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Finance Application

Salesman assisting you?

Vehicle Details

1. PERSONAL INFORMATION

Title

First Name

Middle Name

Surname

ID / Passport Number

Birth Date...

Ethnic Group

Nationality

Country if foreign National

Graduate

Marital Status

Date Married

Email Address

Mobile Number

Land Line Number

Work Phone Number

2. RESIDENTIAL INFORMATION

Residential Street Address

Suburb

City

Province

Postal Code

Years at Address

Postal Address

City

Province

Postal Code

Occupation Type

Financial Institution - If Owner

3. EMPLOYMENT INFORMATION

Company

Occupation

Employment Type

Years at Company

Employer Street Address

Suburb

City

Province

Postal Code

4. INCOME INFORMATION

Gross Income

Monthly Commission

Car Allowance

Overtime

Net Take-home Pay

Other Income

5. EXPENSES

Bond Payment / Rent

Credit Card Repayments

Clothing Accounts

Furniture Accounts

Overdraft Repayments

Transport Costs

Education Costs

Maintenance

Vehicle Installments

Personal Loan's

Food & Entertainment

Insurance Costs

Rates, Water & Electricity

Telephone & Pre-Paid

Household Expenses

Other Costs

6. FRIEND / FAMILY INFORMTION (NOT RESIDING WITH YOU)

Name

Surname

Relationship

Phone Number

Relative Residential Street Address

Suburb

City

Province

Postal Code

8. TRADE-IN DETAILS

Are you trading in a vehicle?

Do you need to settle the vehicle?

Trade-in Vehicle Bank Name

Account Number to Settle

Amount To Settle

9. Required Documents

ID Doc / Passport

Drivers Licence

3 Months Payslips

3 months Bank statements

Proof of address (not older than 3 months)

CONSENT TO CREDIT PROVIDER

I/we provide my/our express consent to the credit provider to request bank statements in respect of the bank account/s listed on the application form and process my/our personal information (as defined in the legislation) for the sole purpose of applying for vehicle/asset finance

Date Accepted