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FINANCE APPLICATION FORM
IF YOU DO NOT OWE ANYTHING OR DO NOT HAVE ANY DETAILS, FILL IN WITH A 0
Sales Representative

Which Vehicle (ie 2010 2.0)

Personal Details
Title

Sex

Marital Status

Marital Contract

Date of Marriage (dd/mm/yyyy):

Details of Somebody NOT Living With You
Relationship

Employer Details
Occupation

Banking Details
Who do you Bank With?

Type of Account?

Income and Expenses
Breakdown of Expenses
Agreement
By checking the check box below I hereby give consent to the Credit Provider to make enquiries about my credit record with any of credit agencies and to obtain whatever information on me that they might require to process the credit application and / or application for insurance. I hereby declare that all of the above information is true and correct . I also consent to all related parties for the collection and use of this information. *
SUBMIT
Finance application
IF YOU DO NOT OWE ANYTHING OR DO NOT HAVE ANY DETAILS, FILL IN WITH A 0
By clicking the following check boxes, I confirm that:*


I am a South African Citizen with a valid ID Book / ID Card
I am 18 years or older
I earn more than R10,000-00 nett per month
I am able to provide 3 months payslips and 3 months bank statements
I have a valid South African Driver’s License
I have not defaulted on any of my debts, nor do I have any judgements against me for accounts not paid
I confirm that I am currently not blacklisted with a financial institution






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