Online Application for a Debt Review Clearance Certificate Application by Consumer for Debt Review & Debt Review Clearance In terms of section 86(1) & 71 of the National Credit Act No. 34 of 2005 Step 1 of 4 25% Applicant details: If you are married in community of property, both spouses must apply jointly.Main (1st) ApplicantTitle*MrMsMrsDrAdvProfInitials*Identity Number*Full Names & Surname*Gender*MaleFemaleEthnic Group*AfricanWhiteAsianColouredMarital Status*SingleMarried in Community of PropertyMarried out of Community of PropertyWidowedDivorcedMobile Number*Email Address*Address*Province*Eastern CapeWestern CapeGautengLimpopoNorthern CapeMpumalangaKwaZulu-NatalNorth WestFree StatePostal Code*Owner/Tenant:*OwnerTenantFamily HomePeriod at Address:*1 – 5 Years5 – 10 YearsMore than 10 YearsNumber of dependentsAge of dependantsSeparate by commas 2nd Applicant (SPOUSE)Title*MrMsMrsDrAdvProfInitials*Identity Number*Full Names & Surname*Gender*MaleFemaleEthnic Group*AfricanWhiteAsianColouredMarital Status*SingleMarried in Community of PropertyMarried out of Community of PropertyWidowedDivorcedMobile Number*Email Address*Address*Province*Eastern CapeWestern CapeGautengLimpopoNorthern CapeMpumalangaKwaZulu-NatalNorth WestFree StatePostal Code* EMPLOYMENT DETAILSMain (1st) ApplicantName of Employer / Company Name*Employment Type*PermanentSelf EmployedContractOccupation*Gross Salary (Before Deductions)*Total Deductions*Total Nett Income (After Deductions)*Pay date2nd Applicant (SPOUSE)Name of Employer / Company Name*Employment Type*PermanentSelf EmployedContractOccupation*Gross Salary (Before Deductions)*Total Deductions*Total Nett Income (After Deductions)* HOUSEHOLD LIVING EXPENSESFamily Expenses*Groceries*Petrol / Travel*Telephone / Cellphone*Bank Charges*Clothing*Other Living Expenses*TOTAL HOUSEHOLD LIVING EXPENSES DEBT OBLIGATIONSCreditors NameCreditors NameUpload ID Copy* Drop files here or Select files Max. file size: 3 GB. Upload Payslip or Proof of Income* Drop files here or Select files Max. file size: 3 GB. Upload a 17.w Cancellation Document from the previous Debt Counsellor Drop files here or Select files Max. file size: 3 GB. Upload All Paid Up Letters or Prescription Letters as per the 17.w or the Restructuring Proposal* Drop files here or Select files Max. file size: 3 GB. Upload Debt Review Court Order (optional) Drop files here or Select files Max. file size: 3 GB. Upload PDA Distribution Statement (optional) Drop files here or Select files Max. file size: 3 GB. Declaration I agree to the following terms and conditions.I confirm that the information contained in this document is to the best of my knowledge true and correct and further I undertake to comply with all requests from the debt counsellor to assist him/her to evaluate my state of indebtedness and to investigate the prospects for responsible debt restructuring. I consent to The National Debt Review Center obtaining my credit record from any/all registered credit bureaus and any other registers which may contain any of my credit information. I further agree and acknowledge that the required fee for my clearance certificate is R450.00 vat exclusive. PhoneThis field is for validation purposes and should be left unchanged. Δ Online Application for a Debt Review Clearance Certificate What is a Clearance Certificate? Facebook