APPLICATION FOR PRE-APPROVAL
PLEASE NOTE: The completion of this application is for PRE APPROVAL ONLY and you are not oblicgated to purchase a vehicle.
TYPE OF VEHICLE YOU WANT:
AVAILABLE DEPOSIT:
DO YOU HAVE A TRADE IN(if so supply detail):
Personal Details
SURNAME:
FULL NAMES:
ID NO:
TITLE:
Please select
Mr
Mrs
Miss
Dr
Prof
Past
Rev
MARRIED:
Please select
Single
COP
ANC
Widowed
DATE MARRIED:
Contact Details
CELL:
TEL(W):
TEL(H):
FAX:
E-MAIL:
Address Details
HOME ADDRESS
STREET ADDRESS:
SUBURB:
CITY:
PROVINCE:
POSTAL CODE:
PERIOD AT ADDRESS:
POSTAL ADDRESS
Please select
Use Address Below
Use Home Address
PO BOX:
POSTAL SUBURB:
POSTAL CODE:
Relative Details (Next Of Kin)
NAME:
SURNAME:
TEL:
RELATIONSHIP:
RELATIVE ADDRESS
STREET ADDRESS:
SUBURB:
CITY:
PROVINCE:
Employer Details
EMPLOYER:
OCCUPATION:
YEARS EMPLOYED:
EMPLOYER ADDRESS
STREET ADDRESS:
SUBURB:
CITY:
PROVINCE:
Bank Details
BANK NAME:
BRANCH NAME:
BRANCH CODE:
ACCOUNT HOLDER:
ACCOUNT NO:
ACCOUNT TYPE:
Please select
Credit Card
Savings
Transmission
Current
Bond Details
BOND HOLDER:
AMOUNT OUTSTANDING:
PROPERTY VALUE:
Income Details
(PER MONTH)
YOUR INCOME
SPOUSE INCOME
(only if married)
SALARY
(Gross)
CAR ALLOWANCE
COMMISION
OTHER
NETT
(Take home pay)
Household Expenses
(PER MONTH)
RENT / BOND:
VEHICLE INSTALMENTS:
ELECTRICITY:
PERSONAL LOAN:
CREDIT CARD:
FURNITURE ACCOUNTS:
TRANSPORT:
CLOTHING ACCOUNTS:
EDUCATION:
TELEPHONE:
MAINTENANCE:
FOOD & ENTERTAINMENT:
Spouse Details (only if married)
SPOUSE NAMES:
SPOUSE ID:
TEL:
Declaration by client:
I hereby grant the credit Provider the right to
i. to increase my Credit Limit once every year to accommodate any Value added Products needed;
ii. to authorise the Credit Provider to make enquiries about my credit record with any credit agency;
iii. to obtain whatever information on me they might require to process application;
I understand that I will be liable for a monthly service fee.
I also authorise the Credit Provider to share my payment behaviour with any credit agency and the National Loan Register.
By Submiting your application you agree to the terms above