Oyi  WhatsApp : 076 084 6513     Call : 061 486 9787

Application Form



1. SELECT YOUR PRICE PLAN
2. YOUR PERSONAL DETAILS

South African ID Passport


3. YOUR CONTACT DETAILS




4. YOUR PHYSICAL ADDRESS



5. EMPLOYER DETAILS



6. YOUR MONTHLY INCOME
Rand Amount
Net Pay (after deductions):
Other income:

7. YOUR MONTHLY EXPENSES
Rand Amount
Accommodation:
Transport:
Food:
Medical:
Water & Lights:
Child/Spouse Maintenance:
Loans & Credit cards:
Other expenses :

8. DEBIT ORDER DETAILS







I acknowledge that this is my bank account and hereby authorize Oyi and its partners to deduct and collect payments from this account.

9. DECLARATION
1. I confirm that I have consent from my spouse to enter into this agreement (only if Married in Community of Property or Married by Customary Law).

2. I have read and understood and accept the Oyi 'Medical Card'/'Wellness Card' terms and conditions.

3. I am not under debt review or undergoing debt counseling.

4. The information I provided herein is correct and accurate.

5. Oyi and its partners may contact any credit bureau, the South African Fraud Prevention Services and any other person I deal with to gather and share information about my credit profile.

6. Oyi and its partners can contact me for promotional and marketing purposes.

I acknowledge and accept this declaration and that it is binding on me.


10. UPLOAD DOCUMENTS (OPTIONAL)
Don't have all the document now? You can email to us later at docs@oyi.co.za.

FINALLY...