Ezimo Loans at Pick n Pay

First Name(s)
Last Name
SA ID Number
Email
Mobile Number
What is your monthly salary?
Loan amount required
Select your province below GautengFree StateMpumalangaNorth WestNorthern CapeEastern CapeWestern CapeLimpopoKwaZulu Natal
Have you ever had a Loan Application Declined Elsewhere? YesNo
If your answer is YES above. Do you know the reason why your Loan was declined

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Loan Reference Number
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