TEL:
033 342 8264
ADDRESS :
360 PRINCE ALFRED STREET, PIETERMARITZBURG, 3201   -   270 HOOSEN HAFFEJEE STREET (BERG STREET)
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031 207 2888
HOME
ABOUT US
SHOWROOM
SELL MY CAR
FINANCE
CONTACT
COMPLIMENT / COMPLAINT
FINANCE APPLICATION FORM
IF YOU DO NOT OWE ANYTHING OR DO NOT HAVE ANY DETAILS, FILL IN WITH A 0
Private Individual
Completed Finance Application Form.
ID Document Copy.
Drivers licence Copy.
3-Months Payslips OR
If self-employed – 6 Months Bank Statements.
If not employed for 3 months yet – Signed Permanent Employment Contract.
Proof of address (Water & Lights Account/Lease Agreement).
Company
Completed Juristic Finance Application Form completed for the company.
Completed Finance Application Form for each member of the company.
CK1 Document.
ID Document Copy for each member of the company.
Driver’s licence copy of company proxy or the nominated member as main driver of the vehicle, as per insurance confirmation.
Proof of address of the company (Water and Lights Account/Lease Agreement).
6-Months Bank Statements.
Latest Financial Statements.
Trust / npo'S
Completed Juristic Finance Application Form for the Trust/NPO.
Completed Finance Application Form for each Trustee/member.
Trust Deed/NPO registration copy.
ID Document Copy for each trustee/member.
Driver’s licence copy of each Trustee/member, or the trustee who will be the nominated main driver of the vehicle, as per insurance confirmation.
Proof of address of the Trust/NPO. (Water and Lights Account/Lease Agreement)
6-Months Bank Statements.
Latest Financial Statements.
Finance application
IF YOU DO NOT OWE ANYTHING OR DO NOT HAVE ANY DETAILS, FILL IN WITH A 0
By clicking the following check boxes, I confirm that:*
I am a South African Citizen with a valid ID Book / ID Card
I am 18 years or older
I earn more than R10,000-00 nett per month
I am able to provide 3 months payslips and 3 months bank statements
I have a valid South African Driver’s License
I have not defaulted on any of my debts, nor do I have any judgements against me for accounts not paid
I confirm that I am currently not blacklisted with a financial institution
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Sales Representative
-Select Sales Representative (Not Required)-
Dauw Syffert
LLoyd Naidoo
Reante Padaychee
Theo Jubber
Yugen Naidoo
Which Vehicle (ie 2010 2.0)
-SELECT-
2018 Silver Ford Fiesta
2018 RED Volkswagen Polo Vivo
2022 blue Volkswagen Polo
2022 Grey Renault Clio
2020 White Volkswagen Polo
2020 maroon Toyota Corolla
2016 silver Volkswagen Polo Vivo
2020 WHITE Volkswagen Polo Vivo
2019 maroon Hyundai i10
2016 White Mercedes-Benz C Class
2022 Grey Toyota Urban Cruiser
2018 Maroon Ford Figo
2012 silver Toyota Land Cruiser Prado
2021 blue Toyota Urban Cruiser
2019 silver Hyundai i10
2017 White Mercedes-Benz CLA Class
2019 white Toyota Corolla
2022 Blue Toyota Starlet
2023 WHITE Volkswagen T-Cross
2019 white Opel Corsa
2020 blue Volkswagen Polo
2014 SILVER Toyota Etios
2015 white Volkswagen Polo
2013 BLUE Kia Picanto
2018 White Volkswagen Polo Vivo
2020 Blue Mazda CX-3
2020 WHITE Renault KWID
2013 BRONZE Kia Picanto
2017 WHITE Toyota Hilux
2023 black Suzuki Swift
2020 White Mercedes-Benz A Class
2019 white Toyota Rav4
2023 White Toyota Starlet
2022 White Hyundai i10
2015 WHITE Toyota Etios
2018 White Toyota Corolla
2020 BLUE Suzuki Vitara
2018 MAROON Hyundai i10
2017 WHITE Honda Jazz
2018 white Ford Figo
2023 White Toyota Starlet
2022 white Volkswagen Polo
2018 silver Renault Duster
2017 blue Mercedes-Benz GLC Class
2020 white Toyota Corolla
2020 White Toyota Hilux
2020 silver Nissan Qashqai
2016 Blue Ford Fiesta
2019 white Nissan NP300
Personal Details
Title
-----
MR.
MNR.
MISS.
MRS.
MEV.
MS.
DR.
PROF.
PRINCE
Surname
Where did you see this vehicle advertised :
-- Select --
Autotrader
Cars.co.za
Wesbank
FNB
Google
Facebook
Facebook Marketplace
Full Names
Cell Number
Email Address
Sex
-
Male
Female
ID Number
No. Of Dependants
Are you married
-
Yes
No
If you are married, how?
-
Single
Married
Divorced
Widowed
COP
ANC
Date of Marriage (dd/mm/yyyy):
DAY
1
2
3
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5
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31
DAY
MONTH
1
2
3
4
5
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7
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9
10
11
12
YEAR
1944
1945
1946
1947
1948
1949
1950
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1961
1962
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2011
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2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Home Address :
Street 1:
Street 2:
Street 3:
Suburb :
City :
Postal Code:
How long have you stayed at this address? (Years/Months):
Postal Address :
Postal Address:
P.O. Box 1 :
P.O. Box 2 :
P.O. Box 3 :
P.O. Box Suburb :
P.O. Box City :
P.O. Box Postal Code :
Telephone(Home):
Telephone(Work):
Spouse Name(if Married):
Spouse ID(if Married):
Spouse Cell Number(if Married):
Details of Somebody NOT Living With You
Name:
Surname:
Cell Number:
Relationship
-
Friend
Family
Boss
Address:
Employer Details
Employers Company Name:
Managers Name:
Occupation?(What work do you do?):
How long have you worked there?:
Employers Address:
Employers Telephone:
What date do you get paid:
Banking Details
Who do you Bank With?
-
ABSA
FNB
Nedbank
Standard Bank
Capitec
TYME BANK
Other
No Bank Details
Type of Account?
-
Cheque
Transmission
Savings
Bank Branch Name?:
Bank Account Number?
Bank Branch Number?
Name of Account Holder
Income and Expenses
Total Income Before Deductions
Total Income After Deductions
Total Expenses ie Rent, Vehicles, Food, Telephone, Electricity, etc
Breakdown of Expenses
Bond Payment / Rent
Rates, Water, & Electricity
Vehicle Installments
Personal Loan Repayments
Credit Card Repayments
Furniture Accounts
Clothing Accounts
Overdraft Repayments
Insurance Repayments
Telephone Payment
Transport Costs
Food and Entertainment
Education Costs
Maintenance
Household Expenses
Other
Agreement
By checking the check box below I hereby give consent to the Credit Provider to make enquiries about my credit record with any of credit agencies and to obtain whatever information on me that they might require to process the credit application and / or application for insurance. I hereby declare that all of the above information is true and correct . I also consent to all related parties for the collection and use of this information. *
I agree
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