Application Form | Green Door Bridging Finance

Please note:

We do not offer ordinary personal loans.
We require your pension/provident fund/annuity pay out to be a minimum of R300 000 (before tax) for us to consider a bridging loan.

Type of bridging finance required: *

Please select the service you require.

Pension/Provident lump sum payout Divorce Claim Retirement/Living Annuity

Please choose the type of bridging finance you need.

Pension/Provident lump sum payout

Name *

First names

Surname

This field is required.

Email *

Enter Email

Confirm Email

Please enter a valid email address.

Phone *

This field is required.

Where do you live? *

Please select your province.

Employer name: *

This field is required.

Fund administration company you are claiming from: *

This field is required.

Employment exit date *

This field is required.

Pension/Provident payout amount expected before tax: *

We require your pension/provident fund/annuity pay out to be a minimum of R300 000 (before tax) for us to consider a bridging loan. The loan amount field will only appear if you meet the minimum qualifying criteria.

Please enter the amount without an R, commas or cents — for example 1500.

This field is required.

Where did you hear about us? *

Google Gumtree Facebook Other

Please choose one.

Optional message

I agree to the privacy policy. *

Please accept the privacy policy to continue.

Divorce Claim

Name *

First names

Surname

This field is required.

Ex-spouse name *

Ex-Spouse First Names

Ex-Spouse Surname

This field is required.

Email *

Enter Email

Confirm Email

Please enter a valid email address.

Phone *

This field is required.

Where do you live? *

Please select your province.

Ex-spouse's employer name: *

This field is required.

Fund administration company you are claiming from: *

This field is required.

Divorce order granted date: *

This field is required.

Divorce claim amount: *

Please enter the amount without an R, commas or cents — for example 1500.

This field is required.

Where did you hear about us? *

Google Gumtree Facebook Other

Please choose one.

Optional message

I agree to the privacy policy. *

Please accept the privacy policy to continue.

Retirement/Living Annuity

Name *

First names

Surname

This field is required.

Email *

Enter Email

Confirm Email

Please enter a valid email address.

Phone *

This field is required.

Where do you live? *

Please select your province.

Fund administration company you are claiming from: *

This field is required.

Annual annuity date: *

This field is required.

Annual annuity amount: *

Please enter the amount without an R, commas or cents — for example 1500.

This field is required.

Where did you hear about us? *

Google Gumtree Facebook Other

Please choose one.

Optional message

I agree to the privacy policy. *

Please accept the privacy policy to continue.

By submitting you agree to our Terms & Conditions. We do not charge any upfront fees.