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New Contract Application

Congratulations!

You are one step closer to getting your new mobile contract deal. This page is meant to speed up the proccess & improve conveniance of applying for cellphone/ mobile contracts.

Get it  at Metro. A world in one store!

>>Easy Steps to be taken

  • Fill out the form below
  • Submit your neccessary documents -> info@metrohomecentre.co.za (ID + 3 Months Bank Statements + Payslip). 
  • Upon approval we will call you to make an appointment for the pickup of your goods and signing of forms. If declined you will be notified by email..
  • If you have been declined in the last 60 days, please do not apply again.
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* Required information.
Personal Information
Title *
Name *
Surname *
Initials *
Gender *
Marital Status *
Passport/ SA ID no *
Identity Type *
Passport Exp Date
Home Tel *
Address:Unit No:
Address:Building Name
Address: Street No
Address: Street Name
Town/ City *
Code *
Province *
Residence Type *
Period at current residence (No of months) *
Period at previous residence (No of months) *
Would you like to receive your bill via Email? *
Email Address
Existing Contracts Info
Do you have an existing contract? *Do you have an existing Vodacom Contract?
Account Number
Mobile No
Relative/ Friend Details
Name *
Surname *
Tel/ No *
Relationship
Employment Details
Company Name
Company Tel
Contact Person
Employers industry
Employee Number
Occupation *
Salary Date e.g 25 (Day of the month salary is paid)
Gross Monthly Income *
Period at current Employer (MM/YY) *
Spouse's Gross Monthly Income
Spouse's Period at Employer (MM/YY)
Payment Details
Account Holder's Name *
Account Number *
Bank Name *
Branch Name *
Branch Code
Allow Metro Home Centre to perfom a credit check on my name *