sefa Product Application Form

Accessible Development Finance

LOAN APPLICATION FORM
SECTION A: COMPANY INFORMATION
(To be completed by borrowing legal entity)

COMPANY DETAILS

CIPC Registered Name

Trading Name

Type of Business Industry (Sector)

Registration Number Registration Date D D M M C C Y Y

Telephone Number Fax Number

E-mail Address

VAT Registration Number Tax Reference Number

Physical Address

Province Code

Postal Address

Province Code

Should sefa contact you for telemarketing purposes? Yes No

Period in Business (Years) Number of Current Employees

New jobs expected to be
created
Roadshow Radio Word of Mouth Outdoor Advertising (e.g. Billboard, Pamphlet, etc.)
How did you hear about sefa?
(Tick applicable box)
Print Media (e.g. Magazine, Newspaper advert, etc) Other (please specify)

Indicate how you would prefer to receive copies for your legal documents. (Tick applicable box)

Collecting in person at sefa’s offices? Post Fax ( ) - E-mail

CONTACT PERSON/COMPANY REPRESENTATIVE

Title (Prof/Dr/Mr/Ms) Surname First Name(s)

Contact Number(s) Cell ( ) - Tel ( ) - Fax ( ) -

E-mail

MEMBERS/SHAREHOLDER DETAILS

Full Name(s) and Surname Percentage Shareholding

COMPANY BRIEF BACKGROUND INFORMATION (Should you require more space please attach a separate page)

LIC E NS E D C R E D I T P ROV I D E R ( NC R C P 1 6 0 ) PAG E 01 OF 11

 FINANCIAL INFORMATION 1

Total Finance Required

Owners’ Contribution (Unencumbered) Source of Funds

Financial Year End of Business D D M M C C Y Y

PERIODIC ABRIDGED FINANCIAL STATEMENT (Not applicable to Start-up businesses)

(Less means a negative value that must be preceded by a minus sign. e.g -1200 without any spaces or characters)
Current Previous Previous Previous Previous
Financial Year Financial Year Financial Year Financial Year Financial Year
Gross Turnover R R R R R

Gross Profit R R R R R

(Less) Gross Operating Expenses R R R R R

Net Profit R 0.00 R 0.00 R 0.00 R 0.00 R 0.00

ASSETS AND LIABILITIES

Total Value of Fixed Assets R R R R R

Total Value of Current Assets R R R R R

(Less) Total Value of Current Liabilities R R R R R

(Less) Total Value of Long Term Liabilities R R R R R

Networth R 0.00 R 0.00 R 0.00 R 0.00 R 0.00

REFERENCES

BANKING DETAILS OF THE COMPANY

Name of Bank

Branch

Type of Account

Account Number

Facilities

Security Held by Bank

1 Please attach financial statements - if available

TRADE ACCOUNTS

Title & Name of Contact Person Title & Name of Contact Person

Name of Business Name of Business

Contact Numbers Cell ( ) - Contact Numbers Cell ( ) -

Tel ( ) - Tel ( ) -

Fax ( ) - Fax ( ) -

E-mail Address E-mail Address

Type of Account Cash Credit Type of Account Cash Credit

LIC E NS E D C R E D I T P ROV I D E R ( NC R C P 1 6 0 ) PAG E 02 OF 11

PROFESSIONAL

Name & Surname of Accounting Officer Company Name

Contact Number(s) Cell ( ) - Tel ( ) - Fax ( ) -

E-mail

DECLARATION AND CONSENT

I/We, the undersigned declare that the information provided in this application form is to the best of my/our knowledge true and complete. I/We also
understand that any wilful misrepresentation of the information in this application form will disqualify my/our application and may lead to legal action against
me/us including the laying of criminal charges against me/us as sureties as well as against the entity I/we represent for furnishing false statement or information
to the Small Enterprise Finance Agency (SOC) Ltd (sefa).
I/We hereby grant sefa consent to perform an entity/personal search and check on my/our records with any other party (e.g. credit bureau and/or a
government agency) relating to this application.
I/We further authorise sefa to disclose my/our personal information to these parties to obtain the information they require and acknowledge that sefa
will never disclose more information than they are required to.
sefa warrants that it will treat your personal information as confidential and take all necessary steps to protect your information as required by the Protection
of Personal Information Act of 2013. We will only disclose your information if:
• The law requires us to do so;
• It is in the public interest to do so;
• Our interests require disclosure; or
• You have given us your consent.

Surname Surname

Full Name(s) Full Name(s)

Designation Designation

Signature Signature

Place Place

Date D D M M C C Y Y Date D D M M C C Y Y

LIC E NS E D C R E D I T P ROV I D E R ( NC R C P 1 6 0 ) PAG E 03 OF 11

LOAN APPLICATION FORM
SECTION B: PERSONAL INFORMATION
(To be completed by each shareholder/trustee of the borrowing legal entity e.g. Pty Ltd, Ltd, Trust, etc.)

MEMBER/SHAREHOLDER/PARTNER DETAILS

Surname First Name(s)

ID Number

Gender (tick applicable box) Male Female Nationality (Citizenship)

Race African Indian White Other Please specify:

Do you have any disability? YES NO If YES, please give details:

Involvement in Business Active Partner Silent Partner If Active - Operational Responsibility:

Physical Address

Province Code

Postal Address

Province Code

Number of Years at Residential Address

Previous Residential Address (if less than 5 years at current address)

Province Code

Contact details Tel (H) ( ) - Tel (B) ( ) - Fax ( ) -

Cell ( ) - E-mail

Married out of community of property

Marital Status (Tick applicable Box) Single Married in community of property
with or without accrual

Other If other, provide details:

Number of Dependants Age

Next of Kin (not staying with you) Surname First Name(s)

Relationship

Contact Details Cell ( ) - Tel ( ) - E-mail

Residential Address

Province Code

PREVIOUS EXPERIENCE AND CAREER HISTORY

Employer Position Period

LIC E NS E D C R E D I T P ROV I D E R ( NC R C P 1 6 0 ) PAG E 04 OF 11

REFERENCES

PERSONAL TRADE ACCOUNTS

Name of Contact Person Name of Contact Person

Name of Business Name of Business

Contact Numbers Cell ( ) - Contact Numbers Cell ( ) -

Tel ( ) - Tel ( ) -

Fax ( ) - Fax ( ) -

E-mail Address E-mail Address

Type of Account Cash Credit Type of Account Cash Credit

PERSONAL BANKING DETAILS OF APPLICANT / COMPANY REPRESENTATIVE

Name of Bank Name of Bank

Branch Branch

Type of Account Type of Account

Account Number Account Number

Facilities Facilities

Security Held by Bank Security Held by Bank

INCOME

Employed Self Employed (tick applicable box)

Name of Employer/ Name of Business

Physical Address

Province Code

Position Held/ Nature of Business

Salary/ Drawings R Period of Employment/ Period in Business

LIC E NS E D C R E D I T P ROV I D E R ( NC R C P 1 6 0 ) PAG E 05 OF 11

MONTHLY INCOME AND EXPENDITURE STATEMENT

Net Salary (Income) R

Other Income (please specify) R

Other Income (please specify) R

TOTAL INCOME R 0.00

(LESS) EXPENSES (all values must be preceded by a minus sign. E.g. -1200 without spaces or characters such as full stops (.) or commas (,))

Bank Charges R

Mortgage Bond(s) R

Donations R

Entertainment R

Clothing Account(s) R

Cellular Phone Contract(s) R

Domestic Worker R

Education Fees R

Groceries R

School Transport R

Water and Lights R

Rates and Taxes R

Subscriptions (TV, Papers, etc.) R

Investments R

Life Policies R

Petrol R

Short Term Insurance R

Landline Rental R

Alarm and Tracking Contracts R

Other (please specify) R

Other (please specify) R

(LESS) TOTAL EXPENSES R 0.00

SURPLUS (DEFICIT) RR 0.00

STATEMENT OF ASSET AND LIABILITIES

Assets R 0.00 Liabilities R

Residential Property(ies) Mortgage Bond(s):

