocumentsSpouse's Supporting DocumentsA copy of your Spouse's IDUpload a clear copy of your spouse's IDChoose FileNo file chosenDelete uploaded fileA copy of your spouse's most recent salary slip(s)Please upload 3 months salary slips if your spouse earns commission or overtime.Choose FileNo file chosenDelete uploaded fileA copy of your spouse's 3 months bank statementPlease upload a bank statement which reflects your spouse's salary or income stated above.Choose FileNo file chosenDelete uploaded fileFee DeclarationFee DeclarationYou have indicated that you currently do not have any active credit agreements on your name. You therefore may qualify for a Clearance Certificate. The applicable fee in this regard is a once-off amount of R1000,00. Please note that should we determine that you still have active credit agreements on your name, we will have to refer your matter to a Magistrates court and the applicable fee will be an amount of R7500,00 *Please tick the box if you agree to the fees stated aboveYou have indicated that you currently have any active credit agreements on your name. We will therefore need to refer your matter to a Magisttrates Court. The applicable fee in this regard is a once-off amount of R6000,00. Please note that the fee stated above may be paid in full once-off or may be divided into 2 or 3 equal monthly payments. We will nonetheless start working on your file immediately upon receipt of your application. Please note that we will only refer your matter to court once the full fees have been paid accordingly. *Please tick the box if you agree to the fees stated aboveDebiCheck Banking DetailsDebiCheck Banking Details Kindly be advised that iClear makes use of DebiCheck to collect applicable fees.You will now be requested to input the banking details from which we may load a DebiCheck mandate accordingly. *Please tick the box if you agree to the statement aboveBanking DetailsBanking Details Kindly note that the banking details below will be used to load a DebiCheck mandate. Bank *Account Type *Account Number *Salary Date *Important NoticeImportant Notice Kindly note that by placing your signature on the space below you agree to iClear's Terms and Conditions. Furthermore, kindly note that your signature will be used to autopopulate an application form for the removal of your Debt Review flag. A copy of the signed application form will be sent to you via email shortly.SignatureStart your signature hereYour browser does not support e-Signature field.Spouse's SignatureStart your signature hereYour browser does not support e-Signature field.Terms and ConditionsTerms and Conditions 1. This is an application for the removal of debt review. It is not an application for debt review. 2. The information provided on this online application will be used to auto populate an application form for the removal of your debt review flag. You will receive a copy of the application form shortly after submitting the this application. 3. It remains your responsibility to ensure that payment to your creditors is made as agreed. iClear will not become responsible for any payment towards your credit providers. Apply Now APPLY NOW Connect with us now for expert guidance on your debt removal journey. Start Your Journey
