Funding Application — Bridgevest Credit Solutions

Applicant Details

Tell us about the person submitting this application. All fields marked * are required.

Primary Contact

First Name *

Please enter your first name.

Last Name *

Please enter your last name.

Your Role / Title *

Please select your role.

ID Number / Passport *

Please enter your ID or passport number.

Email Address *

Please enter a valid email address.

Mobile Number *

Please enter your mobile number.

Are you submitting on behalf of a client? *

No — I am applying for my own business Yes — I am a broker or intermediary submitting on behalf of a client

Step 1 of 6

Business Information

Tell us about the business seeking funding.

Registered Entity

Registered Company Name *

Please enter the registered company name.

Registration Number *

Please enter the company registration number.

VAT Number (if registered)

Entity Type *

Please select the entity type.

Year Established *

Please enter the year the business was established.

Registered Business Address *

Please enter the business address.

Business Email

Business Website (if applicable)

Industry & Operations

Industry Sector *

Please select the industry sector.

Number of Employees *

Please select the number of employees.

Brief Business Description *

Please provide a brief business description.

Keep it concise — 2 to 4 sentences is sufficient.

Key Shareholders / Directors

Please list all directors and shareholders holding 20% or more of the company. Additional FICA documentation will be requested after initial screening.

Director/Shareholder 1 — Full Name *

Please enter the name of the primary director/shareholder.

% Shareholding *

Please enter the shareholding percentage.

Director/Shareholder 2 — Full Name (if applicable)

% Shareholding (if applicable)

Director/Shareholder 3 — Full Name (if applicable)

% Shareholding (if applicable)

Are any directors / shareholders politically exposed persons (PEPs)?

No Yes — we will provide further details on request

Step 2 of 6

Funding Requirement

Tell us what you need and why. The more specific you are, the faster we can assess your application.

Loan Details

Funding Amount Required (ZAR) *

Please enter the funding amount required.

BCS typically funds from R3,000,000 upward.

Preferred Facility Tenor *

Please select the preferred facility tenor.

Facility Type Required *

Asset-Backed Lending Invoice Discounting Purchase Order Funding Property Bridging Structured / Hybrid Finance Unsure — please guide me

Purpose of Funding / Use of Proceeds *

Please describe the purpose of the funding.

Has your business previously obtained similar funding? *

No — this is our first application of this type Yes — we currently have an active similar facility Yes — we have had similar funding previously (now settled)

Repayment Source

How will this facility be repaid? *

Please select the primary repayment source.

Repayment Detail *

Please provide repayment detail.

Urgency / Required Drawdown Date (if applicable)

Let us know if there is a time-sensitive deadline we should be aware of.

Step 3 of 6

Security & Collateral

BCS lends against real, tangible security. This is the most important section of the application — please be as specific as possible.

Why security matters: Every BCS facility is backed by identifiable, enforceable collateral. The strength, type, and value of your security directly affects how quickly we can move and on what terms.

Primary Security

Primary Security Type *

Please select the primary security type.

Additional Security

Personal Suretyship *

Yes — the principal director(s)/owner(s) are willing to provide personal suretyship No — we are not able to provide personal suretyship at this stage Open to discussion depending on terms

Personal suretyship significantly strengthens an application and improves pricing.

Any Additional Security Available? (optional)

Are the assets / collateral fully insured? (if applicable)

Yes — fully insured with a recognised insurer Partially insured Not currently insured Not applicable for this security type

Asset insurance is required for all asset-backed facilities.

Step 4 of 6

Financial Information

We need a basic picture of your business's financial health. You won't need to upload documents at this stage — detailed financials will be requested after initial screening.

Business Financials

Most Recent Annual Turnover (ZAR) *

Please select the annual turnover range.

Financial Year End *

Please select your financial year end.

Latest Audited / Signed Financial Statements *

Please select your latest available financials.

Financial Statements Prepared By *

Please select the type of financial statements available.

Approximate Current Total Debt / Borrowings (ZAR) *

Please select the total debt range.

Include all existing loans, vehicle finance, bonds, and overdrafts.

Primary Business Bank *

Please select your primary business bank.

Has the business approached a bank for similar funding and been declined? *

No — we have not approached a bank for this specific need Yes — we were declined by a bank (please provide brief detail below) Not applicable — we need speed/structure that banks cannot provide

This does not disqualify you. It helps us understand your situation better.

Credit History

Has the business ever been placed under business rescue, liquidation, or had a judgment issued against it? *

No Yes — please provide brief details below

Have any directors been personally sequestrated, convicted of fraud, or had judgments issued against them? *

No Yes — please provide brief details below

Does the business hold a valid SARS Tax Clearance Certificate? *

Yes — valid tax compliance status No — outstanding SARS compliance matter In process / pending

Additional Comments / Adverse Credit Disclosures (if applicable)

Step 5 of 6

Declaration & Submission

Please review the declaration below and confirm your consent before submitting your application.

Any Additional Information for BCS? (optional)

How did you hear about BCS? (optional)

Declarations & Consents

By submitting this application, I/we confirm that:

All information provided in this application is true, accurate, and complete to the best of my/our knowledge and belief.
I/we are authorised to submit this application on behalf of the business entity named above.
I/we consent to Bridgevest Credit Solutions (Pty) Ltd performing credit bureau enquiries, background checks, and such other due diligence as it deems necessary.
I/we understand that submission of this application does not constitute an offer or commitment to provide funding.
The information contained herein may be used by BCS to assess this application and, if approved, to structure a credit facility.
I/we have read and agree to BCS's Privacy Notice and Disclaimer.

I confirm that all information provided is accurate and that I am authorised to submit this application. *

You must confirm the accuracy of the information provided.

I consent to BCS processing my personal information for the purposes of this application, as described in the Privacy Notice. *

You must consent to the privacy notice to submit.

I consent to BCS conducting credit bureau checks on the business and its principal directors/shareholders. *

You must provide consent for credit bureau checks to submit.

What happens next? After you submit, a member of the BCS team will review your application and contact you within one business day to discuss next steps, confirm any outstanding information required, and outline how we intend to proceed.

Step 6 of 6

Start your funding application

Thank you — we've received your application