Motor Vehicle(s) Vehicle Finance:

Household Effects Personal Loans:

Equity in Businesses

Other Assets (please specify) Other Liabilities (please specify):

Net Equity

Total Assets R 0.00 Total Liabilities R

LIC E NS E D C R E D I T P ROV I D E R ( NC R C P 1 6 0 ) PAG E 06 OF 11

PERSONAL RECORD
YES NO
(Tick applicable box)

1. Are you currently undergoing debt counselling or do you have a pending debt counselling application?

2. Are you undergoing debt restructuring?

3. Have you ever been sequestrated?

4. If so, have you been rehabilitated?

5. Have you ever been found guilty of a criminal offence?

6. Have you ever reached a compromise with creditors or had repayment problems?

7. Have you ever been summoned or had judgements taken against you?

8. Have you signed surety for anyone else?

Kindly give details in respect of any YES answers above:

DECLARATION AND CONSENT

I, the undersigned declare that the information provided in this application form is to the best of my knowledge true and complete. I also understand that
any wilful misrepresentation of the information in this application form will disqualify my application and may lead to legal action against me and/or the entity
I represent including the laying of criminal charges against me as sureties as well as against the entity I represent for furnishing false statement or information
to the Small Enterprise Finance Agency (SOC) Ltd (sefa).
I hereby grant sefa consent to perform an entity/personal search and check on my records with any other party (e.g. credit bureau and/or a government
agency) relating to this application.
I further authorise sefa to disclose some of my personal information to these parties to obtain the information they require and acknowledge that the sefa
will never disclose more information than they are required to.
sefa warrants that it will treat your personal information as confidential and take all necessary steps to protect your information as required by the Protection
of Personal Information Act of 2013 (POPI). We will only disclose your information if:
• The law requires us to do so;
• It is in the public interest to do so;
• Our interests require disclosure; or
• You have given us your consent.

Surname Full Name(s)

Designation

Signature

Place

Date D D M M C C Y Y

SPOUSE’S DECLARATION AND CONSENT (If married in community of property)

I have obtained my spouse’s consent to enter into this Credit Facility and for credit check with any credit reference agency. I understand that I will be liable
for fraud should I falsely declare my spousal consent.

Surname Full Name(s)

Designation

Signature

Place

Date D D M M C C Y Y

LIC E NS E D C R E D I T P ROV I D E R ( NC R C P 1 6 0 ) PAG E 07 OF 11

LOAN APPLICATION FORM
SECTION C: SURETY FORM
(To be completed by the sureties of the borrowing entity)

MEMBER/SHAREHOLDER/PARTNER DETAILS

Surname First Name(s)

ID Number

Gender (tick applicable box) Male Female Nationality (Citizenship)

Race African Indian White Other Please specify:

Do you have any disability? YES NO If YES, please give details:

Involvement in Business Active Partner Silent Partner If Active - Operational Responsibility:

Physical Address

Province Code

Postal Address

Province Code

Contact details Tel (H) ( ) - Tel (B) ( ) - Fax ( ) -

Cell ( ) - E-mail

Married out of community of property

Marital Status (Tick applicable Box) Single Married in community of property
with or without accrual?

Other If other, provide details:

Number of Dependants Age

Next of Kin (not staying with you) Surname First Name(s)

Relationship

Contact Details Cell ( ) - Tel ( ) - E-mail

Residential Address

Province Code

REFERENCES

TRADE

Name & Surname of

Contact Person
Name of Business

Contact Numbers Cell ( ) - Tel ( ) - Fax ( ) -

E-mail Address

Account Number

Type of Account Cash Credit

LIC E NS E D C R E D I T P ROV I D E R ( NC R C P 1 6 0 ) PAG E 08 OF 11

BANKING

Name of Bank

Branch

Type of Account

Account Number

Facilities

Security Held by Bank

PROFESSIONAL

Name & Surname of Accounting Officer Company Name

Contact Number(s) Cell ( ) - Tel ( ) - Fax ( ) -

E-mail

PERSONAL RECORD
YES NO
(Tick applicable box)

