Vehicle Finance Application
 
 
  Vehicle interested in:
 
   
  Are you blacklisted?
     
  Yes
  No
   
  Do you have a trade in?
     
  Yes
  No
   
  Personal Details
     
  Full name
  Full name as written on ID
  ID Number
  Gender
  Graduate
  Income tax number
  Telephone number (home)
  Cellphone number
  Email Address
     
  Address:
   
 
   
  How long have you lived at the above address?
 
   
  Do you have a drivers license?
     
  Yes
  No
   
  Employment Details
     
  Company name
  Date started at this company
  Job Title
  Pay date
  Telephone number
  Supervisor
     
  Company street address:
   
 
   
  Do you own property?
     
  Yes
  No
   
  Marital Status:
 
   
  Next of Kin ( Nearest relative or friend in South Africa not living with you. )
     
  Relationship
  Telephone Number
  First name
  Surname
     
  Street Address:
   
 
   
  Personal bank details
     
  Bank name
  Branch Name/Code
  Account Type
  Account number
     
  Previous vehicle finance:
     
  Yes
  No
   
  If yes, Bank name:
 
   
  Which vehicle:
 
   
  Are you going to trade the vehicle in?
 
   
  Existing vehicle finance:
     
  Yes
  No
   
  Account number:
 
   
  Installment per month:
 
   
  Income
     
  Gross Salary
  Net Salary
  Other income per month
  Source of other income
     
  Personal Expenses per month
     
  Bond Payment / Rent
  Rates, Water, Lights
  Vehicle Instalments (Excluding vehicles that you are trading in)
  Personal Loan Repayments
  Credit Card Repayments
  Furniture Accounts
  Clothing Accounts
  Overdraft Repayments
  Policy / Insurance Repayments
  Telephone or Cellphone Payment
  Transport / Travel Costs
  Education Costs (School Fees etc.)
  Child Maintenance
  Household Expenses other than food
  Other
     
  3 Months Payslips
 
   
  Copy of ID
 
   
  Proof of Address (Account or utility bill not older than three months)
 
   
  License if available
 
   
  Three months bank statement (Stamped)
 
   
  If married – spouse payslip and copy of ID
 
   
 
Security Check: