DEBT ASSESSMENT FORM
Title:
Name:
Surname:
Tel:
Mobile:
Email:
Married
In community
Out
Not Married
Do you own property?
Yes    No
Total monthly net income:
Monthly Debt:
 
 
email us vjo@vjo.co.za contact us (012) 664-6114
Van Rensburg Jordaan & Olivier Attorneys
 
 
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In order for us to get started with your application, you need to complete our application form and send it to us.  Our debt counselling Pretoria office will receive your application. A consultant will then contact you to follow up.  The NCR Debt Counselling South Africa process will then be initiated. You can either complete the form online, or download it and fax or mail it back to us. Please make your choice below to take charge of your personal debt counselling process:

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