1. Are you currently undergoing debt counselling or do you have a pending debt counselling application?

2. Are you undergoing debt restructuring?

3. Have you ever been sequestrated?

4. If so, have you been rehabilitated?

5. Have you ever been found guilty of a criminal offence?

6. Have you ever reached a compromise with creditors or had repayment problems?

7. Have you ever been summoned or had judgements taken against you?

8. Have you signed surety for anyone else?

Kindly give details in respect of any YES answers above:

DECLARATION AND CONSENT

I, the undersigned declare that the information provided in this application form is to the best of my knowledge true and complete. I also understand that
any wilful misrepresentation of the information in this application form will disqualify my application and may lead to legal action against me and/or the entity
I represent including the laying of criminal charges against me as sureties as well as against the entity I represent for furnishing false statement or information
to the Small Enterprise Finance Agency (SOC) Ltd (sefa).
I hereby grant sefa consent to perform an entity/personal search and check on my records with any other party (e.g. credit bureau and/or a government
agency) relating to this application.
I further authorise sefa to disclose some of my personal information to these parties to obtain the information they require and acknowledge that the sefa
will never disclose more information than they are required to.
sefa warrants that it will treat your personal information as confidential and take all necessary steps to protect your information as required by the Protection
of Personal Information Act of 2013 (POPI). We will only disclose your information if:
• The law requires us to do so;
• It is in the public interest to do so;
• Our interests require disclosure; or
• You have given us your consent.

Surname Full Name(s)

Designation

Signature

Place

Date D D M M C C Y Y

LIC E NS E D C R E D I T P ROV I D E R ( NC R C P 1 6 0 ) PAG E 09 OF 11

LOAN APPLICATION FORM
ANNEXURE 1: CHECK LIST FOR NEW APPLICATIONS

ASSET FINANCE, BRIDGING AND TERM LOANS

1. Application Form

2. Surety Form (where applicable)

3. Certified copy of ID and that of Spouse (if married In Community of Property [ICOP])

4. Marriage certificate (where applicable)

5. Short CV of the members/directors/ shareholders/ trustees, etc.

6. Proof of residence – utility bill / sworn affidavit (not older than 3 months)

7. Valid Tax Clearance Certificate

8. Company Registration Documents e.g. CK2, Company Profile

9. Proof of CIPC/CIPRO annual fees

10. Six months latest bank statement (personal and business)

11. Loan Breakdown

12. Supporting quotations (with contact person and banking details of supplier)

13. Personal Income and Expenditure Schedule and Assets & Liability Statement

14. Proof of own contribution and source (if applicable)

15. Member’s resolution to apply (if applicable)

If a judgment, notice, default is issued against the applicant, a letter or document to prove that arrangements are made to settle the
16.
account or proof that the account is settled must be provided
17. Historic Financial statements (not less than 3 years – if applicable)

18. Up to date Management Accounts (if applicable)

19. Debtors Age Analysis (if applicable)

20. Creditors Age Analysis (if applicable)

TERM LOANS AND ASSET FINANCE

1. Business Plan

2. Cash flow projections

3. Lease agreement (if applicable)

4. Franchise Agreement (if applicable)

BRIDGING LOAN APPLICATIONS

1. Project plan and projections

2. Copy of Contract or Order

3. Completion certificate for previous work done (for construction projects only)

4. NHBRC and CIDB (for construction projects only)

5. Bills of quantities (for construction projects only)

LIC E NS E D C R E D I T P ROV I D E R ( NC R C P 1 6 0 ) PAG E 10 OF 11

LOAN APPLICATION FORM
ANNEXURE 2: QUALIFICATION CRITERIA

QUALIFICATION CRITERIA

• The majority shareholder(s) must be involved in the day to day running of the business on a full time basis (owner - manager)

• The business must be registered in SA

• The major shareholder must be an SA citizen

• The business must be conducted with a profit motive and be economically viable

• The forecasted cash flow must show the ability to repay the facility (affordibility)

