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FINANCE

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Finance Application

Fill out your details below to get your finance pre-approved.

Personal Details

Full Names:

Surname:

ID Number:

Nationality:

Marital Status:

Date Married:

Address:

Period At Address:

Tel (H):

Tel (W):

Tel (Cell):

Email:

Spouse Name:

Spouse ID:

Spouse Contact Number:

Next Of Kin

Name & Surname:

Address:

Contact Number:

Relationship:

Employment Details

Employer:

Address:

Years Employed:

Occupation:

Banking Details

Bank:

Branch:

Branch Code:

Account Holder:

Account Number:

Account Type:

Applicant Income Details

Basic Salary (gross):

Car Allowance:

Commission:

Overtime:

Other:

Source Of "Other" Income:

Total Salary:

Net Salary:

Total Monthly Income:

Spouse/Partner Income Details

Basic Salary (gross):

Car Allowance:

Commission:

Overtime:

Other:

Other Household Income:

Total Salary:

Net Salary:

Expense Details

Bond Payment:

Vehicle Installments:

Credit Card Payments:

Clothing Accounts:

Policy/Insurance Payments:

Transport Costs:

Education Costs:

Property Rent:

Rates, Water, Electricity:

Personal Loan Repayments:

Furniture Accounts:

Overdraft Payments:

Telephone Payments:

Food & Entertainment:

Other:

I hereby provide my consent to the credit provider to request bank statements for the bank account listed below for the sole purpose of applying for vehicle finance.

I hereby give consent to the credit provider to make enquiries about my credit record with any credit agency and to obtain whatever information on me they might require to process the credit application and to share my payment behaviour with any credit agency.

By submitting this form, I hereby declare that all of the above information is true and correct.