<?xml version="1.0"?><!DOCTYPE wml PUBLIC "-//WAPFORUM//DTD WML 1.3//EN" "http://www.wapforum.org/DTD/wml13.dtd"><wml><card title="Personal Information"><p>Fill in your details to get the best quote on a loan.<br/><br/>Name and Surname:<br/><input type="text" name="name" id="name" size="30"/><br/>ID Number:<br/><input type="text" name="idnum" id="idnum" size="30" format="*N"/><br/>Cell No.:<br/><input type="text" name="cell" id="cell" size="30" format="*N"/><br/>Fax No.:<br/><input type="text" name="fax" id="fax" size="30" format="*N"/><br/>Email:<br/><input type="text" name="email" id="email" size="30"/><br/>Province:<br/><select name="province"><option value=""> - Please Choose - </option><option value="easterncape">Eastern Cape</option><option value="freestate">Free State</option><option value="gauteng">Gauteng</option><option value="kwazulunatal">KwaZulu Natal</option><option value="limpopo">Limpopo</option><option value="mpumalanga">Mpumalanga</option><option value="northwest">North West</option><option value="northerncape">Northern Cape</option><option value="westerncape">Western Cape</option></select><br/>Credit History:<br/><select name="credithistory"><option value=""> - Please Choose - </option><option value="Clean Credit Record">Clean Credit Record</option><option value="Had Court Judgements">Had Court Judgements</option><option value="Been Blacklisted">Been Blacklisted</option><option value="Declared Bankruptcy">Declared Bankruptcy</option><option value="Not Sure">Not Sure</option></select><br/>I agree to the <a href="http://sentido.co.za/loan/wap/terms.wml">Terms and Conditions</a><br/><select name="agree"><option value="no">No</option><option value="yes">Yes</option></select><br/><br/><anchor><go method="post" href="idcheck.php"><postfield name="name" value="$(name)"/><postfield name="idnum" value="$(idnum)"/><postfield name="cell" value="$(cell)"/><postfield name="fax" value="$(fax)"/><postfield name="email" value="$(email)"/><postfield name="province" value="$(province)"/><postfield name="credithistory" value="$(credithistory)"/><postfield name="agree" value="$(agree)"/></go>Continue</anchor></p></card></wml>