• The owner must display sufficient entrepreneurship, skills and experience directly related to the nature of the business

• Compliance with all relevant laws and regulations

• Demonstrate job creation (potential to create new jobs or sustain existing ones)

• Loan Range R50 000 to R5 million

EXCLUSIONS

• Manufacturing and selling of ammunition

• Tobacco, Liquor, Gambling and sex trade

• Non-profit organisations

• Political organisations

• Persons under debt review

• Un-rehabilitated insolvent shareholders and/or directors of applying entities

• Primary agriculture (except cash crops and the applicant must have an off take agreement)

• Speculative property development

LIC E NS E D C R E D I T P ROV I D E R ( NC R C P 1 6 0 ) PAG E 11 OF 11

 sefa Offices

Regional Offices Contact List

Regional offices are open from 08h30 to 17h00 from Monday to Friday with the exception of Public Holidays. Clients wishing to participate in consultations at any of the
co-locations are advised to secure an appointment with a sefa representative using the contact details provided below.

Regional Office Office Type Address Telephone Number Office Hours

sefa Bloemfontein 051 436 0150 08h30 - 16h30
Regional Office Office 4&5, Preller Square, Graaf Reinet Street, Dan Pienaar, Bloemfontein, 9301 sefafs@sefa.org.za Monday - Friday
Welkom 051 436 0150 09h30 - 15h00
One Reinet Building, Reinet Street, Welkom, 9460 sefafs@sefa.org.za
Trompsburg 051 436 0150 10h00 - 14h00
Free State
53 Voortrekker Street, Khoisan Building, Trompsburg, 9913 sefafs@sefa.org.za
Co-locations
Qwaqwa 051 436 0150 09h30 - 15h00
Mampoi Road, Phuthaditjhaba, 9866 sefafs@sefa.org.za
Sasolburg 051 436 0150 09h30 - 13h00
Eric Louw Street, Boiketlong, Zamdela, Sasolburg, 1939 sefafs@sefa.org.za
sefa Durban 031 368 3485 08h30 - 16h30
Regional Office 21st Floor, Office 2102, Durban Embassy Building, Anton Lembede Street, Durban, 4001 sefakzn@sefa.org.za Monday - Friday
Port Shepstone 031 368 3485 08h30 - 17h00
46 Bisset Street, Lot No 456, Port Shepstone, 4240 sefakzn@sefa.org.za
Ladysmith 031 368 3485 08h30 - 17h00
93/94 Murchison Street, Ladysmith, 3370 sefakzn@sefa.org.za
KwaZulu-Natal
Richards Bay 031 368 3485 08h30 - 17h00
Co-locations
Lot 611237 via Verbana,Veldenvlei, Richards Bay, 3900 sefakzn@sefa.org.za
Newcastle 031 368 3485 08h30 - 17h00
28 Scott Street, Newcastle, 2940 sefakzn@sefa.org.za
IDC Pietermarizburg 031 368 3485 08h30 - 17h00
1st Floor ABSA Building, 15 Chatterton Rd, PMB, 3201 sefakzn@sefa.org.za
Centurion (Head Office) 012 748 9600 08h30 - 17h00
Eco Fusion 5, Block D, 1004 Teak Close, Witch-Hazel Avenue, Eco Park, Centurion, 0157 helpline@sefa.org.za
talktous@sefa.org.za
sefa
Johannesburg 012 748 9600 | 08h30 - 17h00
Regional Office
Umnotho House, Lower Ground, 56 Eloff Street, Marshalltown, Johannesburg, 2001 sefagpsouth@sefa.org.za
Riversands (Diepsloot) 087 288 6000 08h30 - 16h30
