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Application Form

Don't be scared, it is a pretty big form, but it is only to help make it easier to read. It won't take long to complete.

Purchase Price
Less Deposit:
Loan Amount:
Term of Loan
Purpose of Loan:
Security Details (List the vehicle purchased or to be used as security)

 Personal Details
Applicant 1

Applicant 2
Title Title
Surname Surname
First Name First Name
Middle Name Middle Name
Date of Birth Date of Birth
Dependants Dependants
Marital Status Marital Status
Current Address Current Address
Suburb Suburb
City City
Home Phone Home Phone
Residential Status Residential Status
How long have you been here No of Years Here
Previous Address (if less than 3 years) Previous Address (if less than 3 years)
Suburb Suburb
City City
Occupation Occupation
Current Employer Current Employer
Employers Address Employers Address
Employers Phone Employers Phone
How long have you been here How long have you been here
Previous Occupation (if less than 3 years) Previous Occupation (if less than 3 years)
Previous Employer Previous Employer

References
Name of Private Reference Address of Private Reference
Phone Number City
Name of Nearest Relative not living with you Address
Phone Number City
Relationship

Income Details
Accountant Phone Fax

Applicant 1

Applicant2
Net Income Net Income
Other Income Other Income
Total Income Total Income

Statement of Financial Position
Assets Liabilities Outstanding Balance Monthly Payments Limits
Bank / Bldg Soc Bank Overdraft
Home & Section Outstanding Mortgage  
Cars Total Hire Purchase  
Furniture Total Credit Cards
Other Rent/Board    
Business Equity Other
Total Total  

I confirm that I/we have read and accept the Privacy Acknowledgement

Preferred Contact Person
Best time to contact me
I can be contacted on
Where did you hear about us?

Other Information which might assist us with your application - any extra liabilities that you could not fit in the application form and a perfect chance to tell us about any bad credit you might have - we will be gentle

 

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