Vehicle Finance Application

"*" indicates required fields

Step 1 of 8 – Personal Information

Salesman assisting you?

Vehicle Details

1. Personal Information

Title*

First Name*

Middle Name

Surname*

ID / Passport Number

Date of birth

Ethnic Group

Nationality

Country if foreign national

Are you a graduate

Marital Status

Date

Mobile Number

Land Line Number

Work Phone Number

2. Residential Address

Residential street address

Suburb

City

Province

Postal Code

Years at address

Occupation Type

Financial Institution – If Owner

3. Postal Address

Postal Address

City

Province

Postal Code

4. Employment Information

Company

Occupation

Employment Type

Years at company

Employer Street Address

Suburb

City

Province

Postal Code

5. Expenses

Bond Payment / Rent

Credit Card Repayments

Clothing Accounts

Furniture Accounts

Overdraft Repayments

Transport Costs

Education Costs

Maintenance

Vehicle Installments

Personal Loan's

Food & Entertainment

Insurance Costs

Rates, Water & Electricity

Telephone & Pre-Paid

Household Expenses

Other Costs

6. Income Information

Gross Income

Monthly Commission

Car Allowance

Overtime

Net Take-home Pay

Other Income

Totals

Total Monthly Income

Total Monthly Expenses

Date Remuneration is received