Riversands Incubation Hub, 8 Incubation Drive, Riverside View, Ext. 15, Midrand, 2191 sefagpnorth@sefa. org.za Monday - Friday
Tshwane 012 441 0480 08h30 - 16h30
Block C, 4th Floor, Old Mutual Building, 536 Frances Baard & Steve Biko Streets, Pretoria sefagpnorth@sefa.org.za
Gauteng
Emfuleni 012 748 9600 08h30 - 17h00
5 Moshoeshoe Street,VUT Science & Technology Park, Sebokeng, 1983 helpline@sefa.org,za
Sandton 011 269 3000 08h30 - 17h00
Co-locations 19 Fredman Drive, Sandown, Sandton, 2146 helpline@sefa.org.za Wednesdays only
Soweto 011 938 4257 08h30 - 17h00
Shop 368 Maponya Mall, Thusong Centre, Chris Hani Road (Old Potchefstroom Road), 1809 sefagpeast@sefa.org.za Wednesdays only
Ekurhuleni 010 492 3655 08h30 - 16h30
Ekurhuleni Business Facilitation Network, Cnr Voortrekker & Monument Road, Kempton Park, sefagpeast@sefa.org.za Monday - Friday
1619
sefa Cape Town 021 418 0126 08h30 - 16h30
Regional Office 9th Floor, 2 Long Street, Cape Town, 8001 sefawc@sefa.org.za Monday - Friday
Bellville 021 418 0126 08h30 - 17h00
2nd Floor, Louwville Place,Vrede Street, Bellville, 7535 sefawc@sefa.org.za
Khayelitsha 021 418 0126 08h30 - 17h00
Khayelitsha Training Centre Cnr Lwandile & Spine Road, Khayelitsha, 7784 sefawc@sefa.org.za
Mosselbay 021 418 0126 08h30 - 17h00
KKT Sentrum Nr. 7, Gericke Street,Voorbaai, Mossel Bay, 6506 sefawc@sefa.org.za
Knysna 021 418 0126 08h30 - 17h00
Western Cape
Thesen House, 6 Long Street, Knysna, 6571 sefawc@sefa.org.za
Co-locations
George 044 803 4900 08h30 - 16h30
Entrance A, 1st Floor Beacon Place, 125 Meade Street, George, 6530 sefawc@sefa.org.za
Oudtshoorn 044 803 4900 08h30 - 17h00
70 Voortrekker Street, Oudtshoorn, 6625 sefawc@sefa.org.za
Beaufort West 021 418 0126 08h30 - 17h00
Thusong Service Centre, 3 De Vries Street, Beaufort West, 6970 sefawc@sefa.org.za
Hermanus 021 418 0126 08h30 - 17h00
Shop No 44, Gateway Centre, Hermanus, 7200 sefawc@sefa.org.za
Regional Office Office Type Address Telephone Number Office Hours
Stellenbosch 021 418 0126 08h30 - 17h00
1st Floor, Eikestad Mall, Andriga Street, Stellenbosch, 7599 sefawc@sefa.org.za
Worcester 021 418 0126 08h30 - 17h00
62, Cnr High & Stockenstroom Street, Worcester, 6850 sefawc@sefa.org.za
Western Cape Co-locations
Vredenburg 021 418 0126 08h30 - 17h00
19 West Coast Centre, 11 Long Street, Vredenburg, 7380 sefawc@sefa.org.za
Saldanha 022 714 1731 08h30 - 16h30
Tonyn Street, Saldanha, 7395 sefawc@sefa.org.za
sefa East London 043 721 1510 08h30-16h30
Regional Office Chesswood Office Park, 8-10 Winkely Street, 2nd Floor, Berea, 5241 sefael@sefa.org.za Monday - Friday
Port Elizabeth 041 373 4153 08h30-16h30
No 68 Cape Road, Mill Park, Port Elizabeth, 6000 sefape@sefa.org.za Monday - Friday
Eastern Cape
Queenstown 043 721 1510 10h00 - 15h00
(Western
Sasol Complex, Cathcart Road, Queenstown , 5319 sefael@sefa.org.za
Districts) Co-locations
Mount Alyff 043 721 1510 10h00 - 15h00
Disaster Management Centre, 188 Nolangeni Street, Mount Alyff, 4735 sefael@sefa.org.za
