vehicle finance application

Full Name

ID Number

Address

Number of years residing at the above address

Mobile Number

Email Address

Telephone Home

Telephone Work

Graduate

Yes No

NEXT OF KIN (Not residing with you)

Name

Phone Number

Address

CURRENT EMPLOYER DETAILS (Single Applicant)

Current Employer

Occupation

Employer Contact Number

Nr of Years at Company

Salary Day

Employer Address

In the last 6 months, have you received an S189 Retrenchment Notification from your employer?

Do you now or have you previously occupied a Prominent Influential Position in South Africa? (e.g. President, Deputy President, Mayor of a Municipality, Leader of a Political Party, Judge, Senior Traditional leader, etc.)

Do you have a family member or are a close associate of anyone in a Prominent Influential Position in South Africa? (e.g. President, Deputy President, Mayor of a Municipality, Leader of a Political Party, Judge, Senior Traditional leader, etc.)

Do you now, or have you previously occupied a prominent public official position in any other country other than South Africa? (e.g. Head of State/Country/Government, Senior Judge, Senior member of a political party, high rank in the military)

SALARY DETAILS (Single Applicant)

Monthly Gross Salary Before Deductions

Monthly Net Take Home Pay

Source of Other Income

Other Income Amount

BOND DETAILS (Single Applicant)

Bond Holder

Amount Outstanding

Property Value

Monthly Instalment

Purchase Price

Purchase Date

MONTHLY EXPENSES (Single Applicant)

Bond Payment / Rent

Vehicle installments (Excluding Those To Be Settled)

Credit Card Repayments Amount

Clothing Accounts

Policy / Insurance Repayments

Transportation Costs

Education Costs

Household Expenses

Rates, Water and Electricity

Personal Loan Repayments

Furniture Accounts

Overdraft Repayments

Telephone Payment

Food and Entertainment

Maintenance

Other

BANKING DETAILS (Single Applicant)

Name of Account Holder

Bank Name

Branch Name

Branch Code

Account Number

Account Type

Can Skip If Documents Aren't Available

South African ID

Drivers Licence

3 Months Bank Statements

3 Months Payslips

Proof of Residence

What Vehicle Are You Interested In To Apply For Finance

Enter Vehicle Make (e.g. Ford )

Enter Vehicle Model (e.g. Everest )

Enter The Vehicle Year (i.e. 2016)

Sales Executive's Name

Terms & Conditions

By checking the box I confirm that I have read and understand the declaration by applicants and agree to send all my Personal information to brianmotorland.co.za, to determine my credit score and for the purpose of performing an affordability and pre-qualification finance assessment to obtain my consumer credit information, finance application and financial information, from all credit bureaus and relevant third parties to make the aforementioned information available to me as well as share my personal info with third parties only related to the finance and purchase of a vehicle.

Operating Hours: Mon - Fri 0800-1800 . Saturday 0800-1500 . Public Holidays 0800-1400

011 568 4765 / 067 078 0382

info@brianmotorland.co.za

1 President road Germiston Gauteng, SA

vehicle finance application

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