Universal Used Bakkies

Finance Application

Sales person assisting you

Vehicle Details

Title

First Name

Middle Name

Surname

ID / Passport Number

Birth Date

Ethnic Group

Nationality

Country if Foreign National

Graduate

Marital Status

Date Married

Email Address

Mobile Number

Land Line Number

Work Phone Number

Residential Street Address

Suburb

City

Province

Postal Code

Years at Address

Postal Address

City

Province

Postal Code

Occupation Type

Financial Institution - If Owner

Company

Occupation

Employment Type

Years at Company

Employer Street Address

Suburb

City

Province

Postal Code

Gross Income (R)

Monthly Commission (R)

Car Allowance (R)

Overtime (R)

Net Take-home Pay (R)

Other Income (R)

Bond Payment / Rent (R)

Credit Card Repayments (R)

Clothing Accounts (R)

Furniture Accounts (R)

Overdraft Repayments (R)

Transport Costs (R)

Education Costs (R)

Maintenance (R)

Vehicle Installments (R)

Personal Loan's (R)

Food & Entertainment (R)

Insurance Costs (R)

Rates, Water & Electricity (R)

Telephone & Pre-Paid (R)

Household Expenses (R)

Other Costs (R)

Name

Surname

Relationship

Phone Number

Relative Residential Street Address

Suburb

City

Province

Postal Code

Bank Name

Account Number

Account Type

Are you trading in a vehicle?

Do you need to settle the vehicle?

Trade-in Vehicle Bank Name

Account Number to Settle

Amount To Settle (R)

Are you trading in a vehicle?

Do you need to settle the vehicle?

Trade-in Vehicle Bank Name

Account Number to Settle

Amount To Settle (R)

CREDIT TO CONSENT PROVIDER

I/we provide my/our express consent to the credit provider to request bank statements in respect of the bank account/s listed on the application form and process my/our personal information (as defined in the legislation) for the sole purpose of applying for vehicle/asset finance

Date Accepted

Car Finance

Finance Application

1. PERSONAL INFORMATION

2. RESIDENTIAL INFORMATION

3. EMPLOYMENT INFORMATION

4. INCOME INFORMATION

5. EXPENSES

6. FRIENDS/FAMILY INFORMATION NOT RESIDING WITH YOU

7. BANKING INFORMATION

8. TRADE-IN DETAILS

9. REQUIRED DOCUMENTS

CREDIT TO CONSENT PROVIDER