Mthatha 047 504 2200 08h00 - 16h30
7 Sissons Street, ECDC House, Fort Gale, Mthatha, 5100 sefael@sefa.org.za
sefa Kimberley 053 832 2275 08h30 - 16h30
Regional Office 72 Long Street, Business Partners Building, Kimberley, 8301 sefanc@sefa.org.za Monday - Friday
Kuruman 053 832 2275 09h30 - 15h00
Cnr Roos & Church Street, Kuruman, 8460 sefanc@sefa.org.za
Upington 053 832 2275 09h30 - 15h00
Northern Cnr Scott & Upington 26 Street, Old Sanlam Building, 3rd Floor, Upington, 8800 sefanc@sefa.org.za
Cape De Aar 053 832 2275 09h30 - 15h00
Co-locations
Cnr Main & Station Street, De Aar, 7000 sefanc@sefa.org.za
Springbok 053 832 2275 09h30 - 15h00
3 Rivier Street, Springbok, 8240 sefanc@sefa.org.za
Upington 053 832 2275 09h30 - 15h00
De Drift Plaza, Block 6, Olyvenhoutsdrift Settlement, Louisvale Avenue, 8801 sefanc@sefa.org.za
sefa Nelspruit 013 755 3923 08h30 - 16h30
Regional Office Corner Ferreira and Streak Street, 3rd Floor, Suite 301, MAXSA Building, Nelspruit,1200 sefamp@sefa.org.za Monday - Friday
Witbank 013 755 3923 08h00 - 17h00
Cnr OR Tambo & Mandela Street, Shop L2-1A, Saveways, Crescent Shopping Centre, sefamp@sefa.org.za
Witbank,1035
Mpumalanga Secunda 013 755 3923 08h00 - 17h00
Co-locations South Wing, Govan Mbeki Building, Lurgi Square, Secunda, 2302 sefamp@sefa.org.za
Malelane 013 755 3923 08h00 - 17h00
Lorenco Street, Rotunda Circle, Malelane,1020 sefamp@sefa.org.za
Bushbuckridge 013 755 3923 08h00 - 17h00
Shop 31, Twin City Shopping Centre, Bushbuckridge,1280 sefamp@sefa.org.za
sefa Polokwane 015 294 0900 08h30 - 16h30
Regional Office Suite 4, Biccard Park, No. 43 Biccard Street, Polokwane, 0699 sefalp@sefa.org.za Monday - Friday
Thohoyandou 015 294 0900 08h30 - 17h00
Old Mutual Building, Old Group Scheme Offices, Mphephu Road, Thohoyandou, 7950 sefalp@sefa.org.za
Mopani 015 294 0900 08h30 - 17h00
Limpopo
27 Peace Street, 1st Floor Prosperitas Building, Tzaneen, 0850 sefalp@sefa.org.za
Co-locations
Mokopane 015 294 0900 08h30 - 17h00
40 Retief Street, Mokopane, 0600 sefalp@sefa.org.za
Sekhukhune 015 294 0900 08h30 - 17h00
189 Vergelegen Street, Tlatlolang Centre, Jane Furse, 1085 sefalp@sefa.org.za
sefa Rustenburg 014 592 6391 08h30 - 16h30
Regional Office 32B Heystek Street, Sunetco Building, Rustenburg, 0299 sefanw@sefa.org.za Monday - Friday
Klerksdorp 014 592 6391 08h00 - 17h00
West End, 2nd Floor, 51 Leask Street, Klerksdorp, 2570 sefanw@sefa.org.za
North West
Vryburg 014 592 6391 08h00 - 17h00
Co-locations
8 Moffat Street,Vryburg, 8600 sefanw@sefa.org.za
Mahikeng 018 397 9942 08h00 - 17h00
1B Mikro Plaza, Cnr First & Bessemmer Streets, Industrial Sites, Mahikeng, 2745 sefanw@sefa.org.za

For more information or assistance in completing the form:

Call us: 012 748 9600

Fraud Hotline Number: 0800 30 33 36 (Tip-offs Anonymous)
Email us: helpline@sefa.org.za or complaints@sefa.org.za www.sefa.org.za
Visit us at a Regional Office near you