Finance Application

APPLICATION

Application Date *

Which Sales Person Assisted You? *

What type of car are you interested in? *

APPLICATION TYPE

Application Type *Bank FinanceRent to Own

Employment Type *EmployedSelf-Employed

Nature of Business

APPLICANT DETAILS

Gender *MaleFemale

First Name *

Second Name

Surname *

ID/ Passport Number *

Cellphone Number *

WhatsApp Number *

Cellphone Contract or Prepaid *ContractPrepaid

Email Address *

Licence Issue Date *

Year

Month

Day

Number of Dependents *

MARITAL STATUS

Marital Status *SingleDivorcedMarriedWidowed

Marital TypeCOP (In Community of Property)ANC (Antenuptial Contract)Tribal

Marriage Date *

Year

Month

Day

SPOUSE DETAILS

Spouse Name *

Spouse Surname *

Spouse ID *

Cellphone Number *

Spouse Employer *

Occupation *

Work Number *

HOME ADDRESS

Street Name *

Street Number

City

Province

Postal Code

Country

Period at Address *Please state how long you have lived at your current address

Bonded *YesNo

Bank *

Registered In *Own NameSpouse NameBoth

Bond Amount *

Installment Amount *

CURRENT EMPLOYMENT DETAILS

Company Name *

Occupation *

Industry Type *

Phone *

Street Name *

Street Number

City

Province

Postal Code

Country

Period at current employer *

Salary Date

APPLICANT INCOME DETAILS

Basic Salary *

Net take home salary *

Other Income *

Source for Other Income *

Deposit Available *

Spouse Basic Salary *

Spouse Net take home salary *

NEXT OF KIN DETAILS (Not living at the same physical address as you)

Name *

Surname *

Relationship *

Cellphone Number *

Street Name *

Street Number

City

Province

Postal Code

Country

BANKING DETAILS

Bank Name *

Account Holder's Name *

Account Number *

Branch Code *

Account Type *ChequeSavingsCurrentTransmission

DOCUMENTS & CONSENT

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